Language：English   Publisher：ヨナゴ・アクタ・メディカ刊行会  

COVID-19パンデミック時の日本の看護師を対象に、レジリエンス向上を目的としたオンライン介入と職場のソーシャルサポート(SS)およびバーンアウト(BO)との関連を調べた。鹿児島県の県本土と離島のそれぞれ一病院に勤務する臨床経験が1～10年の看護師98名(女性81.4%)を対象に、Zoomを使ってレジリエンス向上を目的とした介入を行い、介入前後に二次元レジリエンス要因尺度、PineのBO尺度、職場SSスコアを質問票調査で調べた。2020年4月にベースライン調査を行い、このうち76名が2020年9月の二次調査に参加し、69名が介入プログラムと2021年2月の三次調査に参加した。BOの変化は、職場のSSの変化と有意な負の関連を示し、獲得したレジリエンスの変化と介入の交互作用も同様であった。レジリエンス向上を目的とした介入を促進し、職場のSSをより利用しやすくすることは、看護師のBOの軽減に寄与する可能性があることが示唆された。

Language：Japanese   Publisher：International Journal of Environmental Research and Public Health  

In general, the perception of behavior change may be associated with habitual exercise. However, this association might not be well-understood due to the state of emergency of the COVID-19 pandemic. This study collected data from 1499 internet users aged 20–86 years living in Japan who participated in the online survey from 26 to 27 February 2021. Having a perception of behavior change was defined as preparation, action, and maintenance of the transtheoretical model. The habitual exercise was defined as 600 metabolic equivalent min/week or more based on the International Physical Activity Questionnaire. Multivariate logistic regression analysis was used to calculate the odds ratio of habitual exercise and a 95% confidence interval was estimated after adjusting for related factors. We found that perception of behavior change was positively associated with habitual exercise (adjusted odds ratio = 2.41, 95%CI = 1.89–3.08), and similar associations were found in states of emergency (2.69, 1.97–3.69) and non-emergency (2.01, 1.34–3.01). Moreover, women were negatively associated in all analyses with habitual exercise compared to men (0.63, 0.49–0.80; 0.65, 0.44–0.96; 0.62, and 0.45–0.84, respectively). Thus, the perception of behavior change may be involved in the implementation of habitual exercise, suggesting that women face difficulties in engaging in habitual exercise.

DOI： 10.3390/ijerph20010356

Scopus

PubMed

Language：English   Publisher：Tottori University Medical Press  

<p><b>Background </b>Although it is known that resilience is negatively associated with burnout, and that certain interventions can effectively increase resilience, little is known about online resilience-enhancing interventions during the COVID-19 crisis. The aim of this study was to identify the association between an online resilience-enhancing intervention and workplace social support, and burnout among nurses working in the mainland and remote islands of Japan during the COVID-19 crisis.</p><p><b>Methods </b>Pretest-posttest was conducted between April 2020 and February 2021, and the questionnaire survey included the bidimensional resilience scale, the Japanese version of Pine’s Burnout Measure, and the workplace social support scale. Changes in burnout, resilience, and social support and the associations with nursing discussions as intervention were analyzed. Participants were 98 Nurses with 1 to 10 years of experience from Japan’s mainland and remote island hospitals of Kagoshima Prefecture participated in a baseline survey in April 2020. Of these, 76 participated in a secondary survey in September 2020, and 69 participated in the intervention program and a third survey in February 2021. The online intervention over Zoom consisted of small-group nursing discussions based on the broaden-and-build theory.</p><p><b>Results </b>Changes in burnout showed a significant negative association with change in workplace social support (Coef. = –0.019, 95% CI –0.035– –0.003), as did the interaction between change in acquired resilience and intervention (Coef. = –0.088, 95% CI –0.164– –0.011).</p><p><b>Conclusion </b>Change in workplace social support was significantly negatively associated with changes in burnout, as was the interaction of intervention and acquired resilience. Promotion of this intervention and making workplace social support more accessible may contribute to reduce burnout in nurses.</p>

DOI： 10.33160/yam.2023.08.008

Scopus

PubMed

Language：English   Publisher：ヨナゴ・アクタ・メディカ刊行会  

鹿児島県内の2施設で働く臨床看護師を対象に、バーンアウトに対してレジリエンスと関連要因が及ぼす影響を横断的に調査した。本質問紙調査にはPinesのバーンアウト尺度や二次元レジリエンス要因尺度などを使用し、2020年4月に実施した。2施設のうち一方は本土の都市部にある500床を超える三次医療機関で、看護師82名(本土群)に質問紙を配布した。もう一方は離島にある中核病院であり、看護師70名(離島群)に配布した。合わせて99名(65%)から回答が得られ、不適格の1名を除く本土群59名(女性51名、性別記載なし1名)と離島群39名(女性28名)の回答内容を解析した。バーンアウトの有症率は本土群で20%、離島群で36%であった。生得的レジリエンスという要因はバーンアウトと負に関連していることがどちらの群でも示された。また獲得的レジリエンスにも同様の関連性が観察された(本土群でP=0.007、離島群でP=0.057)。全集団においては、生得的レジリエンスと職場での社会的支援がバーンアウトと負に関連し、離職意図は正に関連していることが示された。

Language：English   Publisher：Tottori University Medical Press  

<p><b>Background </b>Burnout, due to extreme mental and physical fatigue, and emotional exhaustion, leads to decreased nursing quality and turnover. However, not all nurses are observed as burnouts in the same work environment, and resilience and related factors may have effects on the development of burnouts. Therefore, we conducted a cross-sectional study to examine the effects of resilience and related factors on the burnout in clinical nurses, Kagoshima, Japan.</p><p><b>Methods </b>Data for this cross-sectional study involving nurses (<i>n</i> = 98) was collected using the following questionnaire surveys: the Bidimensional Resilience Scale, The Workplace Social Support Scale, and the Japanese version of the Pine’s Burnout Scale. Using burnout as a dependent variable, analyses were conducted using one-way analysis of variance and multiple regression analysis after adjusted for related factors.</p><p><b>Results </b>The prevalence of burnouts was 19.6% on the mainland and 36.1% on remote island. Innate resilience, acquired resilience, workplace social support, and burnout showed no significant difference between nurses on the mainland and remote island. In the mainland participants, innate resilience (β = –0.492, <i>P</i> < 0.001) and acquired resilience (β = –0.325, <i>P</i> = 0.007) showed a negative association with burnout, and similar associations were observed innate resilience (β = –0.520, <i>P</i> = 0.004) and acquired resilience (β = –0.336, <i>P</i> = 0.057) in the remote island participants. For all participants, innate resilience (β = –0.443, <i>P</i> = 0.001) and workplace social support (β = –0.204, <i>P</i> = 0.031) showed a negative association with burnout, and turnover intention was positively associated (β = 0.025, <i>P</i> = 0.021).</p><p><b>Conclusion </b>A negative association between burnout and innate resilience factors was observed in the mainland and remote island. Further evaluation of innate resilience is necessary for burnout prevention in clinical nurses.</p>

DOI： 10.33160/yam.2022.05.007

PubMed

Language：Japanese   Publisher：鹿児島大学医学部保健学科  

Language：Japanese  

Language：Japanese  

Language：Japanese  

Award type：Award from publisher, newspaper, foundation, etc.  Country：Japan

Country：Japan

Award type：Honored in official journal of a scientific society, scientific journal  Country：Japan

A qualitative study of confusing experiences among Japanese adult patients with
type 1 diabetes

Audience： General

Audience： College students,　Teachers,　Researchesrs