記述言語：日本語   出版者・発行元：(一社)日本小児看護学会  

小児病棟看護師が行う小児がん患者の復学に向けた支援の実施状況と課題を明らかにすることを目的とし、15歳以下の小児がん患者への看護経験がある小児病棟看護師136名から得られた無記名式質問紙の回答を分析した。実施状況は設問項目ごとに記述統計量を求め、自由回答で求めた支援の課題は意味の類似性によって分類した。結果、晩期合併症の説明を子どもへ毎回実施している看護師は32.4%で全項目中最も少なかった。課題では、【小児がん患者や家族に復学を前向きにとらえてもらうことが難しい】、【学校側のスムーズな復学のための情報・体制・対応が不足している】、【医療従事者としての入院から退院後の継続した復学支援が難しい】の3カテゴリーが抽出された。看護師は必要な復学支援をしていたが、課題を感じていることも明らかとなった。今後は、復学支援にかかわるすべての人がそれぞれの役割を認識し、スムーズな支援につながるツールの作成が必要である。(著者抄録)

記述言語：英語   出版者・発行元：Nursing Reports  

Background/Objectives: This study aimed to identify the P-bottle feeding techniques systematically organized by Ms. Kumagai, an expert in nursing care for children with a cleft lip and/or palate (CLP), which were developed as she gained expertise in feeding affected children. Methods: We recruited three nurses who had mastered the Kumagai method for feeding with a P-bottle. Through analysis of participants’ voices and videos during interviews, we focused on aspects such as dealing with a closed mouth, inserting the nipple in cases of unilateral and bilateral CLP, dealing with the child’s movements after insertion, and key considerations when squeezing the bottle. Results: The interview analyses revealed numerous techniques used by nurses to manage the difficulties encountered while feeding children, ensuring successful provision of nourishment. Specifically, the nurses employed techniques such as placing the nipple along the midline of the child’s tongue and varying the application of force on the nipple depending on the cleft type. The nurses reported that the objectives of these techniques were to prevent ulcer formation and encourage the use of the tongue, simulating original feeding movements. Conclusions: We explored feeding techniques and the management of associated challenges. Our results suggest that the “Kumagai Method” could be valuable in improving feeding practices.

DOI： 10.3390/nursrep14040199

Web of Science

Scopus

PubMed

記述言語：英語   出版者・発行元：Nutrients  

Background/Objectives: This study identified bottle-feeding techniques for infants with feeding difficulties. Methods: Between December 2021 and April 2022, a survey was distributed to nurses with at least 5 years of experience in caring for infants at 1109 hospitals in Japan. The questionnaire included open-ended questions regarding preparation before bottle-feeding, methods of nipple insertion, methods of assisting with sucking, and criteria for continuing bottle-feeding. The responses were classified according to semantic similarity. Results: In total, 514 valid responses were received. The respondents had an average of 19.16 years of experience as a nurse or midwife. The most frequently used nipples for infants with feeding difficulties were the Combi Breastfeeding Model, Pigeon Weak Sucking Nipple, and Bean Stalk Nipple. Preparation before bottle-feeding consisted of six categories, including determining the timing of feeding and stimulation to promote wakeup. Nipple insertion methods consisted of four categories, such as assisted opening of the mouth, nipple insertion, and nipple insertion depth. Methods of assisting with sucking were divided into four categories, including encouraging sucking ability from around the mouth and matching the infant’s sucking pace. The criteria for continuing bottle-feeding spanned three categories, including willingness to suck and ensuring necessary nutrition. Conclusions: The variety of survey responses describes the current state of bottle-feeding technologies. A combination of several techniques indicated that feeding strategies may lead to effective and appropriate feeding. The nurses continued feeding based on an assessment of the infant’s acceptance. Future studies regarding bottle-feeding techniques must consider the individuality of each infant.

