Details of a Researcher - HIRANO Michiyo

Papers - HIRANO Michiyo

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Developing and testing a draft scale evaluating older adults' perceptions of community-based connectedness with people: A pilot study.

Mami Kikuchi, Atsuko Ikeda, Michiyo Hirano

[Nihon koshu eisei zasshi] Japanese journal of public health 2024.12 [Refereed] [Domestic journal]

Authorship： Corresponding author

Objective Connectedness is essential for maintaining the physical and mental health of older adults. However, measurements that consider the presence of community-dwelling people and explicitly focus on an individual's subjective sense of connectedness have not yet been established. This pilot study aimed to develop a draft scale that comprehensively measured older adults' perceptions of community-based connectedness with people.Methods The scale development comprised three phases; item review, pre-test, and field verification. Phase 1 (item review) involved creating an item pool and evaluating content validity. Phase 2 (pretest) involved evaluating face validity and conducting item analysis on the preliminary version of the scale. Phase 3 (field verification) involved distributing the preliminary scale to 800 Japanese men and women aged ≥ 65 years residing in Asahikawa, Hokkaido, Japan. Validity was assessed by factorial validity using exploratory factor analysis and concurrent validity using correlation analysis. Reliability was confirmed by Cronbach's α coefficient using the internal consistency method.Results The evaluation of content validity in Phase 1 and face validity in Phase 2 yielded 30 items. In phase 3, of the 800 questionnaires that were distributed, 343 were returned, of which 309 included responses to all items and were analyzed. Exploratory factor analysis resulted in a 22-item scale comprising three factors that assessed perceptions of community-based connectedness. The Cronbach's α for the total scale was 0.967, and the α coefficients for inclusion, reciprocity through provision, and reciprocity through reception were 0.941, 0.915, and 0.928, respectively. The total scale scores were significantly positively correlated with purpose in life (rs = .453, P < .001) and negatively correlated with loneliness (rs = -.307, P < .001).Conclusion The 22-item draft scale exhibited adequate reliability and validity. Perceptions of connectedness measured by this scale can be used to support public healthcare interventions for community-dwelling older adults.

DOI PubMed

都市部に在住する中壮年期男性が認識する近隣とのつきあい

瀬尾采子, 平野美千代

日本公衆衛生看護学会誌 ( (一社)日本公衆衛生看護学会 ) 13 ( 3 ) 177 - 185 2024.12 [Refereed]

Authorship： Corresponding author

DOI

Help-seeking preference in obtaining social support for older adults in depopulated areas.

Hanami Tone, Michiyo Hirano

Australasian journal on ageing 43 ( 3 ) 561 - 569 2024.09 [Refereed] [International journal]

Authorship： Corresponding author

OBJECTIVE: To clarify the circumstances of help-seeking preference among older adults in depopulated areas and the relationship between help-seeking preference and social support. METHODS: This was a cross-sectional study that included a sample of 271 men and women aged 65-79 years living in Japan. A questionnaire survey was conducted to assess help-seeking preference, social cohesion (community trust, norms of reciprocity and community attachment), socialising (interaction with neighbors and social network) and social support. Multiple regression analysis was performed with items that were found to be significantly associated with social support in the univariate analysis. Then, we examined the significance of the change in the coefficient of determination between a model that included help-seeking preference as an independent variable and a model that did not. RESULTS: Social support was related to help-seeking preference, living arrangements, economic status, norms of reciprocity and social networks. There was a significant difference in the coefficient of determination between the models with and without help-seeking preference. CONCLUSIONS: For older adults in depopulated areas to obtain social support, it is important to build trusting relationships with others and shows a willingness to seek and accept help.

DOI PubMed

日本語版Positive Solitude尺度の開発および信頼性・妥当性の検証

中尾凪沙, 平野美千代

日本公衆衛生雑誌 ( 日本公衆衛生学会 ) 71 ( 7 ) 349 - 356 2024.07 [Refereed]

Authorship： Corresponding author

目的孤独はSolitudeとLonelinessに分けられ,日本では孤独を不快で苦痛を伴う体験であるLonelinessとして捉えている研究が主である。一方,Solitudeは他の人といる時でも人と関わらないことを選択することで発生するものであり,必ずしも否定的な感情を伴うものではない。本研究ではSolitudeに着目し,"一人でいることをポジティブな経験として,意識的・自発的に決定すること"を測定する日本語版Positive Solitude尺度(Japanese version of Positive Solitude Scale:JPSS)を開発し,その信頼性と妥当性を検証する.方法 JPSSはPalgi et al.(2021)のPositive Solitude Scaleの日本語版である.対象は,札幌市A区に在住する20歳以上の男女700人とし,2023年5～8月に,無記名自記式質問紙調査を実施した.調査項目は,基本属性,JPSS,収束的妥当性を検証するために主観的健康感,主観的Well-being,抑うつ,弁別的妥当性を検証するためにソーシャルネットワーク,孤独感で構成した.分析は,主成分分析と相関分析を用いた.結果回収数は245部,有効回答数237部(有効回答率33.9%)であった.対象者の平均年齢は58.5±1.2歳,性別は「男性」111人(46.8%)であった.JPSS得点のCronbach α係数は0.92であった.主成分分析の結果,9項目すべてで主成分負荷量が0.6を超えており,尺度全体の累積寄与率は62.3%であった.尺度総点は主観的健康感(ρ=0.210,P=0.001),ポジティブ感情(ρ=0.302,P<0.001),生活満足度(ρ=0.241,P<0.001)と有意な正の相関であった.また抑うつ,ネガティブ感情,ソーシャルネットワーク,孤独感とは有意な相関はなかった.結論 JPSSは信頼性と妥当性を有したソーシャルネットワークなどの社会的関係に影響を受けない尺度である.本尺度は,孤独感とは異なるポジティブな感情として自分の時間の認識を測定できる新たな尺度であると考えられる.(著者抄録)

DOI

Online health information searching and health literacy among middle-aged and older adults: A cross-sectional study.

Shiho Ishizuki, Michiyo Hirano

Nursing & health sciences 26 ( 1 ) e13098 2024.03 [Refereed] [International journal]

Authorship： Corresponding author

Given the rapid increase in health information available, health literacy is now more important than ever when searching for health information online. Furthermore, health literacy and online health information searching are reported to be associated with support from others. In this study, we examined the associations of health literacy and social support with online health information searching among individuals in their 50s and 60s. Between March and May 2022, an anonymous self-administered questionnaire was administered among 750 middle-aged and older adults (age 50-69) living in northern Japan. The questionnaire items included personal characteristics, frequency of online health information searching, health literacy domains, and social support. A total of 237 respondents answered all the items (response rate: 31.6%). Multiple logistic regression analysis revealed that communicative health literacy was significantly associated with searching for information about illnesses and health promotion, while critical health literacy was significantly associated with searching for information about medical institutions. Controlling for personal characteristics, health literacy, was associated with online health information searching, suggesting that improving health literacy is important in a digital and information society.

DOI PubMed

Development of Older Adults’ Perceptions on Community‐based Connectedness with People Scale: Reliability and validity evaluation

Mami Kikuchi, Atsuko Ikeda, Michiyo Hirano

Japan Journal of Nursing Science ( Wiley ) 2024.01 [Refereed]

Authorship： Corresponding author

Abstract Aim We developed a self‐assessment scale—Older Adults' Perceptions of Community‐based Connectedness with People—to assess older adults' comprehensive perceptions of their connectedness with others in the community. A specific aim of this study is to evaluate the reliability and validity of this scale. Methods Participants consisted of 1000 men and women aged 65 years or older, living in Sapporo, Hokkaido, Japan. Factorial validity was assessed using exploratory and confirmatory factor analysis, while concurrent validity was assessed using correlation analysis. Reliability was confirmed by Cronbach's α coefficient using the internal consistency method, and the stability coefficient was confirmed using the test–retest method. Results Responses were received from 380 participants, and 358 participants who responded to all items were included in the analysis. The developed scale comprised 22 items with three factors: “Perception of Inclusion” (α = .947), “Perception of Reciprocity through Reception” (α = .937), and “Perception of Reciprocity through Provision” (α = .910). Correlation analyses indicated that concurrent scales were positively correlated with Ikigai and negatively correlated with loneliness on the total scale. The model fit was comparative fit index = 0.933, goodness‐of‐fit index = 0.854, adjusted goodness‐of‐fit index = 0.818, and root mean square of approximation = 0.081. The stability coefficient of the total scale scores was 0.875 (95% CI: [0.830, 0.908]). Conclusions The developed scale had adequate reliability and validity. The perceptions of connectedness measured using this scale can be used by public health and nursing care professionals to prevent loneliness and isolation among older adults living in the community.

