Papers - HIRANO Michiyo

Development of a Social Activities Scale for Community-Dwelling Older Women Requiring Support in Japan: A Preliminary Study

Michiyo Hirano, Kayoko Kawahara, Kazuko Saeki

Public Health Nursing ( WILEY-BLACKWELL )  32 ( 5 ) 508 - 516  2015.09  [Refereed]

Authorship：   Lead author  , Corresponding author

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Objective: The purpose of this study was to develop a scale for measuring the social activities of community-dwelling older women requiring support in Japan. Design and Sample: A methodological study was performed of 118 older women (>65 years old) requiring support and residing in region A of Japan. Measures: An anonymous questionnaire was administered through individual interviews, and valid responses were obtained from 110 people. The construct validity of the resulting scale was assessed by exploratory factor analysis. Criterion-related validity was tested by calculating Spearmans rank correlation coefficient between the resulting scale and the existing Social Activity Index for Elderly People (SAI-E). Reliability was tested by Cronbachs alpha coefficient. Results: The Social Activity Scale for Community-Dwelling Older Women Requiring Support (SASOWS) was created. This scale comprised the following three subscales: interactions with familiar people, consulting with care service providers, and performing proactive creative activities at home. Correlation of SASOWS with the existing SAI-E resulted in a correlation coefficient of.521 (p<.01). Cronbachs alpha for the entire scale was .772, and internal consistency was observed. Conclusions: SASOWS appears to be a reliable, valid, and useful scale to measure social activities specific for older women requiring support. Future studies should continue to examine the items and usefulness of this scale.

DOI

要支援高齢女性の社会活動尺度の開発

平野美千代, 河原加代子, 佐伯和子

日本地域看護学会誌   17 ( 2 ) 19 - 27  2014  [Refereed]

Authorship：   Lead author

DOI

行政機関の保健師に求められる政策に関する能力と必要な保健師基礎教育の内容 市町村に勤務する保健師管理者への面接調査から

平野美千代, 佐伯和子, 上田泉, 本田光

日本公衆衛生雑誌 ( 日本公衆衛生学会 )  59 ( 12 ) 871 - 878  2012.12  [Refereed]

Authorship：   Lead author  , Corresponding author

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目的 本研究は、行政機関の保健師に求められる政策に関する能力と必要な保健師基礎教育の内容について明らかにすることを目的とする。方法 行政機関に勤める実務経験年数10年以上の係長級以上の職位をもつ保健師8人を対象に半構造化面接を実施した。分析は質的記述的分析を行い、分析過程は共同研究者間で検討を重ねながら進めた。結果 保健師に求められる政策に関する能力として29サブカテゴリーと13カテゴリーを抽出し、カテゴリー間の関係性を検討し、以下、3つの中核カテゴリーを抽出した;(1)住民の健康を念頭においた主体的な取り組み、(2)行政組織の一員としての視点と技術、(3)住民の奉仕者としての公務員の姿勢。また、政策に関して必要な保健師基礎教育の内容として18サブカテゴリーと9カテゴリーを抽出し、カテゴリー間の関係性を検討し、以下、4つの中核カテゴリーを抽出した;(1)保健師に必要な気質の育成、(2)個々の住民に着目した支援の重要性、(3)地域をみることができる洞察力の養成、(4)行政特有の機能とシステムの理解。結論 今後、保健師が行政機関で政策立案に携わっていくには、保健師の医療職としての専門能力だけではなく、事務職員と同様に行政職員としての能力が必要と考えられる。また、政策に関する保健師基礎教育は、保健師に必要な人間性やコミュニケーション能力を養うほか、実際の保健事業をもとに政策に関して考える講義・演習・実習をとおした授業展開の重要性が示唆される。(著者抄録)

DOI J-GLOBAL

Development of Mutual Trust between Mothers of Newborns and Public Health Nurses during Newborn Home Visits Nurse's Assessment of Mother's Behavior

ONISHI RYUTA, FUKAGAWA SHUHEI, ISHIMA NODOKA, SEKINE REIKO, HIRANO MICHIYO, SAEKI KAZUKO

日本地域看護学会誌 ( (一社)日本地域看護学会 )  15 ( 1 ) 89 - 98  2012.08  [Refereed]

