Details of a Researcher - Nagata, Satoko

Papers - Nagata, Satoko

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専門性の高い看護師配置による地域包括ケア時代の新たな PFM システムの構築—福島県立医科大学会津医療センター附属病院の取り組み

児島由利江, 永田智子

看護管理 25 ( 9 ) 750 - 755 2015.09

Thesis (other), Joint Work

Promoting the Use of Visiting Nurse Services for Patients Discharged From Hospital

Nagata Satoko, Ogawa Kaoru, Taguchi Atsuko, Naruse Takashi, Murashima Sachiyo, Magilvy Joan Kathy

Home Health Care Management and Practice 27 ( 2 ) 47 - 53 2015.05

Research paper (scientific journal), Joint Work, Accepted, ISSN 1084-8223

A project to encourage the adequate use of visiting nurse services (VNS) after discharge was conducted by “K” City, Japan. Eligible individuals were inpatients of general hospital ready for discharge and assessed as potentially needing VNS, and their out-of-pocket fees for VNS within 1 month following discharge were covered by the city. To clarify this project’s effect, patient/family’s intention to use VNS and the utilization of VNS at each time point were evaluated. Eighty-eight residents used the project. Before initial hospitalization, less than one quarter of users had recognized the necessity of VNS. Many participants (88.6%) continued to use VNS even after the completion of the project period despite having to cover the VNS cost by themselves, indicating that this project had a positive impact on appropriate VNS use.

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The effect of skill mix in non-nursing assistants on work engagements among home visiting nurses in Japan

Naruse Takashi, Taguchi Atsuko, Kuwahara Yuki, Nagata Satoko, Sakai Mahiro, Watai Izumi, Murashima Sachiyo

Journal of Nursing Management 23 ( 4 ) 532 - 541 2015.05

Research paper (scientific journal), Joint Work, Accepted, ISSN 0966-0429

Aim: This study evaluated the effect of a skill-mix programme intervention on work engagement in home visiting nurses. Background: A skill-mix programme in which home visiting nurses are assisted by non-nursing workers is assumed to foster home visiting nurses' work engagement. Method: Pre- and post-intervention evaluations of work engagement were conducted using self-administered questionnaires. A skill-mix programme was introduced in the intervention group of home visiting nurses. After 6 months, their pre- and post-intervention work engagement ratings were compared with those of a control group. Result: Baseline questionnaires were returned by 174 home visiting nurses (44 in the intervention group, 130 in the control group). Post-intervention questionnaires were returned by 38 and 97 home visiting nurses from each group. The intervention group's average work engagement scores were 2.2 at baseline and 2.3 at post-intervention; the control group's were 3.3 and 2.6. Generalised linear regression showed significant between-group differences in score changes. Conclusion: The skill-mix programme might foster home visiting nurses' work engagement by improving the quality of care for each client. Future research is needed to explain the exact mechanisms that underlie its effectiveness. Implications for nursing management: In order to improve the efficiency of services provided by home visiting nurses and foster their work engagement, skill-mix programmes might be beneficial.

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Follow-up study of the general and mental health of people living in temporary housing at 10 and 20 months after the Great East Japan Earthquake

Nagata Satoko, Matsunaga Atsushi, Teramoto Chie

Japan Journal of Nursing Science 12 ( 2 ) 162 - 165 2015.04

Research paper (scientific journal), Joint Work, Accepted, ISSN 1742-7932

Aim: An earthquake of magnitude 9.0 and accompanying tsunami struck the Tohoku region in northeast Japan on 11 March 2011. The purpose of this study was to observe evacuees' health status such as general health, psychological distress, and feeling of isolation over time. Methods: The authors distributed a questionnaire survey to residents of temporary housing in January to March (time 1) and again in October to December of 2012 (time 2). Results: Two hundred respondents who filled out the questionnaire at both times were the subjects of this study. The self-reported general health in 39% and mental health status in 43.5% of the participants were poor at time 2. In addition, a higher percentage of participants felt a sense of isolation at time 2 even though more of the participants participated in community activities at that time. Conclusion: This result shows the evacuees' prolonged psychological distress and strengthening sense of isolation. It will be necessary to monitor them carefully and provide support continuously over the long term.

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療養場所の円滑な移行に向けた退院支援方策の開発とその評価

