INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2021
Introduction: Perceived control is an individual’s subjective beliefs about the amount of control... more Introduction: Perceived control is an individual’s subjective beliefs about the amount of control he or she has over the environment or outcome. Objective: To examine the relationship between perceived control, preventive health behaviors, and mental health effects of undergraduate nursing students during the COVID-19 pandemic. Methods: This cross-sectional correlational study used online self-administered questionnaires. Participants were nursing students attending 3 universities in Tokyo, Japan. Relationships among variables were quantitatively analyzed using linear regressions and a structural equation modeling after adjusting for demographic factors. Results: A total of 557 students participated in the survey. The analysis indicated that higher levels of perceived control were significantly related to higher levels of preventive health behaviors. Although higher preventive health behaviors were related to negative mental health effects, higher levels of perceived health competen...
Introduction Simulation-based learning is a relatively new concept in public health nursing educa... more Introduction Simulation-based learning is a relatively new concept in public health nursing education, and little is known about the efficacy of this approach for teaching of health guidance. Objective: The aim of this study was to evaluate the effectiveness of health guidance simulation in community settings for public health nursing students. Methods Using a pre/post-test design, 29 public health nursing students in their third year participated in a high-fidelity simulation program with standardized patients. We developed six scenarios on health guidance for three themes (mother and child, tuberculosis, and adult occupational health) and practice guidelines for the standardized patients to act and assist in understanding of the purpose of the course. Data were collected at baseline and after the simulation sessions through evaluation sheets that the students placed in a designated box on campus. Changes in the level of self-confidence of the students were evaluated based on the “...
To clarify the situations of nursing education and activity, its affecting factors and the nursin... more To clarify the situations of nursing education and activity, its affecting factors and the nursing educators’ views on nurse migration relating Mutual Recognition Agreement on Nursing Services in the Association of Southeast Asian Nations. Design: Descriptive qualitative research.
Objectives: The study conducted to reveal the situation of the globalization in nursing graduate ... more Objectives: The study conducted to reveal the situation of the globalization in nursing graduate school in Japan that may contribute to promote globalization in it. Methods: An anonymous questionnaire sent to the 156 graduate schools have a master course in December 2015. It contains (1) acceptance of foreign students and teachers, (2) study abroad and overseas training of Japanese students, (3) International research and educational circumstances of teachers, and others. Data were analyzed descriptively. Study approval was given by the Nursing Research Ethics Review Board of University of Kochi. Result: Seventy-two out of 73 responses were analyzed. About ten to twenty percent of schools accepted foreign students, but only one school had a credit exchange system with overseas universities. In addition, only half were actively communicating with overseas universities. Faculty members did not progress in joint research and international conference participation because of their language skills and heavy workload. Conclusion: In Japan's nursing graduate schools, the importance of corresponding to globalization has widely been recognized, and various attempts have been made, but further strategies to enhance the faculty's language ability and overseas experiences are required.
Aim: The aim of this concept analysis was to describe attributes, antecedents, and consequences o... more Aim: The aim of this concept analysis was to describe attributes, antecedents, and consequences of reflection in nursing professional development, as well as surrogate terms and a model case to inform nursing educators, students, and nurses about developing reflective skills. Methods: Rodgers' evolutionary cycle for concept analysis was used. The published work search was conducted using five databases: Education Resources Information Center (ERIC), Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Ichushi, and British Nursing Index. The inclusion criteria were: (i) academic articles; (ii) written in English or Japanese; and (iii) including descriptions about reflection. From the pool of extant published work, 50 articles were selected for the thematic analysis. Results: For the concept of reflection in nursing professional development, four antecedents were identified: (i) theory and practice gap; (ii) expansion of the role and competency in nursing; (iii) educational and learning needs; and (iv) educational responsibility. The major attribute was the process of learning from experience, and the circular process included emotional reaction, description, internal examination, critical analysis, evaluation, and planning new action. The consequences were transforming new perspective, enhanced communication, professional development, and quality of care. Conclusion: Reflection is used as a method or tool that connects knowledge and experiences. Through the process of reflection, students/nurses become aware of themselves, which helps them review and improve clinical skills. They also become more able to communicate with patients and colleagues. Reflection enhances self-directed learning and professional maturity. Nurses who use reflection can be better positioned to provide excellent patient care.
After the World Health Assembly approved the WHA 45.5 in 1992, which addressed the nursing shorta... more After the World Health Assembly approved the WHA 45.5 in 1992, which addressed the nursing shortage by refocusing nurses and midwives to meet community health needs, community demands for educated nurses and the needs of higher nursing education in developing countries increased. However, in developing countries that suffering from multiple resource deficiencies, such as Kenya, the strategic direction of higher education in nursing was unclear. Therefore, in Kenya, a major university school of nursing initiated a collaborative study with a well-established Japanese nursing college to determine the service-providers' perspective about upgrading the Master's community nursing curriculum. The aim of the study was to describe the Kenyan stakeholders' perspective and the expected roles and abilities of Master's graduates in community nursing. This qualitative, cross-sectional study used convenience sampling to obtain 21 participants. The content analysis of the data was based on 19 semistructured interviews. Sixteen categories and 42 subcategories were derived from the five key questions that related to the expectations of the Master's program. The Master's graduates were expected to acquire knowledge and skills relating to administration, management, epidemiology, research, and education. The participants recognized that epidemiology, important for preventive care, was minimal among the current community health nurses. Also, Master's graduates must be prepared to manage health programs. The stakeholders expected that Master's graduates would become leaders in community health nursing, with a broad range of knowledge and skills, most notably in the areas of management and administration, epidemiology, and research. Those abilities should be reflected in the curriculum content.
INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2021
Introduction: Perceived control is an individual’s subjective beliefs about the amount of control... more Introduction: Perceived control is an individual’s subjective beliefs about the amount of control he or she has over the environment or outcome. Objective: To examine the relationship between perceived control, preventive health behaviors, and mental health effects of undergraduate nursing students during the COVID-19 pandemic. Methods: This cross-sectional correlational study used online self-administered questionnaires. Participants were nursing students attending 3 universities in Tokyo, Japan. Relationships among variables were quantitatively analyzed using linear regressions and a structural equation modeling after adjusting for demographic factors. Results: A total of 557 students participated in the survey. The analysis indicated that higher levels of perceived control were significantly related to higher levels of preventive health behaviors. Although higher preventive health behaviors were related to negative mental health effects, higher levels of perceived health competen...
Introduction Simulation-based learning is a relatively new concept in public health nursing educa... more Introduction Simulation-based learning is a relatively new concept in public health nursing education, and little is known about the efficacy of this approach for teaching of health guidance. Objective: The aim of this study was to evaluate the effectiveness of health guidance simulation in community settings for public health nursing students. Methods Using a pre/post-test design, 29 public health nursing students in their third year participated in a high-fidelity simulation program with standardized patients. We developed six scenarios on health guidance for three themes (mother and child, tuberculosis, and adult occupational health) and practice guidelines for the standardized patients to act and assist in understanding of the purpose of the course. Data were collected at baseline and after the simulation sessions through evaluation sheets that the students placed in a designated box on campus. Changes in the level of self-confidence of the students were evaluated based on the “...
To clarify the situations of nursing education and activity, its affecting factors and the nursin... more To clarify the situations of nursing education and activity, its affecting factors and the nursing educators’ views on nurse migration relating Mutual Recognition Agreement on Nursing Services in the Association of Southeast Asian Nations. Design: Descriptive qualitative research.
Objectives: The study conducted to reveal the situation of the globalization in nursing graduate ... more Objectives: The study conducted to reveal the situation of the globalization in nursing graduate school in Japan that may contribute to promote globalization in it. Methods: An anonymous questionnaire sent to the 156 graduate schools have a master course in December 2015. It contains (1) acceptance of foreign students and teachers, (2) study abroad and overseas training of Japanese students, (3) International research and educational circumstances of teachers, and others. Data were analyzed descriptively. Study approval was given by the Nursing Research Ethics Review Board of University of Kochi. Result: Seventy-two out of 73 responses were analyzed. About ten to twenty percent of schools accepted foreign students, but only one school had a credit exchange system with overseas universities. In addition, only half were actively communicating with overseas universities. Faculty members did not progress in joint research and international conference participation because of their language skills and heavy workload. Conclusion: In Japan's nursing graduate schools, the importance of corresponding to globalization has widely been recognized, and various attempts have been made, but further strategies to enhance the faculty's language ability and overseas experiences are required.
Aim: The aim of this concept analysis was to describe attributes, antecedents, and consequences o... more Aim: The aim of this concept analysis was to describe attributes, antecedents, and consequences of reflection in nursing professional development, as well as surrogate terms and a model case to inform nursing educators, students, and nurses about developing reflective skills. Methods: Rodgers' evolutionary cycle for concept analysis was used. The published work search was conducted using five databases: Education Resources Information Center (ERIC), Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Ichushi, and British Nursing Index. The inclusion criteria were: (i) academic articles; (ii) written in English or Japanese; and (iii) including descriptions about reflection. From the pool of extant published work, 50 articles were selected for the thematic analysis. Results: For the concept of reflection in nursing professional development, four antecedents were identified: (i) theory and practice gap; (ii) expansion of the role and competency in nursing; (iii) educational and learning needs; and (iv) educational responsibility. The major attribute was the process of learning from experience, and the circular process included emotional reaction, description, internal examination, critical analysis, evaluation, and planning new action. The consequences were transforming new perspective, enhanced communication, professional development, and quality of care. Conclusion: Reflection is used as a method or tool that connects knowledge and experiences. Through the process of reflection, students/nurses become aware of themselves, which helps them review and improve clinical skills. They also become more able to communicate with patients and colleagues. Reflection enhances self-directed learning and professional maturity. Nurses who use reflection can be better positioned to provide excellent patient care.
After the World Health Assembly approved the WHA 45.5 in 1992, which addressed the nursing shorta... more After the World Health Assembly approved the WHA 45.5 in 1992, which addressed the nursing shortage by refocusing nurses and midwives to meet community health needs, community demands for educated nurses and the needs of higher nursing education in developing countries increased. However, in developing countries that suffering from multiple resource deficiencies, such as Kenya, the strategic direction of higher education in nursing was unclear. Therefore, in Kenya, a major university school of nursing initiated a collaborative study with a well-established Japanese nursing college to determine the service-providers' perspective about upgrading the Master's community nursing curriculum. The aim of the study was to describe the Kenyan stakeholders' perspective and the expected roles and abilities of Master's graduates in community nursing. This qualitative, cross-sectional study used convenience sampling to obtain 21 participants. The content analysis of the data was based on 19 semistructured interviews. Sixteen categories and 42 subcategories were derived from the five key questions that related to the expectations of the Master's program. The Master's graduates were expected to acquire knowledge and skills relating to administration, management, epidemiology, research, and education. The participants recognized that epidemiology, important for preventive care, was minimal among the current community health nurses. Also, Master's graduates must be prepared to manage health programs. The stakeholders expected that Master's graduates would become leaders in community health nursing, with a broad range of knowledge and skills, most notably in the areas of management and administration, epidemiology, and research. Those abilities should be reflected in the curriculum content.
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Papers by Kazuko Naruse