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新生児家庭訪問における保健師と母親の信頼関係の構築過程を、母親の反応に対する保健師の判断を通して明らかにすることを目的に、市町村に勤務する実務経験10年〜20年の保健師10名を対象に半構成的面接を行った。内容分析の結果、母親の反応から保健師が判断した信頼関係は、【母が保健師を客人として拒否せず受け入れる】段階(Stage1)から始まり、コミュニケーションを通じ【母が保健師を身近な存在としてとらえる】段階(Stage2)、【母が保健師を専門職の支援者ととらえる】(Stage3)へと進み、さらに、育児方法を共に考え、育児について感情を共有し合うことで【母が保健師と感情を共有し合う】段階(Stage4)、【母が安心して自身の思いを表出する】段階(Stage5)へと至り、最終的に【母が保健師との支援関係を肯定的にとらえる】段階(Stage6)へと発展していることが分かった。

DOI J-GLOBAL

"Social activity of elderly" in Japan : Concept analysis

Hirano Michiyo

The journal of Japan Academy of Health Sciences ( 日本保健科学学会 )  14 ( 3 ) 121 - 128  2011.12  [Refereed]

Authorship：   Lead author

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This analysis aimed to examine the characteristics and utility of the concept of "social activities of the elderly" in Japan, to improve Japanese community health nursing. The analysis of this concept was based on Rodger's approach and focused on attributes, antecedents, and consequences. The analysis was performed with an inductive approach. The attributes of social activities of the elderly included "interaction with people outside their family," "participation in various groups and organizations," and "social indirect connection through personal activities." The antecedents of social act...

DOI CiNii

Awareness of the Importance of Public Health Nursing Activities in Japan

Michiyo Hirano, Kazuko Saeki, Mariko Kawaharada, Izumi Ueda

JOURNAL OF COMMUNITY HEALTH ( SPRINGER )  36 ( 5 ) 765 - 771  2011.10  [Refereed]

Authorship：   Lead author

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The purpose of this study was to clarify the importance of public health nurses (PHNs) in Japan assigned to the targets and methods of public health nursing activities. Subjects were PHNs who had 10 years or more of work experience. A cross-sectional written survey was used to collect data from 1,967 PHNs (42% response rate). Survey items sought opinions on trends in community health and welfare activities (TCHWA), and the importance of public health nursing activities. TCHWA responses indicated that 70% or more of participants recognized the expansion of public responsibility, and the importance of the individual level of practice and policy-making. Surveyed PHNs found coordinating an organization (83.6%) to be important. Correlation of responses regarding TCHWA and the importance of public health nursing activities highlighted the importance of policy-making and indicated a significantly high awareness of the importance of activities. PHNs regarded support at both the individual/family and population/community levels to be important in terms of public health nursing activities. Currently, regarding public health nursing activities, it is necessary to promote the role of safety nets for protecting citizens' health, and effective public health nursing activities from which all citizens can equitably resource.

DOI PubMed

Characteristic social activities of frail elderly women living alone

平野 美千代, 佐伯 和子, 河原 加代子

Journal of Japan Academy of Home Care ( 日本在宅ケア学会 )  14 ( 2 ) 66 - 75  2011.02  [Refereed]

Authorship：   Lead author

CiNii

Required Level of Competency of Prefectural Public Health Nurses with 10 Years of Experience: Comparison between Responses of Local Government Administrators and Public Health Nurses

HIRANO MICHIYO, SAEKI KAZUKO

日本地域看護学会誌 ( (一社)日本地域看護学会 )  11 ( 2 ) 59 - 67  2009.03  [Refereed]

Authorship：   Lead author

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保健師と事務系職員が10年目の保健所保健師に求める実践能力レベルを明らかにすることを目的に、47都道府県庁および7都道府県の県型保健所と市町村に勤める実務経験10年以上の保健師、事務系職員を対象にアンケート調査を行い、都道府県保健師261名、市町村保健師392名、事務系職員211名の計864名より有効回答を得た。その結果、10年目の保健所保健師には、保健師活動全般を自立して実践できるだけでなく、地域保健福祉活動に関し他者を指導できるレベルも求められており、とくに、市町村保健師と事務系職員にその傾向がみられた。

DOI J-GLOBAL

行政機関で行う保健指導に対する保健師と事務系職員の認識の比較

平野 美千代, 佐伯 和子

日本地域看護学会誌   10 ( 2 ) 101 - 107  2008  [Refereed]

Diffidence in Proficient Public Health Nurses Who Provide Community-focused Nursing-From Interviews of Proficient Public Health Nurses of a Public Health Center Engaging in Support for Mental Disorders-

HIRANO MICHIYO, HIRANO NORIKO, IZUMI HISAKO, NAMIKAWA KYOKO

日本地域看護学会誌 ( Japan Academy of Community Health Nursing )  10 ( 1 ) 66 - 71  2007.10  [Refereed]