NAGATA Satoko

看護科学研究 13 ( 1 ) 18 - 21 2015

Research paper (conference, symposium, etc.), Single Work

Diseases that precede disability among latter-stage elderly individuals in Japan

Naruse Takashi, Sakai Mahiro, Matsumoto Hiroshige, Nagata Satoko

BioScience Trends 9 ( 4 ) 270 - 274 2015

Research paper (scientific journal), Joint Work, Accepted, ISSN 1881-7815

Understanding causes of disability among elderly individuals is an important public health issue, particularly because of the increasing rate of disabled elderly individuals and the social costs in a rapidly aging society. Accordingly, we aimed to describe the diseases that precede disability and investigate the types of diseases that are related to severe disability among Japanese elderly individuals aged over 75 years. Using claim data from the latterstage elderly healthcare system and long-term care insurance system, we identified 76,265 elderly individuals over 75 years old who did not qualify as disabled on April 1, 2011. Among them, 3,715 elderly individuals who had been newly qualified as disabled between April 1, 2011 and March 31, 2012 were selected. Disease codes from the medical claim data in the 6 months prior to disability were collected. All descriptions were developed separately for six groups divided by gender and disability level (low, middle, and high). The results of the ordinal logistic analysis including sex and age revealed that men tended to have significantly higher levels of disability (β = 0.417, p < 0.001) than women. Cerebrovascular disorder (CVD) was the most common disease in almost all age and disability level groups. In low-level disability groups, cancer in men (12.8%) and arthropathy and fracture in women (11.9% and 13.5%, respectively) were as common as cerebrovascular disorder (12.2% and 9.7%, in men and women, respectively). Stroke was the most common disease for all genders and disability levels. The diseases preceding low-level disability differed by gender. This study demonstrated the need to consider arthropathy and fracture as well as CVD in order to prevent disability.

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Essential skill achievement levels of public health nursing students, as evaluated by students, faculties, and public health nurses in Tokyo 23 city

Suzuki Yoshimi, Saito Emiko, Sawai Minako, Kishi Emiko, Kakemoto Satori, Nakada Harumi, Igarashi Chiyo, Miyoshi Tomomi, Asahara Kiyomi, Nagata Satoko, Mori Toyomi, Kaguraoka Sumi

[Nihon koshu eisei zasshi] Japanese journal of public health 62 ( 12 ) 729 - 737 2015

Research paper (scientific journal), Joint Work, Accepted, ISSN 0546-1766

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訪問看護必要性アセスメントシートの一般化可能性および活用可能性の検討

田口敦子, 永田智子, 成瀬昂, 桒原雄樹, 山口拓洋, 村嶋幸代

日本医療・病院管理学会誌 52 ( 2 ) 67 - 77 2015

Research paper (scientific journal), Joint Work

終末期在宅療養の実現可能性に関する地方中核都市と郡部在住の住民の認識とその関連要因

柳瀬裕貴, 成瀬昂, 田口敦子, 永田智子

日本地域看護学会誌 18 ( 2-3 ) 23 - 32 2015

Research paper (scientific journal), Joint Work, Accepted

大学病院における退院支援スクリーニング指標の基準関連妥当性の検討

田口敦子, 奥田春花, 吉田和子, 五十嵐ひとみ, 佐藤裕子, 佐々木夫起子, 山内かず子, 永田智子

東北大学医学部保健学科紀要 24 ( 1 ) 19 - 27 2015

Research paper (bulletin of university, research institution), Joint Work

Characteristics of Clients Using Home Visiting Nursing Services at Nighttime and Early Morning in Japan

Taguchi Atsuko, Naruse Takashi, Kuwahara Yuki, Matsunaga Atsushi, Nagata Satoko, Murashima Sachiyo

Home Health Care Management and Practice 26 ( 4 ) 250 - 256 2014.11

Research paper (scientific journal), Joint Work, Accepted, ISSN 1084-8223

Our objectives were to classify the characteristics of clients such as their diseases and the period of services provided to clients who are using home visiting nurse agency (HVNA) services at nighttime. The nighttime HVNA services provided to 31 clients were analyzed. Two major reasons for cancellation of nighttime and early morning HVNA service were identified: (1) cancellation due to death, and (2) cancellation as a result of achieving goals for receiving the service. As to the former reason, those who died of terminal cancer used the service for approximately 2 months, whereas those who died of other causes used the service for approximately 11 months. The establishment of such a service system requires the development of a method to achieve stable management of an HVNA.

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Identification of the need for home visiting nurse

Taguchi Atsuko, Nagata Satoko, Naruse Takashi, Kuwahara Yuki, Yamaguchi Takuhiro, Murashima Sachiyo

International Journal of Integrated Care 14 ( 1 ) 2014.01

Research paper (scientific journal), Joint Work, Accepted, ISSN 1568-4156

Objective: To develop a Home Visiting Nursing Service Need Assessment Form (HVNS-NAF) to standardize the decision about the need for home visiting nursing service. Methods: The sample consisted of older adults who had received coordinated services by care managers. We defined the need for home visiting nursing service by elderly individuals as the decision of the need by a care manager so that the elderly can continue to live independently. Explanatory variables included demographic factors, medical procedure, severity of illness, and caregiver variables. Multiple logistic regression was carried out after univariate analyses to decide the variables to include and the weight of each variable in the HVNS-NAF. We then calculated the sensitivity and specificity of each cutoff value, and defined the score with the highest sensitivity and specificity as the cutoff value. Results: Nineteen items were included in the final HVNS-NAF. When the cutoff value was 2 points, the sensitivity was 77.0%, specificity 68.5%, and positive predictive value 56.8%. Conclusions: HVNS-NAF is the first validated standard based on characteristics of elderly clients who required home visiting nursing service. Using the HVNS-NAF may result in reducing the unmet need for home visiting nursing service and preventing hospitalization.