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Testing a frailty prevention program for older men during <scp>COVID</scp>‐19: A 2‐year mixed‐methods pilot study

Michiyo Hirano, Risa Takashima, Ryuta Onishi, Hiroki Abe, Kazuko Saeki

International Journal of Older People Nursing ( Wiley ) 18 ( 6 ) 2023.09 [Refereed]

Authorship： Lead author , Corresponding author

Abstract Background Frailty is a syndrome related to declining functioning attributed to aging. As a reversible, often improved condition, preventive measures for frailty can be effective. Objective This study aimed to evaluate a frailty prevention program for older men comprising face‐to‐face meetings and an original social mobile application. We also examined the effect of COVID‐19‐associated social isolation on the implementation of this program. Methods We conducted a mixed‐methods pilot study featuring a single group before and after comparison of 11 man participants, ≥65 years, living in Japanese cities with a spouse or relatives. Program outcome measures included frailty, loneliness, grip strength, step count and mental health status. Process evaluation considered the experience of participants through a semi‐structured interview. Results The intervention period included an interval of self‐isolation owing to the spread of COVID‐19. Among the outcomes, grip strength decreased after intervention. No significant negative changes were observed in other items. Themes emerging from participant experiences with the program included ‘Cooperation with researchers and contributing to research’, ‘Greater awareness of health’, ‘Interest in and experience of “newness”’, ‘Hesitation over active engagement’, ‘Casual ties with members’ and ‘Relationships that do not breach personal boundaries’. Conclusions Although the COVID‐19 pandemic overlapped with the intervention, participants maintained their mental health. The program was a novel, stimulating experience for older men and demonstrated the usefulness of information and communication technology in supporting their social activities. Implications for practice As a community health nursing initiative for older people, we propose activities that combine group and online support. Frailty prevention programs for older men must contain content that stimulates their interests, such as ‘health’ and ‘newness’.

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Older people's connectedness with people in the community in contemporary contexts: A concept analysis

Mami Kikuchi, Michiyo Hirano

Japan Journal of Nursing Science ( Wiley ) 21 ( 1 ) 2023.09 [Refereed]

Authorship： Corresponding author

Abstract Aim This study aimed to clarify the concept of older people's connectedness with people in the community within the literature. Methods This study was based on Walker and Avant's concept analysis method. We used PubMed, MEDLINE, CINAHL, and Web of Science databases and included peer‐reviewed articles that were published in English between January 2010 and April 2023. After assessing eligibility and applying exclusion criteria, 25 articles were analyzed. Results Attributes included sense of belonging to the community achieved through interactions and feeling of togetherness through interrelationships, which consequently led to the maintenance of healthy physical and mental states and independent living, the acquisition of the ability to overcome difficulties, and the creation of a sense of meaning in life through coexistence. Conclusion We identified the concept of older people's connectedness with people in the community in a contemporary context. Connectedness is a useful concept to consider in nursing care because it seems to evolve into comprehensive health, including the physical and psychosocial health of older adults.

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新型コロナウイルス感染症流行下における都市部在住男性高齢者の社会的孤立とICTおよび人づきあいとの関連

中尾凪沙, 瀬尾采子, 戸村友美, 石附史帆, 刀稱華未, 平野美千代

日本公衆衛生看護学会誌 12 ( 2 ) 99 - 108 2023.08 [Refereed]

Authorship： Last author , Corresponding author

DOI

Increasing the sense of maternal achievement from overcoming parental control challenges using human versus digital resources: A cross-sectional survey

Ryuta Onishi, Kazuko Saeki, Michiyo Hirano

Current Psychology ( Springer Science and Business Media LLC ) 2023.06 [Refereed]

DOI

Effects of a ‘social activity program that encourages interaction’ on rural older people's psychosocial health: Mixed‐methods research

Mami Kikuchi, Ryuta Onishi, Risa Takashima, Kazuko Saeki, Michiyo Hirano

International Journal of Older People Nursing ( Wiley ) 18 ( 3 ) 2023.03 [Refereed]

Authorship： Last author , Corresponding author

DOI

Value of social activities and prerequisites for continued participation of rural older adults: A qualitative study

Ryuta Onishi, Risa Takashima, Kazuko Saeki, Michiyo Hirano

Nursing Open ( Wiley ) 2022.12 [Refereed]

Authorship： Corresponding author

DOI

地域在住高齢者の健康診査およびがん検診への受診行動に関連する要因 ―健康診査やがん検診に関する情報入手の媒体に焦点をあてて―

石附史帆, 山下愛, 笹木智香, 矢川果南子, 本多麻耶, 平野美千代

日本公衆衛生看護学会誌 11 ( 3 ) 152 - 162 2022.12 [Refereed]

Authorship： Corresponding author

DOI

Factors Associated with Loneliness in Rural Older Adults during the COVID-19 Pandemic: Focusing on Connection with Others

Hiyori Hanesaka, Michiyo Hirano

Healthcare ( MDPI AG ) 10 ( 3 ) 484 - 484 2022.03 [Refereed]

Authorship： Corresponding author

The spread of COVID-19 is considered to have strengthened people’s awareness of others. Additionally, the COVID-19 pandemic has reduced connection with others among older adults and increased loneliness. This study aimed to investigate the factors affecting loneliness among older adults in rural areas during the COVID-19 pandemic by focusing on the connection with others. The target group included 932 rural Japanese adults, aged 65–74 years. An anonymous, self-administered questionnaire survey was conducted. Valid responses were obtained from 405 participants (valid response rate: 43.5%). A multiple regression analysis was performed using the forced entry method with loneliness as the dependent variable. The independent variables were those showing significant associations with loneliness based on the univariate analysis. Sex (β = −0.139), economic situation (β = −0.103), neighborhood ties (β = −0.260), independent view of self (β = −0.213), interdependent view of self (β = 0.171), and communication through phone (β = −0.128) were significantly associated with loneliness. Connection with others and subjective views of the relationship between self and others were associated with loneliness in situations where one was more aware of the behavior of oneself and others in an infectious disease pandemic.

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Older rural people's perception of connectedness through a communication application: A qualitative descriptive study

Mami Kikuchi, Tamotsu Kamishima, Hiroki Abe, Ryuta Onishi, Risa Takashima, Michiyo Hirano

Nursing & Health Sciences ( Wiley ) 24 ( 1 ) 163 - 173 2022.03 [Refereed]

Authorship： Last author , Corresponding author

DOI

行政保健師のキャリア発達を総合的に測定する尺度第2版の開発

佐伯和子, 平野美千代, 本田光

看護ケアサイエンス学会誌 20 ( 2 ) 85 - 95 2022.01 [Refereed]

介護予防教室に参加する自立高齢者の社会活動満足度に関連する要因

飯田みなみ, 平野美千代

老年社会科学 43 ( 4 ) 371 - 381 2022.01 [Refereed]

Authorship： Corresponding author

Novice public health nurses’ home‐visit skills in Japan: A one‐year longitudinal study

Takako Miyata, Michiyo Hirano, Kazuko Saeki

Public Health Nursing ( Wiley ) 39 ( 1 ) 262 - 269 2022.01 [Refereed]

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Factors Promoting Collaborative Research on Public Health Nursing by University and Municipalities

Hirano Michiyo, Onishi Ryuta, Takashima Risa, Abe Hiroki, Saeki Kazuko

Japanese Journal of Public Health Nursing ( Japan Academy of Public Health Nursing ) 10 ( 3 ) 121 - 129 2021.12 [Refereed]

Authorship： Lead author , Corresponding author

目的：大学と自治体との共同研究のプロセスを報告し，共同研究を推進させた要因を検討する．方法：対象は都市部と地方の2つの自治体とした．まず，自治体ごとに共同研究のプロセスを記述したシートを作成し，共同研究の推進要素を研究者の観点から整理した．次に，保健師へインタビューを実施し，インタビュー内容から共同研究の推進要素を保健師の観点から整理した．上記2つの結果をもとに，公衆衛生看護の共同研究を推進させた要因を検討した．結果・考察：共同研究を推進させた要因として，保健師と研究者の対等な関係性のなかでの目的共有があった．また，住民を第一義的にとらえる保健師の認識とそれに基づくコーディネートや，日々の活動を通じた保健師と住民との関係構築があった．さらに，共同研究と地域の健康課題解決の方向性を一致させる目的の再共有や，保健師の保健師活動に対する熱意や認識が示された．