Authorship：   Lead author

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Purpose : The purpose of this study was to investigate diffidence in proficient public health nurses who conduct self-evaluations of community-focused nursing. Methods : Subjects were seven public health nurses with 6-10 years of experience at prefectural health care centers and were also experienced in developing community-focused nursing for those suffering from mental disorders based on individual support. The data were collected using semi-structured interviews. Diffidence is defined as "a feeling mainly occurring due to self-consciousness and insecurity wherein one does not trust or respect their own judgment, competence, and skill, leading to low self-esteem." In addition, qualitative, inductive analyses were conducted. Results : Based on the data, even the proficient public health nurses working at health care centers and building networks and organizations for mental disorder patients were found to be diffident. Diffidence included "worry and anxiety about collaborating with health care, medical and welfare workers," "difficulty in building a network among health care, medical and welfare workers," "difficulty in maintaining organization for those concerned about patients with mental disorders," "strain and anxiety of developing mental health nursing in the community" and "pain and anxiety in smoothly supporting individual cases." Discussion : We consider that the diffidence of the proficient public health nurses was self-questioning about their judgments and actions from the perspective of ideal competence and proficiency. Moreover, the diffidence of these proficient public health nurses appeared to be a self-evaluation of their judgments and actions with reflection about how to provide better support. It was suggested that it is important that the proficient public health nurses evaluate their own competence adequately, and that the support organization of chief nurses and colleagues should provide guidance and advice to these proficient but diffident nurses.

DOI CiNii J-GLOBAL

自閉スペクトラム症傾向を持つ児の育児を通した母親の経験 療育開始前に焦点を当てて

中野 杏, 平野 美千代, 佐伯 和子

看護ケアサイエンス学会誌 ( 看護ケアサイエンス学会 )  22 ( 1 ) 53 - 66  2024.03

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目的:自閉スペクトラム症(ASD)傾向を持つ児の育児を通した母親の経験について,児の誕生から療育開始前までの期間に焦点を当てて明らかにする.方法:8名の母親に半構造化面接を実施し,構成主義的グラウンデッド・セオリー・アプローチにて分析した.結果:3つの《大カテゴリー》が抽出された.ASD傾向を持つ児の母親は,育児中に児の成長への期待と落胆を繰り返り,《子どもの発達・行動の理解をめぐる混沌》を経験し,これを契機に児や社会との繋がりに希薄さを抱き《理解しにくい子どもの養育のもとで深まる孤立》を経験していた.一方,他者から自身や児への理解が示されることで《理解による混沌と孤立の緩和》を経験し,その後,療育の開始へ繋がっていた.結論:家族や知人などの関係性の中では母親が《理解による混沌と孤立の緩和》を経験することは難しく,専門職がこのような母親の経験を十分に理解した上で介入する重要性が示唆された.(著者抄録)

日本の保健師が捉えた母子保健サービスにおける父親支援の課題(Challenges of supporting fathers in pregnancy health services perceived by public health nurses in Japan)

上田 泉, 平野 美千代, 佐伯 和子

看護ケアサイエンス学会誌 ( 看護ケアサイエンス学会 )  22 ( 1 ) 13 - 26  2024.03

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本研究の目的は,日本の自治体における母子保健サービスの中の妊娠中の父親支援の実態を把握することである.本研究は横断的観察研究である.2018年10月から2018年11月まで,日本の1,724市区町村のうち574市区町村の母子保健担当者を無作為に抽出し,郵送法による無記名自記式質問紙調査を実施した.抽出は,層化無作為方法で実施した.回答者204名(35.5%)のうち,保健所設置市(人口20万人以上)19名,一般の市が106名,町が67名,村が12名であった.このうち保健師の回答は191人(93.6%)だった.母子保健サービスについて,妊娠中の母親,両親,父親のみを対象とした教室がそれぞれ84回(41.2%),118回(57.8%),10回(4.9%)の実施状況であった.母親学級の目的・内容は,「妊婦同士の交流・交友」が最も多く,次いで「妊娠中の指導・セルフケア」,「育児資源の知識提供」であった.両親学級では,「父親の育児参加を促す」,「新生児の生理を理解し,新生児ケアを学ぶ」が多かった.一方,父親のみを対象とした企画は5件(2.5%)のみであった.(著者抄録)

Verification of the Effectiveness of a Communication Application in Improving Social Connectedness and Physical Health among Unacquainted Older Men: A Mixed-Methods Pilot Study

