1.Report on Competency Workshops for Developing Nursing Administrators: Status and Issues
Yukie FURUZAWA ; Tomoka SOMIYA ; Akemi ORITO ; Yuko KURITA
Journal of the Japanese Association of Rural Medicine 2020;68(5):659-
The purpose of this study was to identify issues with nursing administrator development in the Nursing Division of our hospital. In order to identify issues in the workshops, we conducted a questionnaire survey with chief nurses who participated in a competency workshop for them to become nursing administrators at the Nursing Division of Hospital A, and by reviewing their management behavior, we analyzed the insights they acquired. We used a qualitative, inductive research method that involved administering a written survey to 22 chief nurses who work at the hospital. The survey items were designed to find out what the participants learned, how they intended to put that knowledge to use, and what they felt during the workshop. Our analysis identified two categories of insights: those that would translate into behavior and those that represented new knowledge. The former comprised 22 subcategories and the latter 3 subcategories. Because the issues identified (maintaining conviction, customer orientation, and quality assurance) were limited to knowledge-based insights, these should be improved to become “insights that would translate into behavior” so that they can be put into practice in managing behaviors on the ward.
2.Infant Oral Cancer Postoperative Rehabillitation:Language Hearing Therapy
Rie OKAMOTO ; Satsuki TERASHIMA ; Natsuko OGUCHI ; Hitomi MIZUTANI ; Yuko ARAKAWA ; Hiroshi KURITA
The Japanese Journal of Rehabilitation Medicine 2022;():20051-
We present the case of an infant with oral cancer that developed in the 3rd month of life, following which oral feeding became difficult. In the 11th month of life, the right side of the mandible was resected surgically and movement on the right side of the mandible was restricted because of the compression caused by the rectus abdominis myocutaneous flap used for reconstruction. We initiated rehabilitation for the initial acquisition of eating functions so that the patient would be able to ingest baby food despite having an organic disorder in the oral cavity.Postoperative dysphagia in adult oral cancer is an organic disorder that occurs after acquisition of a normal swallowing pattern, whereas postoperative dysphagia in pediatric oral cancer is an organic disorder that occurs during the initial acquisition of eating functions. At present, the rehabilitation approach has not been established.From 12 months of age in this patient, we evaluated training methods that were easily accepted by children, including postoperative oral function evaluation, with the goal of the initial acquisition of eating functions. We approached postoperative wound contracture prevention with a focus on approaches to lip insufficiency, predation, and tongue/mandibular movements. In addition, we focused on family guidance and tried to support the caretaker's correct use of methods established during training.
3.Infant Oral Cancer Postoperative Rehabillitation:Language Hearing Therapy
Rie OKAMOTO ; Satsuki TERASHIMA ; Natsuko OGUCHI ; Hitomi MIZUTANI ; Yuko ARAKAWA ; Hiroshi KURITA
The Japanese Journal of Rehabilitation Medicine 2022;59(7):742-747
We present the case of an infant with oral cancer that developed in the 3rd month of life, following which oral feeding became difficult. In the 11th month of life, the right side of the mandible was resected surgically and movement on the right side of the mandible was restricted because of the compression caused by the rectus abdominis myocutaneous flap used for reconstruction. We initiated rehabilitation for the initial acquisition of eating functions so that the patient would be able to ingest baby food despite having an organic disorder in the oral cavity.Postoperative dysphagia in adult oral cancer is an organic disorder that occurs after acquisition of a normal swallowing pattern, whereas postoperative dysphagia in pediatric oral cancer is an organic disorder that occurs during the initial acquisition of eating functions. At present, the rehabilitation approach has not been established.From 12 months of age in this patient, we evaluated training methods that were easily accepted by children, including postoperative oral function evaluation, with the goal of the initial acquisition of eating functions. We approached postoperative wound contracture prevention with a focus on approaches to lip insufficiency, predation, and tongue/mandibular movements. In addition, we focused on family guidance and tried to support the caretaker's correct use of methods established during training.