DOI CiNii

Predictors and Importance of Social Aspects in Ikigai among Older Women

Kazuki Seko, Michiyo Hirano

International Journal of Environmental Research and Public Health ( MDPI AG ) 18 ( 16 ) 8718 - 8718 2021.08 [Refereed] [International journal]

Authorship： Corresponding author

Ikigai is a unique Japanese concept that encompasses not only joy and happiness, but also the purpose and meaning of life. The purpose of this study was to explore the factors that contribute to Ikigai, an important concept in the health of older women, and to clarify the relationship between Ikigai and the enhancement of the social aspects of their health. The participants in this longitudinal study, conducted between October 2017 and February 2020, were physically healthy older women aged 65 years and above (N = 132). Physical function and social activity were used as predictors of Ikigai. In addition, willingness for new interactions was used to examine the social aspects of health. A causal model was created from these factors, and path analysis was performed. The results demonstrated that participating in numerous interpersonal activities was predictive of increased Ikigai, but physical function was not. In addition, Ikigai was found to affect the willingness for new interactions. Further, Ikigai could be related to the willingness for new interactions. To enhance the social aspects of older women’s health, it is necessary to focus on Ikigai.

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介護予防を目的とした高齢者自主グループの集団凝集性の実態

入江柚希, 平野美千代

日本公衆衛生看護学会誌 10 ( 2 ) 53 - 61 2021.08 [Refereed] [Domestic journal]

Authorship： Corresponding author

DOI

Social and physical effects of a pedometer and communication application among older men: a mixed-methods, pre/post pilot study

Hiroki Abe, Tamotsu Kamishima, Ryoji Ojima, Ryuta Onishi, Michiyo Hirano

Information, Communication & Society ( Informa UK Limited ) 1 - 20 2021.07 [Refereed] [International journal]

Authorship： Last author , Corresponding author

DOI

都市部町内会における防災活動と町内会役員のリーダーシップおよび個人要因の関連

相須咲希, 平野美千代

日本公衆衛生雑誌 68 ( 7 ) 503 - 509 2021.07 [Refereed]

Authorship： Corresponding author

DOI

Effectiveness of disaster preparedness education in helping older people prevent isolation

Yuki Matsuo, Michiyo Hirano

Public Health Nursing ( Wiley ) 2021.04 [Refereed]

Authorship： Last author , Corresponding author

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健康づくり自主活動参加者が捉える活動参加による変化と地域活動への参加との関連

織田遥, 菊地眞海, 山内菜実, 竹中響, 阿部弥喜, 大市美希, 大西竜太, 平野美千代

日本公衆衛生看護学会誌 9 ( 3 ) 146 - 155 2020.12 [Refereed]

The values and meanings of social activities for older urban men after retirement

Risa Takashima, Ryuta Onishi, Kazuko Saeki, Michiyo Hirano

PLOS ONE ( Public Library of Science (PLoS) ) 15 ( 11 ) e0242859 - e0242859 2020.11 [Refereed] [International journal]

Authorship： Last author , Corresponding author

Previous studies have indicated that older men often experience disconnection from the community after retirement. Social activities have been shown to be effective in preventing social isolation among older urban men. Nevertheless, it has been reported that they often do not participate in community social activities and tend to be reluctant to do so. We explored the values and meanings of social activities for retired older men living in an urban area of Japan to understand support using social activities that are more suitable for them. Semi-structured interviews were conducted with 15 older men (aged 68–80 years; M = 74.6 ± 3.79 years) about their interactions with family and non-family members, and their participation in various community social activities. The grounded theory approach was used for the analysis. As a result, the following five categories were derived as the values that participants place on the social activities that they engage in: “health as a resource and reward for social activities,” “feeling I am still useful,” “feeling that something is my responsibility,” “feeling of time well spent,” and “finding interest through interactions.” In addition, the following three categories were extracted as meanings of social activities: “fulfilling social life,” “maintaining stable family relationships,” and “maintaining safety and peace in the community.” When considering the social activities that older urban retired men are interested in and likely to participate in, these five values can be considered indicators. In contrast, to maintain stable family relationships and safety and peace in the community, participants sometimes used strategies to stop or abandon social activities. Therefore, in situations where a peaceful life within a family or neighborhood is threatened, it may be useful to help set aside sufficient time and allow for psychological leeway in advance to incorporate social activities into their lives.

DOI PubMed

Perception of COVID-19 Restrictions on Daily Life among Japanese Older Adults: A Qualitative Focus Group Study

Risa Takashima, Ryuta Onishi, Kazuko Saeki, Michiyo Hirano

Healthcare ( MDPI AG ) 8 ( 4 ) 450 - 450 2020.11 [Refereed] [International journal]

Authorship： Last author , Corresponding author

The coronavirus disease 2019 (COVID-19) pandemic has exposed older adults to health and social risks. This study examined the perceptions of community-dwelling older adults regarding how COVID-19 restricted their daily lives. Six focus-group interviews were conducted with 24 participants (mean age, 78.2 ± 5.5 years) living in urban and rural areas in Japan. Then, a qualitative inductive content analysis was performed. Six themes were generated: “fear of infection and public, watchful eyes,” “consistency in daily personal life,” “pain from reducing my social life,” “readiness to endure a restricted life,” “awareness of positive changes in myself,” and “concern for a languishing society.” There was no change that would make their lives untenable, and they continued their daily personal lives at a minimum level. However, their social lives were reduced, which over the long term can lead to a lost sense of purpose in life. This was reported as an adverse factor in the development of other diseases and functional decline in previous studies. While there is no doubt that infection prevention is important, supporting older adults in engaging in activities that provide a sense of purpose in life could contribute to their present and future overall health including mental health.

DOI PubMed

Processes that enable public health professionals to organize preventive care support groups

Miki Oichi, Tamotsu Kamishima, Michiyo Hirano

Public Health Nursing ( Wiley ) 37 ( 6 ) 880 - 888 2020.11 [Refereed] [International journal]

Authorship： Last author , Corresponding author

OBJECTIVES: This study examines the structure of the process that public health professionals (PHPs) use to organize preventive care groups for older adults and the elements that strengthen this process. DESIGN AND SAMPLE: The study was conducted using a quantitative descriptive design. Anonymous self-administered questionnaires were distributed by mail to 919 PHPs, including nurses and social workers employed by local governments in a Japanese prefecture, who facilitated recreational groups for older adults for the purposes of preventive care. Measures Items related to the process and the awareness of support were based on previous research. The process structure was examined using exploratory factor analysis, while multiple logistic regression analysis was used to study strengthening elements. RESULTS: The process yielded six factors (encouraging clarity with respect to the group's activity policy; creating connections with other resources; fostering independence; encouraging activity evaluation; creating relationships with group members; understanding the strengths and weaknesses of communities and individuals) with a total of 23 items. Two of three indicators of awareness of support were significantly related to the process. CONCLUSIONS: Understanding the importance of strengthening elements might improve support groups for older adults.

DOI PubMed

Development of a social activities scale for community‐dwelling older people requiring support

Michiyo Hirano, Kazuko Saeki, Izumi Ueda

Nursing Open ( Wiley ) 7 ( 6 ) 1887 - 1895 2020.11 [Refereed] [International journal]

Authorship： Lead author , Corresponding author

Aim: This study aims to develop the Social Activities Scale for Community-Dwelling Older People Requiring Support (SASOS). Design: This study is a cross-sectional investigation. Methods: The participants were healthy older people (HOP; N = 140) and those requiring support (OPRS; N = 250). An anonymous questionnaire included items on SASOS, subjective health and ikigai (Japanese well-being concept). Criterion-related validity was examined using the Social Activity Index for Elderly People (SAI-E). Results: Seventy-five HOP and 157 OPRS provided effective responses. The scale (α = 0.805) had three subscales: "interactions with friends and neighbors (F1)," "close relationships with family (F2)" and "interactions with others through activity programs (F3)." SASOS and SAI-E scores were correlated (r = .558, p < .01), indicating criterion-related validity. In known-groups validity analysis, F1 were significantly higher among HOP and F3 were significantly higher among OPRS. Total scores correlated with perceived health (r = .240, p < .01) and ikigai (r = .419, p < .01).