Sakino Shinokawa, Hiroki Abe, Risa Takashima, Ryuta Onishi, Michiyo Hirano

International Journal of Environmental Research and Public Health ( MDPI AG )  20 ( 3 ) 1884 - 1884  2023.01

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This study aimed to verify the effectiveness of an application (app) in establishing social connectedness among unacquainted older men, as well as improving their physical health. The nine participants were men aged 65 and older in the subarctic zone of Hokkaido, Japan. A mix of quantitative and qualitative methods were adopted as the study design. A questionnaire survey was completed before and after the intervention, and a semi-structured interview was conducted after the intervention. An app-installed smartphone was loaned to the participants, which allowed them to share pictures, voice recordings, and their step count. Quantitative data were analyzed using descriptive statistics and the Wilcoxon signed-rank test, and qualitative data were analyzed using qualitative descriptive analysis to generate categories. The average age of the participants was 77.7 years. The relationship between participants who were interacting for the first time through the app advanced as their understanding of each other’s personalities deepened. The average step count during the third and fourth months was significantly higher than in the first two months. By using the app, older men were able to build relationships with one another. In addition, visualizing the number of steps on the app was effective in improving the number of steps.

DOI

Indicators for Evaluation of Health Teacher Education (Revised) (2020)—The Japan Association of Public Health Nurse Educational Institutions (JAPHNEI) Version

Iwamoto Saori, Takizawa Hiroko, Hirano Michiyo, Oki Sachiko, Shimoyamada Ayumi, Hashimoto Fumiko, Hada Yayoi, Matsubara Michiko, Irino Satoshi, Saeki Kazuko, Suzuki Miwa

Public Health Nursing Education ( Japan Association of Public Health Nurse Eduational Institution )  6 ( 1 ) 11 - 18  2022.05

DOI

子ども食堂を介した地域の人々のつながりに対する関係者の認識 民生委員児童委員協議会が開設した活動に着目して

織田遥, 平野美千代

北海道公衆衛生学雑誌   35 ( 2 ) 41 - 49  2022.03  [Refereed]

Authorship：   Corresponding author

A Review of Issues Concerning the Support for Fathers During Pregnancy: Research Trends in Japan

Izumi Ueda, Asako Aoki, Michiyo Hirano, Naomi Okada, Kazuko Saeki

International Journal of Studies in Nursing ( July Press Pte. Ltd. )  6 ( 4 ) 16  2021.11

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Objective: To identify future issues in the development and implementation of support programs for fathers with the aim of preventing child abuse, we reviewed the domestic literature to determine the characteristics of support for fathers during pregnancy and identify research trends.Methods: The domestic literature was searched on January 31, 2021, using the Central Journal of Medicine ver. 5.0. The search yielded 110 original articles and nursing literature using the keywords “pregnancy & father” and “pregnancy & husband,” wherein 100 articles with abstracts were found, excluding conference proceedings. The abstracts were then checked, and finally, 27 were included in this analysis.Results: In the articles collected, the following themes were extracted: “satisfaction from the experience of child-rearing skills from pregnancy,” “relationship between marital intimacy and relationship to mother and child from pregnancy,” “role adjustment between work and home from pregnancy,” and “vague imagination and anxiety from pregnancy.”Conclusion: During pregnancy, the deepening of the relationship between the mother and father, who is still adjusting to become a father, can affect the quality of the relationship between the mother and the child. Thus, the challenge is to develop support programs that will further strengthen the relationship between the husband and wife.

DOI

委託機関が実施する介護予防教室のプログラム内容の特徴 ―教室参加者の社会活動の満足度に着目して―

深川 周平, 森本 友香, 平野 美千代

日本公衆衛生看護学会誌   10 ( 2 ) 72 - 79  2021.08  [Refereed]  [Domestic journal]

DOI

就業1年目保健師の家庭訪問能力の発達 ―指導者の評価による縦断調査―

佐伯 和子, 水野 芳子, 平野 美千代, 本田 光

日本公衆衛生看護学会誌   10 ( 2 ) 43 - 52  2021.08  [Refereed]  [Domestic journal]

DOI

介護予防を目的とした開始期の自主グループの運営に関するリーダーの行動

山内菜実, 平野美千代

北海道公衆衛生学雑誌   34   77 - 84  2021.03  [Refereed]

Authorship：   Corresponding author

デジタルネイティブ世代の育児におけるインターネトとアプリケーション使用：3歳児を養育する母親を対象に

大西竜太, 平野美千代, 佐伯和子

北海道公衆衛生学雑誌   34   59 - 68  2021.03  [Refereed]