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Research into the Changing Conceptualization of "Anraku" within Nursing in the Japanese Context: Parsing the concept of "Anraku" among practicing nurses

日本背景下护理中“安乐”概念的变化研究：解析执业护士中的“安乐”概念

基本信息

批准号：
18592335
负责人：
YAMAMOTO Yumiko
金额：
$ 1.6万
依托单位：
Tokyo Women's Medical University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2006
资助国家：
日本
起止时间：
2006 至 2007
项目状态：
已结题

项目摘要

Within Japanese Culture Anraku is being re-evaluated and from the perspective of care it was thought that giving clarity to this concept would be beneficial to the quality of nursing. The ethical considerations were undergone by an examination of Tokyo Women's Medical College.From the qualitative research of the interviews of clinical nursing professionals, comprise Anraku include "bodily Anraku", "serenity," "increase of the range of self-determination", and "autonomy of self-care." In order to verify this, 2.832 people participated in research from November 2007 through January 2008 which had 65 carefully selected items which were rated through a four step process by which the factor analysis was done.Results and considerations: The result of investigation: the valid response of 1,376 participants was 48.6%. Both the reliability and the validity of the conclusions are supported by the reliability of the questionnaire which had an a factor >0.80 and the validity of the sample which is seen both through the results of Bartlett spherical characteristic and the KMO (Kaiser-Meyer-Olkin) value of over 0.9. The average of subordinate factor was between 2.16-3.55. The result of doing a factor of analysis of the four elements "bodily Anraku", "serenity," "increase of the range of self-determination", and "autonomy of self-care" was that they could be classified into the following:1.) "Bodily Anraku" -- Assistance in daily living and relief of pain.2.) "Serenity" -- Engendering both serenity in daily life and sense of security, and adapting the hospital environment.3.) "Increase of the range of self-determination" - Disclosure of diagnosis and procedures to create a greater ability for autonomy of patient choice.4.) "Autonomy of self-care" -- The rehabilitation of daily function, support of increased capabilities in daily life and assistance in self autonomy.These are the elements by which practicing nursing professionals define Anraku.

在日本文化中，Anraku正在被重新评估，从护理的角度来看，人们认为澄清这一概念将有利于护理质量。从对临床护理专业人员访谈的定性研究来看，包括“身体安乐库”、“宁静”、“扩大自我决定的范围”和“自我护理的自主性”。为了验证这一点，从2007年11月至2008年1月，2.832人参加了研究，经过精心挑选的65个项目，通过四步因子分析进行评分。结果和考虑：调查结果：1,376名参与者的有效回答为48.6%。结论的信度和效度都得到了问卷的信度和样本效度的支持，问卷的α因子为0.80，样本的效度从Bartlett球面特征和KMO(Kaiser-Meyer-Olkin)大于0.9的结果可以看出。从属因子平均值在2.16~3.55之间。对“身体安乐库”、“宁静”、“自我决定范围的扩大”和“自我照顾的自主性”四个要素进行因素分析的结果是，它们可以归类为：1)“身体安乐库”--帮助日常生活和减轻痛苦。“宁静”--既能带来日常生活中的宁静和安全感，又能适应医院环境。“扩大自决范围”--公布诊断和程序，以创造更大的病人自主选择能力。“自我护理的自主性”--日常功能的恢复，日常生活能力的增强，以及自我自主的帮助。这些都是执业护理专业人员定义Anraku的要素。