DOI PubMed

吃音がある子どもに対する関わりの中で親が抱く思い－子どもへの支援的な関わりを通して－

有田愛莉, 平野美千代

日本公衆衛生看護学会誌 9 ( 2 ) 72 - 80 2020.08 [Refereed]

Authorship： Corresponding author

Development of a Scale for Assessing the Meaning of Participation in Care Prevention Group Activities Provided by Local Governments in Japan

Ryu Sasaki, Michiyo Hirano

International Journal of Environmental Research and Public Health ( MDPI AG ) 17 ( 12 ) 4499 - 4499 2020.06 [Refereed]

Authorship： Corresponding author

The meaning of participation in care prevention group activities may encourage continuous participation, making older adults active and healthy throughout their lives. This study developed a scale to assess the meaning of participation in care prevention group activities. It involved 427 participants in care prevention group activities (CPGAs) in Japan who filled out a self-administered questionnaire between October 2017 and February 2018. The meaning of participation was assessed using 15 items. In total, there were 379 valid responses. A factor analysis yielded two factors: “promotion of self-growth” and “enrichment of daily life”. The goodness of fit index (GFI), comparative fit index (CFI), and root mean square error of approximation (RMSEA) were satisfactory (GFI = 0.923; CFI = 0.960; RMSEA = 0.073). Cronbach’s α was 0.939 for the entire scale. The scale scores were significantly correlated with scores of the social activity-related daily life satisfaction scale and Ikigai-9. The scale’s reliability and validity were confirmed, indicating its usability for promoting care prevention efforts.

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Developing a comprehensive career development scale for public health nurses in Japan

Kazuko Saeki, Michiyo Hirano, Hikaru Honda, Kiyomi Asahara

Public Health Nursing ( Wiley ) 37 ( 1 ) 135 - 143 2020.01 [Refereed] [International journal]

Authorship： Corresponding author

OBJECTIVES: This study aims to develop a scale that can comprehensively measure public health nurses'(PHNs) career development and to verify the validity and reliability of that scale. DESIGN AND SAMPLES: This study is a cross-sectional investigation. The participants were 1,009 PHNs working in a government facility in Japan. A total of 586 participants who had been working for more than 3 years as PHNs were analyzed. MEASUREMENTS: Anonymous self-response questionnaires included items on professional awareness, practical competency, and job satisfaction. We conducted exploratory factor analysis and confirmatory factor analysis to clarify the construct validity of the scale. The reliability was examined by the Cronbach's α coefficient. The validity was examined by an external reference relevant validity and the known-group method. RESULTS: The scale was structured with 32 items covering three factors: "community activities, policy, and management," "PHN identity," and "foundations as a PHN." The Cronbach's α coefficients were all greater than 0.9. In confirmatory factor analysis, the scale showed acceptable goodness of fit. CONCLUSIONS: The comprehensive career development scale for PHNs proved its reliability and validity. This scale may be useful to promote PHN identity and competency comprehensively in basic education and in-charge education.

DOI PubMed

A県北部に居住する前期高齢者の他者とのつきあいと孤独感との関連

齊藤葉月, 平野美千代

日本公衆衛生看護学会誌 8 ( 2 ) 96 - 103 2019.08 [Refereed]

Authorship： Corresponding author

Mothers' challenges with the parental control of 3‐year‐old children in Japan: A qualitative study

Ryuta Onishi, Kazuko Saeki, Michiyo Hirano

Child: Care, Health and Development ( Wiley ) 45 ( 4 ) 531 - 539 2019.05 [Refereed] [International journal]

BACKGROUND: Parents often struggle against the negativism of 3-year-old children in exerting parental control. Although most research on parental control is from western cultures, Japanese mothers may face unique challenges because of their sociocultural background. We therefore explored mothers' challenges in exerting parental control over 3-year-old children in Japan. METHODS: A descriptive qualitative approach was adopted. The participants were 10 Japanese mothers with children aged 3-4 years. We conducted individual semistructured interviews and analysed the data via qualitative content analysis. RESULTS: We found four categories and a structure of the challenges mothers faced in exerting parental control. Mothers' control attempts had four main intentions, each with a different subject (i.e., the children, themselves, the family, and society). Most challenges with parental control stemmed from mothers' "consciousness of parental responsibility." In confronting the child in their attempts to exert parental control, mothers perceived a "struggle with the child's negativism," which led them to recognize that they could not find a correct method of discipline. Furthermore, in the face of conflicting roles, mothers experienced "confusion in seeking the righteous answer as a parent." Some mothers began to feel that they were discovering their maternal role in their own way rather than finding a correct answer, which formed a "conviction that my own parenting is not incorrect." CONCLUSIONS: The challenges mothers faced in exerting parental control over their 3-year-old children served as a turning point for them to reflect on themselves as parents. However, due to societal monitoring of parents and mothers' multiple roles in the family, it can be difficult for mothers to fully overcome the challenges of parental control. It is necessary to foster social capital in the community to which the mother belongs and to create an atmosphere in which community members can watch over parents warmly.

DOI PubMed

症状が進行しつつある在宅パーキンソン病療養者がとらえる生活の中の主体性－生活に制限がみえ始めた時期に焦点をあてて－

山本恵梨子, 平野美千代

日本公衆衛生看護学会誌 8 ( 1 ) 2 - 11 2019.04 [Refereed]

Authorship： Corresponding author

修士課程における新たな公衆衛生看護学実習：現場との協働による構築

平野美千代, 水野芳子, 本田光, 佐伯和子

保健師教育 ( (一社)全国保健師教育機関協議会 ) 2 ( 1 ) 78 - 85 2018.05 [Refereed]

Authorship： Lead author , Corresponding author

目的:A大学院が実習施設との協働により構築した、修士課程の新たな公衆衛生看護学実習である、地区活動に関する実習と公衆衛生看護管理に関する実習について、その構築過程を報告する。方法:大学院と施設との協働による実習内容と指導体制の構築過程を記述し、実習指導者らに大学院の実習を受けるにあたっての考えや実習指導を経験したことでのメリット等について、半構造化面接を実施した。分析は、記述内容は時間軸で整理し、インタビュー内容は質的記述的分析を行った。結果・考察:地区活動を展開する実習では、エスノグラフィーを用いた地区活動を通して、学生が住民等と健康課題を共有するのが特徴であり、この活動は学生の自立した学習活動と理論やエビデンスを用いた実践により効果が見えた。公衆衛生看護管理に関する実習では、広域的・包括的な活動や組織的・管理的な活動を通して、公衆衛生看護管理の機能と要素を学習するのが特徴であり、既習の実習における保健師の基本的な活動の理解が生かされていた。(著者抄録)

実習施設との協働による実践能力向上を目指した修士課程における公衆衛生看護学実習構築のプロセス：学士課程をもとに再構築した実習

平野美千代, 佐伯和子, 本田光, 水野芳子

日本公衆衛生看護学会誌 ( (一社)日本公衆衛生看護学会 ) 6 ( 3 ) 288 - 296 2017.12 [Refereed]

Authorship： Lead author , Corresponding author

目的:実践能力向上を目指したA大学院の公衆衛生看護学実習構築のプロセスを明らかにし、修士課程における実習のあり方を検討することを目的とする。方法:A大学院と実習施設の協働による実習内容と指導体制の構築過程を記述し、実習指導者らに半構造化面接を実施した。分析は、記述内容は時間軸で整理しインタビュー内容は質的記述的分析を行った。結果・考察:個人・家族を対象にした実習は、継続訪問を行い担当事例のケアを責任をもち引き継ぐこと、個別支援のための地域アセスメントが特徴であった。地域、社会システムを対象にした実習では、地域アセスメントに基づく事業計画立案・実施・評価は、現場の保健師の実践にも即役立つ内容であった。一方、個人・家族、地域、社会システムを連動、発展させる効果的な実習方法が課題となった。両施設の協働に関しては、実習内容や学生の状況の共有、指導の方向性の明確化、保健師活動の本質を丁寧に話し合うことの重要性が示唆された。(著者抄録)

3歳児の養育における統制場面でのスマートフォン使用に関する母親の認識

大西竜太, 平野美千代, 佐伯和子

日本公衆衛生看護学会誌 ( 日本公衆衛生看護学会編集委員会 ) 6 ( 3 ) 240 - 248 2017.12 [Refereed]

