Publishing type：Research paper (scientific journal)   Publisher：Wiley  

ABSTRACT

Effective pain management remains a global nursing challenge, requiring awareness of influencing factors. This cross‐sectional study examined such factors among nurses in Western Japan's university hospitals from September to November 2023. A self‐reported questionnaire was used to investigate nurses' sociodemographic characteristics, collaboration with physicians in the ward, pain management knowledge, empathy, and pain management practices. Among 695 nurses (69.4% valid response rate), 51.4% had under 5 years' work experience, indicating a relatively junior nursing workforce. The mean practice score was 47.5 (SD = 7.1). Hierarchical regression showed knowledge and empathy increased practice scores by 6.2%. Nurses' empathy, particularly their perspective‐taking, explained pain management practice (β = 0.242, p < 0.001). Information‐sharing with pain specialists, effective collaboration with physicians in the ward, work experience, and clinical pain education were also associated with pain management practices (all p < 0.05). This study suggests that enhancing nurses' empathy and fostering a collaborative ward environment may be essential strategies to improve the pain management quality.

DOI： 10.1111/nhs.70143

researchmap

Publishing type：Research paper (scientific journal)  

DOI： 10.19012/janap.29.1_48

researchmap

researchmap

DOI： 10.4044/joma.136.112

researchmap

Authorship：Lead author   Publishing type：Research paper (scientific journal)   Publisher：Public Library of Science (PLoS)  

Self-care behavior is considered important for preventing the progression of chronic kidney disease (CKD). Although lifestyle interventions are popular, they have not been sufficiently effective. According to studies on other chronic diseases, illness representation has been found to formulate a pattern, and self-care behavior could differ depending on the pattern, which suggests difference in self-care behavior based on illness representation. This study examined what kind of illness representational patterns exist among CKD patients and whether there is a difference in self-care behavior depending on the pattern. A survey was conducted from the beginning of June to the end of October 2019 on 274 CKD patients who were either outpatients or hospitalized at general hospitals in Western Japan. The Illness Perception Questionnaire-Revised was used to assess illness representation and the Japanese Chronic Kidney Disease Self-Care scale was used to assess self-care behavior. Two-stage cluster analysis was used to identify clusters. Cluster features were examined using analysis of variance and Tukey HSD tests. Differences in self-care behavior scores among identified clusters were investigated. Two hundred and forty-four questionnaires were received, and 212 were analyzed. Participants were aged 64.9±12.9, and the estimated glomerular filtration rate was 33.7±15.8. Three clusters were identified: Cluster 1 represented the difficulty of making sense of the changed condition caused by the disease and easily falling into misunderstanding; Cluster 2 represented patients with disease conditions that impacted their daily life and emotional responses; Cluster 3 represented the controllability and understandability of the disease. Total self-care behavior scores indicated a significant difference between Cluster 1 (52.1 ± 9.7) and Cluster 3 (57.7 ± 8.2). In conclusion, we showed that three representational patterns exist among CKD patients. In addition, a difference was found in self-care behavior depending on the illness representational pattern, suggesting the need to focus on illness representation.

DOI： 10.1371/journal.pone.0283701

researchmap

Event date： 2024.12.7 - 2024.12.8

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.12.9 - 2023.12.10

researchmap

Event date： 2022.12.3 - 2022.12.4

Presentation type：Oral presentation (general)  

researchmap

Event date： 2021.12.4 - 2021.12.5

Presentation type：Oral presentation (general)  

researchmap

Event date： 2020.12.1 - 2020.12.25

Presentation type：Oral presentation (general)  

researchmap