DOI： 10.3390/nu16213612

Web of Science

Scopus

PubMed

記述言語：英語   出版者・発行元：Children  

Aim: This study aimed to determine whether the Kumagai method could be followed by watching an instructional video and to compare the feeding actions of specialists and the general population. Materials and Methods: Eleven adults from diverse backgrounds were recruited and asked to feed a baby doll using a bottle feeder with a long nipple, and their actions were recorded. Then, they watched a 2.5-min instructional video of the Kumagai method and were asked to bottle-feed again. Video recordings of the participants were used to evaluate whether their actions followed the Kumagai method. Differences in the feeding actions of the specialists and participants were determined from still images in the videos. The McNemar test was used to analyze the differences between the participants’ actions before and after. The Kruskal–Wallis test was also used to determine differences between the actions of participants and specialists. Results: Feeding movements significantly improved after watching the video. Participants’ actions, which differed significantly from those of the specialists, were evident in “the angle of the nipple at the moment the nipple was brought close to the lips” and “the angle change of the nipple from the lip to the mouth”. Conclusions: Watching our short instructional video was effective in improving the technique of the Kumagai method; however, it is insufficient for feeding a real child with cleft lip and palate. Including the rationale of each action in the video and adding direct instruction as a supplement is required.

DOI： 10.3390/children11111358

Web of Science

Scopus

PubMed

記述言語：英語   出版者・発行元：MDPI AG  

Background/Objectives: This study aimed to identify the P-bottle feeding techniques systematically organized by Ms. Kumagai, an expert in nursing care for children with a cleft lip and/or palate (CLP), which were developed as she gained expertise in feeding affected children. Methods: We recruited three nurses who had mastered the Kumagai method for feeding with a P-bottle. Through analysis of participants’ voices and videos during interviews, we focused on aspects such as dealing with a closed mouth, inserting the nipple in cases of unilateral and bilateral CLP, dealing with the child’s movements after insertion, and key considerations when squeezing the bottle. Results: The interview analyses revealed numerous techniques used by nurses to manage the difficulties encountered while feeding children, ensuring successful provision of nourishment. Specifically, the nurses employed techniques such as placing the nipple along the midline of the child’s tongue and varying the application of force on the nipple depending on the cleft type. The nurses reported that the objectives of these techniques were to prevent ulcer formation and encourage the use of the tongue, simulating original feeding movements. Conclusions: We explored feeding techniques and the management of associated challenges. Our results suggest that the “Kumagai Method” could be valuable in improving feeding practices.

CiNii Research

記述言語：日本語  

記述言語：日本語  

researchmap

開催年月日： 2024年7月

記述言語：日本語   会議種別：ポスター発表  

開催地：大阪  

開催年月日： 2024年7月

記述言語：日本語  

開催地：大阪  

開催年月日： 2023年7月

記述言語：日本語  

開催地：パシフィコ横浜   国名：日本国  

開催年月日： 2023年7月

記述言語：日本語  

開催地：パシフィコ横浜   国名：日本国  

開催年月日： 2023年3月

記述言語：英語  

国名：日本国  

記述言語：日本語  

DOI： https://doi.org/10.20625/jschn.33_89

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

健康支援と社会保障制度領域の午前29,30,31,39,79,87問について解説を担当

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

小児看護学領域の午後103,104,105問について解説を担当

記述言語：日本語   掲載種別：機関テクニカルレポート，技術報告書，プレプリント等  

種別：学会・研究会等 

種別：大会・シンポジウム等 

新型コロナウイルスワクチン接種
福岡市からの要請を受け、中央ふ頭クルーズセンターにてワクチン接種後観察と看護師の統括として勤務を行った(2021年7～8月）

宿泊療養アドバイスチーム
福岡県・県医師会からの要請で、自宅療養者のうち、医療提供の優先度が高い方などに宿泊療養のメリットを丁寧に説明し、宿泊療養への入所を促すことで健康管理を支援することを目的とした電話対応を福岡県県庁で行った(2021年8月）

宿泊療養施設看護師オリエンテーション動画の作成
入院施設看護師オリエンテーション動画の作成

種別：その他

researchmap

種別：その他

researchmap

福岡大学研究ブランディング事業　福奏プロジェクト