目的:3歳児の養育における統制場面でのスマホ使用に関する母親の認識を明らかにする。方法:3歳児の統制場面でのスマホ使用について20〜30代の母親10名に対し半構造化面接を実施し、質的記述的分析によりカテゴリーを抽出した。結果:母親は【スマホは子どもの育ちと親役割を奪う存在だ】、【スマホは頼れる「お守り」として私と子どもを支えてくれる】、【便利なスマホは私にとって魅力的である】と統制場面でのスマホの特徴を認識していた。また、【親としてスマホを管理する責任がある】、【スマホが存在する中での親としての在り方と向き合う】という親としての意志を認識していた。考察:スマホは親子への問題性がありながらも、統制の補助手段として有効かつ母親にとって魅力的なツールであった。親子にとってのスマホの良し悪しを踏まえ、母親がスマホをコントロールしながら使うためには、親としての意志の持ち方が重要と考えられる。(著者抄録)

都市部在住高齢者の介護予防教室への参加意義と生活への認識の関連

宮田莉英, 平野美千代, 佐伯和子

日本公衆衛生看護学会誌 ( (一社)日本公衆衛生看護学会 ) 6 ( 3 ) 249 - 257 2017.12 [Refereed]

Authorship： Corresponding author

目的:介護予防教室に参加する高齢者の教室参加意義と生活への認識の関連を明らかにする。方法:A市の介護予防教室へ通う高齢者378名を対象に、無記名自記式質問紙調査を実施した。調査内容は、基本属性、介護予防教室への参加意義(以下、参加意義)、生活への認識で構成した。分析は、因子分析および多重ロジスティック回帰分析を用いた。結果:調査票は回収314名、有効回効率75.4%であった。参加意義は【自己成長の促進】、【心身社会的側面への刺激】、生活への認識は【精神・社会的充実】、【健康志向】が抽出された。各参加意義には生活への認識【健康志向】(OR=15.7、OR=3.85)が有意に関連し、【自己成長の促進】には生活への認識【精神・社会的充実】(OR=1.12)が有意に関連した。考察:参加意義は生活への認識のとらえと関連があることから、高齢者の生活の認識にも着目して、介護予防教室を展開していく必要がある。(著者抄録)

Social activities of older men who require daily support and the purpose of such activities.

Michiyo Hirano, Kazuko Saeki, Izumi Ueda, Hikaru Honda, Yoshiko Mizuno

[Nihon koshu eisei zasshi] Japanese journal of public health 64 ( 1 ) 14 - 24 2017 [Refereed] [Domestic journal]

Authorship： Lead author , Corresponding author

Objectives The purpose of this study was to analyze the social activities of older men who require daily support, and to clarify the purpose of such activities, in order to develop effective living support and preventive long-term care service, suitable for this population.Methods Individual, semi-structured interviews were conducted with 17 older men. Data were analyzed using inductive and qualitative methods.Results Four categories of social activities were identified, and four categories of purposes of these social activities were extracted. The following were the identified social activities: maintenance of "comfortable relationships with others," including family, relatives, friends, and neighbors; "participation and use of services and programs with clear objectives and relationships with others," such as long-term care insurance system services, clubs for the elderly, and hobby groups; maintenance of "relationships with former colleagues, depending on their experience of working with them," where some individuals actively participated in gatherings with former colleagues, while others did not keep in touch at all; and participation in "activities to enrich their feelings and quality of life within their living space," such as reading, watching TV, and doing household chores. The purposes of the observed social activities were to build "relationships with society through communication with other people" and to have a "sense of security by spending time with people of the same age and with those older than them." Hence, participants engaged in clubs for the elderly, as well as in hobby groups. In addition, participants made time for exercising regularly, which maintained their cognitive function and was intended for the "maintenance and activation of their physical functions by continuing to exercise," and "continuing to learn by thinking." Furthermore, participants engaged in the exercise or hobby groups that they were interested in, in order to "utilize their time in a meaningful way" that lead to pleasure and enjoyment.Conclusion The following were the characteristics of the observed social activities: (1) the activities helped participants to maintain relationships with their coworkers, (2) participants had comfortable relationships with others, with these relationships exhibiting different levels (i.e. intimate relationships or casual), and (3) participants actively followed current events. They have clear purpose join and participate in social activities. In addition, it is suggested that this population engage in social activities to enrich physical function and overall quality of life.

DOI PubMed

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

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

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]

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

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

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

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

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

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

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

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

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]

親子保健における公衆衛生看護技術の体系化 ―小地域における親子保健活動技術の明確化に焦点を当てて―

岩本里織, 大木幸子, 滝澤寛子, 平野美千代, 鈴木美和, 下山田鮎美, 橋本文子, 波田弥生, 佐伯和子

保健師教育 ( (一社)全国保健師教育機関協議会 ) 5 ( 1 ) 56 - 65 2021 [Refereed]

目的:本研究は,「生活基盤としての地区/小地域」(以下,小地域)を対象とした親子保健活動における公衆衛生看護技術を明らかにすることを目的とした.方法:対象は地区活動に関する条件を満たす4市の保健師とし,半構成質問紙による面接調査を行った.逐語録から地区における親子保健活動技術を抽出し分類した.本研究は,北海道大学大学院保健科学研究院倫理審査委員会の承認を受け実施した.結果:地区を対象とした親子保健活動技術は,【生活基盤としての地区/小地域での親子保健に関する情報収集・アセスメント】【生活基盤としての地区/小地域での親子保健に関する活動計画・評価】【生活基盤としての地区/小地域での親子保健に関する活動展開】の3つ技術に分類され,大技術項目21,中技術項目94が抽出された.考察:本研究の結果,「生活基盤としての地区/小地域を対象とした親子保健に関する公衆衛生看護技術」が明らかなった.今後,親子保健に限定しない公衆衛生看護技術の抽出が課題である.(著者抄録)

DOI

A strategy to rescue mothers from isolated parenting: Development of the “social connectivity of mother with people in the community scale”

Hikaru Honda, Toshiko Kita, Michiyo Hirano, Kazuko Saeki

Children and Youth Services Review ( Elsevier BV ) 118 105395 - 105395 2020.11 [Refereed]

A mother's social connectivity is important for preventing isolated parenting, encourages mothers to get a social support, and is also important for preventing child maltreatment. The purpose of this study was to develop a scale to measure social connectivity between mothers with small children and people in the community who they meet via parenting. Scale development was carried out in two phases: Phase I involved determining factors that form the basis for the scale using exploratory factor analysis with data of 724 mothers with babies or small children. Phase II used data from 525 mothers from a different population group to that of Phase I. The subjects for both Phase I and Phase II were recruited within Japan. To verify the scales’ reliability, a confidence coefficient was calculated, and a confirmatory factor analysis was conducted to check reproducibility. To verify the scale's validity, testing was carried out using a comparison with external criteria. The scale consisted of 4 factors and 17 items from PhaseⅠ. In Phase II analysis, Cronbach's α for the scale was 0.84; GFI, an indicator of degree of the model's conformance, was 0.92. These results were similar to those in Phase I, thus confirming the reliability of the scale. In terms of the relationship with external criteria, the results supported our hypothesis. The developed scale can be used as a preventive tool to identify mothers at risk of becoming isolated and will contribute to the prevention of child maltreatment.

DOI

地方の住民が行う高齢者への緩やかな見守り行動の実態とその関連要因

吉田有希, 平野美千代

北海道公衆衛生学雑誌 33 29 - 36 2020.03 [Refereed]

Authorship： Corresponding author

一般職員を対象とした企業における上司とのインフォーマルコミュニケーションとソーシャルサポートの関連

鈴木志穂, 佐伯和子, 平野美千代

北海道公衆衛生学雑誌 33 21 - 28 2020.03 [Refereed]

Application of Public Health Nursing Skill System of Parents and Child Health Activities for the Public Health Nurse Education

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

Public Health Nursing Education ( Japan Association of Public Health Nurse Eduational Institution ) 4 ( 1 ) 33 - 38 2020

DOI CiNii

北海道の全市における特定保健指導の運動指導の現状と今後の課題

和田千尋, 笠原敏史, 阿部はるか, 平野美千代, 萬井太規, 石田知也, 江林京

人間ドック ( (公社)日本人間ドック学会 ) 34 ( 4 ) 581 - 589 2019.12 [Refereed]

目的:北海道で行われている特定保健指導の運動指導の現状について明らかにし、他職種の関わりついて明らかにする。方法:北海道の全市役所と委託を受けた施設の特定保健指導を担当する部署へアンケート用紙を郵送にて送付し、郵送式またはインターネットによる回答を依頼した。結果:回答率79.4%、有効回答数は143名であった。実務者は保健師(77.6%)と管理栄養師(21.0%)の2つの職種で98%を占めた。全体の指導時間に占める運動指導の時間は少なく、「食習慣」を最も重要視していた。理学療法士による運動指導が必要と回答した人は、初回支援47.6%、継続支援62.9%であった。理学療法士への相談内容として、「疾患を持つ方への運動指導」と「支援対象者に合った適切な運動指導」が多かった。北海道の冬期の運動指導の困難さについて、「活動量の低下・運動習慣の継続困難」と「冬道での転倒リスクの増大、ヒートショックの恐れ」を挙げていた。結論:北海道での特定保健指導は保健師や管理栄養士により行われており、運動習慣への指導は他の生活習慣に比べて優先されていなかった。実務者は、膝や腰に痛みを抱えるなど、すでに運動障害を抱える支援対象者に合わせた運動指導やリスク管理に困難さを抱えており、運動指導への理学療法士の参加の必要性が示唆された。北海道の地域特性は、他の積雪寒冷地域と同様に、冬期の活動量の維持が課題であることが明らかとなった。(著者抄録)

地域在住の健康なシニア世代が持つ本来感の実態と関連要因－老人福祉センター利用者を対象にして－

勝藤瞳, 平野美千代

北海道公衆衛生学雑誌 32 ( 2 ) 109 - 116 2019.03 [Refereed]

Authorship： Corresponding author

都市部の民生委員における地域子育て支援行動の実態とその関連要因

中島彩華, 青柳道子, 平野美千代

北海道公衆衛生学雑誌 31 ( 2 ) 59 - 67 2019.03 [Refereed]

Authorship： Corresponding author

北海道上川地域に居住する前期高齢者の社会的孤立とソーシャルキャピタル、運動との関連

田中美咲, 三國弓香, 大市美希, 高嶋裕里子, 勝藤瞳, 佐々木龍, 平野美千代

北海道公衆衛生学雑誌 31 ( 2 ) 69 - 76 2018.03 [Refereed]

Authorship： Corresponding author

若年認知症者の配偶者介護者における家族の会参加による地域を基盤とした人とのつながり

澤谷美奈, 佐伯和子, 平野美千代

日本地域看護学会誌 ( (一社)日本地域看護学会 ) 20 ( 3 ) 26 - 34 2017.12 [Refereed]

目的:家族の会に参加する若年認知症者の配偶者介護者は、地域を基盤とした人とのつながりをどのように受け止めているのかを明らかにすることを目的とした。方法:研究方法は質的研究方法であった。若年認知症者の配偶者介護者8人に対して、半構成的面接を実施し、人とのつながりについて自由に語ってもらった。データから逐語録を作成し、コード化、カテゴリー化を行った。結果:分析の結果、前提として2つ、人とのつながりで6つのカテゴリーが抽出された。若年認知症の配偶者介護者は、若年認知症の発症後、生活が一変するなかで、【「病気」になった配偶者の本人らしい生活の維持】のために生活を再構築し、これは人とのつながりの前提となっていた。家族の会での人とのつながりで【介護者としての自分の素直な感情の表出】ができることで、さらに【自分のために思うままに時間や空間を使っての楽しみ】や【介護者としての新たな役割や使命による社会とのつながり】へと人とのつながりが広がっていた。また、介護役割以外の人とのつながりに、【介護者役割以外での社会的役割の全う】を意識していた。考察:介護者にとって、家族の会の人とのつながりは数少ない介護者同士のつながりであり、共感や承認が得られることの重要性は高い。さらに、社会的役割があることは、社会から必要とされていると感じられるという意味をもつと考えられる。(著者抄録)

都市部の胃がん検診要精検者の受診勧奨方法と受診有無の特徴

木原真結, 平野美千代

北海道公衆衛生雑誌 30 107 - 112 2017 [Refereed]

都市部に居住するシニアボランティアの趣味活動と属性との関連

阿部弥喜, 有田愛莉, 勝藤瞳, 藤平みのり, 齊藤葉月, 山本恵梨子, 平野美千代

北海道公衆衛生雑誌 30 87 - 94 2017 [Refereed]

Authorship： Corresponding author

健康増進施策において保健師が重要と認識する地域の栄養・食生活アセスメント項目

木村宣哉, 佐伯和子, 平野美千代

日本公衆衛生看護学会誌 ( (一社)日本公衆衛生看護学会 ) 5 ( 2 ) 126 - 135 2016 [Refereed]

目的:健康増進の施策化でのアセスメントのツール開発に向け、保健師が認識する地域の栄養・食生活アセスメント項目の重要度と入手しやすさを明らかにする。方法:市区町村の経験年数11年目以降の保健師504名に郵送による無記名自記式質問紙調査を実施した。アセスメント項目は地域の概要、地域のリスク分析、地域の強みの3カテゴリーで構成し、計77項目の重要度・入手しやすさを4件法で尋ねた。分析には加重平均値を用いた。結果:重要かつ入手しやすい項目として人口構成、要介護認定数などの基本的な健康状態、特定健診等の項目が該当した。重要だが入手しづらい項目には死因、生活習慣、保健サービス、専門医に関する項目が該当した。結論:健康増進の施策化において、今回の結果で分かった重要なアセスメント項目を優先的に情報収集することで情報が蓄積していき、施策化で必要な経年的な分析も容易になる。(著者抄録)

DOI

行政機関に働く保健師の専門職務遂行能力の変化ー2001年と2013年の比較ー

佐伯和子, 平野美千代, 本田光, 麻原きよみ, 和泉比佐子, 阿久津雅子, 三井尚美

北海道公衆衛生雑誌 ( 北海道公衆衛生学会 ) 29 ( 2 ) 139 - 145 2016 [Refereed]

自主組織に参加する高齢者の他者とのつきあいと生きがいの関連

福田友愛, 尾立陸, 齊藤葉月, 南山斗志世, 池田雄二郎, 平野美千代

北海道公衆衛生雑誌 29 61 - 67 2016 [Refereed]

Authorship： Corresponding author

Implementation of stress assessments by occupational health nurses working in occupational health agencies and their confidence in conducting such assessments

Chiseko Ikeda, Kazuko Saeki, Michiyo Hirano

Journal of Occupational Health 58 ( 3 ) 89 - 99 2016 [Refereed]

Objective: Stress assessments are due to be conducted in December 2015. It is expected that there will be an increase in the number of private health agencies that provide stress assessment services and mental health care. This study aimed to clarify the current situation of and the factors related to stress assessments conducted by nurses in occupational health agencies. Methods: Nurses working full time were randomly selected from 60 organizations that were members of the National Federation of Industrial Health Organization. Self-administered questionnaires were sent out between November 2013 and January 2014. The questionnaire included the personal attributes of the participants, training programs, job contents, and how practical mental health care, including stress assessment, is. The study was approved by the ethics committees in the respective organizations. Results: Out of the 162 questionnaires that were distributed, 89 (54.9%) were returned and 85 (53.1%) were valid for analysis. Stress assessments were conducted by 38.8% of the participants. With reference to their confidence in conducting stress assessments, “confidence and” 70.6%, respectively. The groups that conducted and did not conduct the stress assessments did not show any differences in the findings or other attributes. Further, the implementation of stress assessment was not associated with occupational health nurse (OHN) training, education, position, age, years of experience, attendance of lectures on mental health, etc. However, the confidence in conducting the assessment was related to age when dealing with cases on confidence stress assessment consultation in follow-up to the implementation of screening, such as stress, persons at high risk, and so on. Conclusion: Approximately 40% of the nurses were already conducting stress assessments, but most of them conducted such assessments about once a year and were not deeply involved in them. Approximately 70% of the nurses were confident in implementing stress assessments. Further, they reported that they were confident to do so even if OHNs were not involved. We found that to encourage OHNs in occupational health agencies to provide mental health care and stress assessments, practical training programs are required. Such programs should include a series of stress assessments and help foster cooperation with superiors, colleagues, and occupational health staff such that the OHNs obtain experience and confidence. © 2016, Japan Society for Occupational Health. All rights reserved.

DOI PubMed

Relationship-Building Skills of Child-Rearing Mothers in Japanese Communities

Honda H, Matsuda N, Hirano M, Saeki K

Nursing Research and Practice 2016 9091039 - 9091039 2016 [Refereed] [International journal]

This study elucidated the skills of mothers who used to build positive interpersonal relationships with people they met through child-rearing. The research method was qualitative descriptive study. The participants were 24 mothers who had children between ages of one and four years. These participants were recruited at child-rearing salons and childcare centers located in various municipalities in Japan. The survey period was from September 2013 to July 2014. The mothers' interpersonal relationship-building skills were described by six categories: "ability to strive for new encounters," "ability to try to interact socially with others," "ability to choose compatible people," "ability to continuously maintain good relationships," "ability to take action suitable to a situation," and "ability to build positive relationships with parents-in-law." Cognitive aspects of assessing and understanding the interactions that occur during exchanges and behavioral aspects guided by these cognitions were identified within these skills. This study contributed to providing a framework to understand mothers' interpersonal relationship-building skills for public health nurses involved in child-rearing support.

DOI PubMed

未成年大学生の飲酒と友人関係・性格特性との関連

山本航平, 佐伯和子, 平野美千代

日本公衆衛生看護学会誌 5 ( 1 ) 29 - 36 2016 [Refereed]

DOI

保健師がとらえる子ども虐待事例における父親の対人関係と行動の特性

上田泉, 佐伯和子, 河原田まり子, 平野美千代, 和泉比佐子, 波川京子

日本公衆衛生看護学会誌 ( (一社)日本公衆衛生看護学会 ) 2 ( 1 ) 2 - 11 2014.03 [Refereed]

本研究では、保健師がとらえる子ども虐待事例における父親の対人関係と行動の特性について明らかにすることを目的とした。研究方法は質的記述的法である。保健所及び保健センターに勤務している母子保健業務の経験5年以上の保健師に半構造化面接を実施し、語られた8事例を分析対象とした。結果、保健師がとらえる子ども虐待事例における父親の対人関係と行動の特性は、【家族と情緒的な関係を結ぶことが難しい】【父親役割、責任をとることが難しい】【家族以外の人との関係を求めることが難しい】【感情、考えを表出することが難しい】【自分勝手な行動をする】【社会性に欠ける行動をとる】【攻撃的な態度と行動をとる】の7カテゴリーにまとめられた。本研究より、父親自身を理解し、父親と援助関係を作ることの難しさ、父親が家族との関係を形成していくための支援技術を支援者が培うことが重要であることが示唆された。(著者抄録)

DOI

札幌市A区在住の高齢者事業参加者の地縁的活動の実態

及川真子, 佐伯和子, 平野美千代

北海道公衆衛生学雑誌 28 69 - 76 2014 [Refereed]

育児期における母親の属性及び対人態度と相談相手との関連

佐々木奈美, 池田雄二郎, 渡辺真優, 鈴木志穂, 平野美千代

北海道公衆衛生学雑誌 28 99 - 104 2014 [Refereed]

Authorship： Corresponding author

Significance of Social Support in Mothers' Communities Created through the Child-rearing Process

Honda H, Matsuda M, Hirano M, Saeki

Bulletin of Health Sciences Kobe ( Kobe University ) 30 35 - 54 2014 [Refereed]

DOI CiNii

Depression prevention program for workers of private companies: A randomized controlled trial

Mariko Kawaharada, Izumi Ueda, Eiji Yoshioka, Michiyo Hirano, Tamiko Ikeno, Yukari Shindou, Reiko Kishi

Open Journal of Nursing 3 114 - 121 2013.03 [Refereed]

日本における要支援高齢女性の社会活動の概念分析

平野美千代

北海道公衆衛生学雑誌 27 ( 2 ) 123 - 130 2013 [Refereed]

Authorship： Lead author

要支援認定を受けた高齢女性の社会活動に対する意味づけ：独居の前期高齢女性に焦点をあてて

平野美千代, 佐伯和子, 河原加代子

北海道公衆衛生学雑誌 27 ( 2 ) 69 - 74 2013 [Refereed]

Authorship： Lead author

学士課程における保健師教育強化モデルコースの教育実践

佐伯和子, 平野美千代, 本田光

北海道公衆衛生学雑誌 27 ( 2 ) 197 - 202 2013 [Refereed]

基礎教育から新任期における保健師の政策に関する理解のプロセス

本田光, 佐伯和子, 平野美千代, 上田泉

北海道公衆衛生学雑誌 27 ( 2 ) 153 - 158 2013 [Refereed]

北海道内の地域包括支援センターの三専門職種間の協働の認識と基本属性および職場体制との関連

及川真子, 石黒毅, 向井美那子, 平野美千代

北海道公衆衛生学雑誌 27 ( 2 ) 69 - 74 2013 [Refereed]

Authorship： Corresponding author

地方沿岸部における家族介護者の在宅介護継続を支える認識

岡部日香莉, 高岡佳代, 小山萌, 及川真子, 平野美千代

北海道公衆衛生学雑誌 27 ( 2 ) 61 - 68 2013 [Refereed]

Authorship： Corresponding author

valuation of the effects of a leader-training program on public health nurse leadership for staff in Japan

Ueda I, Saeki K, Kawaharada M, Hirano M, Seki M, Izumi H

Open Journal of Nursing 2 246 - 253 2012 [Refereed]

北海道の地域包括支援センター内における三専門職間の協働の要素

及川真子, 向井美那子, 石黒毅, 上野祐可子, 平野美千代

北海道公衆衛生雑誌 26 ( 2 ) 59 - 65 2012 [Refereed]

Authorship： Corresponding author

Investigation into the Actual Conditions of Policy-related Subjects in Public Health Nursing Education

Ueda Izumi, Saeki Kazuko, Hirano Michiyo, Honda Hikaru

日本地域看護学会誌 ( 医学書院エムワイダブリュー ) 14 ( 1 ) 85 - 92 2011.09 [Refereed]

目的:保健師教育における効果的な教育方法を検討するための基礎資料を得るため,現在,保健師養成を行っている教育機関で保健師教育課程の政策に関する教育の実施状況について把握することを目的とした.方法:全国の保健師養成を行っている教育機関のうち207校を対象に2009年9〜10月,郵送による無記名自記式質問紙調査を実施した.73校からの回答(回答率35.3%)があり,有効回答は72校(有効回答率34.8%)であった.政策に関する教育内容はQuad Council PHN Competenciesの項目を参考に,「現在の教育課程で実施している到達度」と「保健師教育課程で実施するのが望ましい到達度」の見解についてたずねた.結果および考察:保健師教育課程における政策に関する教育の実態として,〈分析的なアセスメントスキル〉の実施している到達度は理解レベル,実施するのが望ましい到達度は実行できるレベルであった.〈政策開発・事業計画スキル〉〈財政上の計画と管理スキル〉の実施している到達度は知っているレベル,実施するのが望ましい到達度は理解レベルであった.いずれにおいても,現在の実施している到達度よりも,望ましい到達度の方が高いレベルであった.今後,保健師が社会情勢をふまえた政策を実践するための能力を獲得していくには,保健師の基礎教育段階において,政策に関する基礎的な能力を育成することが望ましい.

DOI CiNii J-GLOBAL

民間企業の労働者を対象にしたストレスマネジメントプログラムの効果

河原田まり子, 松本洋子, 東田晃代, 成田暁子, 吉岡英治, 上田泉, 平野美千代, 池野多美子, 岸玲子

産業衛生学雑誌 53 ( 2 ) 56 2011.03

J-GLOBAL

北海道A二次医療圏に住む要支援高齢女性の社会活動に関する実態調査

平野美千代, 河原加代子, 佐伯和子

北海道公衆衛生学雑誌 25 ( 2 ) 61 - 67 2011 [Refereed]

J-GLOBAL

出産前後における生活の変化に対する母親の認識―就労経験のある母親へのインタビュー―

麻生しのぶ, 菅野未佳子, 小野郁美, 安部文菜, 深川周平, 平野美千代

北海道公衆衛生学雑誌 25 ( 2 ) 111 - 116 2011 [Refereed]

J-GLOBAL

企業労働者の抑うつと首尾一貫感覚（SOC）との関連

河原田まり子, 上田泉, 平野美千代, 吉岡英治, 池野多美子, 岸令子

北方産業衛生 48 9 - 14 2011 [Refereed]

Reviews of domestic and international research papers on the characteristics of fathers regarding child abuse

UEDA IZUMI, UEDA IZUMI, SAEKI KAZUKO, KAWAHARADA MARIKO, HIRANO MICHIYO, IZUMI HISAKO, NAMIKAWA KYOKO

子どもの虐待とネグレクト ( (一社)日本子ども虐待防止学会 ) 12 ( 2 ) 271 - 287 2010.08 [Refereed]

子ども虐待における父親のリスク要因についての研究を把握し、今後の子ども虐待における父親の特性に関する研究、実践上の課題を明らかにするために、国内外の研究の文献を検討した。国内文献には医学中央雑誌Ver.4.0を、国外文献にはMEDLINEとCINAHLを用いて検索した。国内文献は、キーワード「児童虐待&父親」で105本が検索され、原著論文は68本であり、国外文献は、"Child Abuse & Father"で372本、"Child Abuse & Father & Risk"で149本が検索され、抄録のある論文は123本であった。合計、191本を文献検討の対象とした。父親の特性に関する記載がある国内文献7本、国外文献13本を文献レビューした。その結果、論文数、研究方法、結果において国内外で違いがみられた。さらに、子ども虐待の父親のリスク要因として、国内文献では、父親の育児非協力など家族の問題として捉えられていた。国外文献では、父親自身の属性、心理社会的要因等が明らかになっていた。子ども虐待が社会問題として取り組まれてきた背景の違い、家族背景の違いが考えられた。今後、日本においても子ども虐待における父親の特性について研究を進め、父親に対する支援内容について検討することが課題であることが示唆された。(著者抄録)

J-GLOBAL

農村部の女性独居高齢者が住み慣れた地域で老いていくことに対する思い

福田早也香, 山辺茜, 池田亜弓, 稲葉洋揮, 加藤希美, 平野美千代, 佐伯和子

北海道公衆衛生学雑誌 ( 北海道公衆衛生学会 ) 23 ( 2 ) 160 - 166 2010.03 [Refereed]

農村部の女性独居高齢者が住み慣れた地域で老いていくことへの思いを明らかにする目的で、70歳以上の女性独居高齢者5名(後期高齢者4名)を対象に個別面接調査を実施、質的機能的に分析した。その結果、女性独居高齢者は「自分のための人生を気ままに過ごしたい」と考えていたが、身体機能や意欲の低下に伴い、「近い将来一人暮らしをしている自分の姿が描けない不安」を感じていた。このような時を重ねた中で感じる自分への思いは「我が家のようなこの地域は心の拠り所である」「結婚してから今まで夫を家の中心として大切に思っている」という地域や家族に対する思いで支えられていた。以上より、これら地域に住み慣れた女性独居高齢者に対して、特定高齢者となる前段階から心身の健康保持への働きかけや、日常的の交流の場の確保、地域の見守り体制の構築、グループホームやケアハウスなどの施設の必要性が示唆された。

J-GLOBAL

Developing Educational Organization through an On-the-Job Training Program

SAEKI KAZUKO, KAWAHARADA MARIKO, IZUMI HISAKO, SEKI MIYUKI, UEDA IZUMI, HIRANO MICHIYO

日本地域看護学会誌 ( (一社)日本地域看護学会 ) 11 ( 2 ) 52 - 58 2009.03

保健師指導者の人材育成能力の向上を目指して、保健師指導者90名へ職場での現任教育についての集合研修を実施し、その効果を、研修会実施前、および研修会後10〜12ヵ月のアンケート調査の比較から検討した。研修参加者が約1年間をかけて自分の職場で人材育成の計画作成から評価までの一連の過程を実践した効果として、アンケート調査から、職場での現任教育の実践に関しては、「スタッフの力量に応じた職務配分」「チームワークの指導」「教育的事例検討会の開催」「現任教育の話し合いの機会設定」で有意差が認められた。また、教育的な職場環境の整備では、「現任教育計画の作成」「職場の現任教育目標の明文化」「教育担当者の配置」に有意差が認められ、これらの項目における改善が窺えた。

DOI J-GLOBAL

糖尿病を抱えている都市部の一人暮らし高齢者の療養生活継続を支えている思い

田名部佳子, 小田朋代, 酒井朋美, 西方香子, 平野美千代, 河原田まり子

北海道公衆衛生学雑誌 22 ( 2 ) 130 - 137 2009.03 [Refereed]

CiNii J-GLOBAL

Determination of Judgment Index for the Number of Visits to Schizophrenic Patients by Public Health Nurses Using the Result of Actual Conditions of Judging

UEDA IZUMI, SAEKI KAZUKO, KAWAHARADA MARIKO, HIRANO MICHIYO, TAKANAMI SUMIKO

看護総合科学研究会誌 ( 看護総合科学研究会 ) 11 ( 1 ) 15 - 24 2008.09 [Refereed]

本研究は,地域精神保健福祉活動における保健師の慢性期の統合失調症者に対する訪問指導において訪問回数を決定する基準の実態を把握し,基準を作成することを目的とした。統合失調症者に対する訪問指導経験のある保健所保健師を対象に,郵送による無記名自記式質問紙法を実施した。結果,保健師が訪問回数を決定する時に,優先する判断項目は,病状全般,日常生活,家族のソーシャルサポートの順であった。訪問回数の頻度を3区分に設定し,訪問回数区分別に保健師が判断した病状の程度を基本にして,生活能力,ソーシャルサポートの平均を算出し,在宅で生活する統合失調症者に対する訪問回数の判断基準を作成した。この基準は,慢性期の統合失調症者へ関わる看護職が今後活用してくことができると考える。(著者抄録)

J-GLOBAL

保健師指導者の育成プログラムの開発保健師指導者育成プログラム I:ファーストレベル

宇座美代子, 河原田まり子, 和泉比佐子, 上田泉, 平野美千代, 佐伯和子

保健師指導者の育成プログラムの開発平成17-19年度総合研究報告書 29 - 39 2008

J-GLOBAL

Effect of the training program for public health nurse leaders on the self-evaluation of their leadership skills

河原田まり子, 佐伯和子, 和泉比佐子, 関美雪, 上田泉, 平野美千代

看護総合科学研究会誌 ( 看護総合科学研究会 ) 10 ( 3 ) 13 - 24 2007.12 [Refereed]

本研究の目的は保健師指導者のリーダーシップ能力の自己評価の実態と保健指導者育成プログラムの効果を明らかにすることである。北海道と2県内の保健師指導者を対象にプログラム実施前後に自記式質問紙調査を実施し，プログラムに参加し回答のあった102名を分析対象とした。調査内容は対象者の属性と自作のリーダーシップ能力の自己評価に関する5項目である。開始前のリーダーシップ能力と属性との関連はt検定を用いて解析し，プログラムの効果は対応のあるt検定を用いて解析した。対象者のリーダーシップ能力の自己評価はほぼ4点であった(できる6点―できない1点)。リーダーシップ能力の自己評価は職位と人材育成・看護管理研修受講の有無と関連していた。実施後にリーダーシップ能力に対する自己評価が全般的に向上し，プログラムの効果があった。今後，保健師指導者のリーダーシップ能力を高めるような現任教育体制を整備していく必要がある。The aim of this study was to examine the self-evaluation of leadership skills of public health nurse leaders and evaluate the effect of the training program for public health nurse leaders. Self-administrative questionnaire surveys were conducted among public health nurse leaders in Hokkaido and 2 prefectures before and after the training program. The data of 102 subjects who participated in the training and completed the questionnaires were analyzed. The questionnaire comprised items concerning the characteristics and leadership skills of the subjects (the 5 items on leadership skills were developed by the authors of this study). The relation between self-evaluation of leadership skills and characteristics before the training was analyzed using t-test and the effect of the training was analyzed using paired t-test. The score of leadership skills of the subjects was about 4 point ("Yes, I can: 6 point" - "No, I can not: 1 point"). Self-evaluation of leadership skills were found to be related to position and participation/non-participation in human resources development and nursing management training programs. Self-evaluation of leadership skills of the subjects improved on the whole throughout the training period, proving the effectiveness of the program. It is necessary to develop an ongoing education system aimed at improving leadership skills of public health nurse leaders.

CiNii J-GLOBAL

中堅保健師の自信のなさへの対処―地域保健活動を展開した保健所中堅保健師のインタビューをとおして―

平野美千代

北海道公衆衛生学雑誌 21 ( 1 ) 129 - 135 2007.11 [Refereed]

J-GLOBAL

地域保健従事者に求められる保健師指導者の能力の実態－保健師指導者育成プログラム研修参加者の自己評価－

上田泉, 佐伯和子, 河原田まり子, 和泉比佐子, 関美雪, 大倉美佳, 榊原千秋, 平野美千代

北海道公衆衛生学雑誌 21 ( 2 ) 151 - 157 2007.11 [Refereed]

Causes of diffidence in mid-level public health nurses who provide community-focused nursing-From interviews of mid-level public health nurses at a public health center engaged in support for people with mental disorders

HIRANO MICHIYO

社会医学研究 ( 日本社会医学会事務局 ) 24 ( 24 ) 11 - 18 2006.12 [Refereed]

CiNii J-GLOBAL

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