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Work engagement and attitudes toward caring for dying patients and families among home-visiting nurses in Japan

Mahiro Sakai, Takashi Naruse, Satoko Nagata

International Journal of Palliative Nursing 20 ( 7 ) 343 - 348 2014

Research paper (scientific journal), Joint Work, Accepted, ISSN 1357-6321

Background: Nurses with higher levels of work engagement tend to be highly efficient in their work and more willing to keep working and to provide patient-centred care. However, whether more engaged nurses provide end-of-life care more proactively has not been examined in the home-care setting. Aim: This study aimed to examine work engagement among home-visiting nurses in Japan and its relationship with their attitudes toward caring for dying patients and their families. Methods: A total of 343 nurses working in 62 agencies across Chiba prefecture, eastern Japan, received an anonymous self-administered questionnaire from July to August 2012. The authors performed multiple regression analysis to explore the relationships between home-visiting nurses" work engagement and attitudes. Results: Data from 184 nurses (53.6%) was analysed. Work engagement was significantly positively related to the nurses" attitudes toward caring for dying patients and their families. Conclusion: As more engaged nurses tend to have more positive attitudes toward caring for dying patients and their families, further research is needed to identify the factors that might help nursing managers to enhance their staffs engagement and perhaps thereby improve their attitudes, with the ultimate aim of achieving better outcomes for patients and families.

Reliability and validity of the Japanese version of the Relational Coordination Scale

Naruse Takashi, Sakai Mahiro, Nagata Satoko

[Nihon kōshū eisei zasshi] Japanese journal of public health 61 ( 9 ) 565 - 573 2014

Research paper (scientific journal), Joint Work, Accepted, ISSN 0546-1766

OBJECTIVES: The Relational Coordination Scale is used to measure teamwork with specific subjects about specific tasks. We translated the scale into Japanese (J-RCS) and examined its reliability and validity.METHODS: We translated the scale into Japanese. In July 2013, we conducted an internet survey for 124 home visiting nurses of 11 agencies in Shiga prefecture. The J-RCS items asked about teamwork with physicians, care managers, and colleague nurses.RESULTS: Eighty-one home visiting nurses (65.3%) answered the survey, and 70 (56.5% of the responders) answered the re-test survey. Cronbach's alpha coefficients of J-RCS were 0.770 to 0.859, and the intraclass correlation coefficients for test-retest reliability were 0.673 to 0.830 (P<0.001). In the confirmatory factor analysis, only J-RCS ［physicians］ met the well fit indices and showed factorial validity. Concurrent validity was supported by correlations of J-RCS and the degree of confidence about collaboration (r=0.559 to 0.585, P<0.001) and social support (r=0.549 to 0.789, P<0.001).CONCLUSION: While issues such as factorial validity and the concentration of responses on some scale items will be a topic for further research, the J-RCS has been shown to have an acceptable level of reliability and validity.

The tsunami's impact on mortality in a town severely damaged by the 2011 Great East Japan Earthquake

Nagata Satoko, Teramoto Chie, Okamoto Reiko, Koide Keiko, Nishida Masumi, Suzuki Ruriko, Nomura Michie, Tada Toshiko, Kishi Emiko, Sakai Yoko, Jojima Noriko, Kusano Emiko, Iwamoto Saori, Saito Miki, Murashima Sachiyo

Disasters 38 ( SUPPL2 ) 2014

Research paper (scientific journal), Joint Work, Accepted, ISSN 0361-3666

This study identifies the relationship between tsunami damage and mortality through a demographic pyramid of a town severely damaged by the tsunami following the Great East Japan Earthquake of 11 March 2011. It uses cross-sectional data collection. Volunteers visited all households, including shelters, and asked residents about the whereabouts of family members and neighbours. The information was collated with lists of evacuees and the dead to confirm the whereabouts of all residents about 50 days after the disaster. Demographic pyramids for the whole population based on pre- and post-disaster data were drawn. In all, 1,412 (8.8 per cent) were dead or missing, 60.2 per cent of whom were aged 65 and over and 37.5 per cent aged 75 and over, suggesting that the very old should be located beyond the reach of tsunamis. The mortality rate of children was lower than that in other studies, which may indicate the efficacy of disaster evacuation drills.

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Unmet needs for visiting nurse services among older people after hospital discharge and related factors in Japan

Nagata Satoko, Taguchi Atsuko, Naruse Takashi, Kuwahara Yuki, Murashima Sachiyo

Japan Journal of Nursing Science 10 ( 2 ) 242 - 254 2013.12

Research paper (scientific journal), Joint Work, Accepted, ISSN 1742-7932

Aim: Studies have suggested that some home care recipients have unmet needs for visiting nurse services. In particular, such needs are greater just after hospital discharge than at other times. Thus, there is concern that there exist unmet needs for visiting nurse services among patients after hospital discharge. The purpose of this study was to investigate the current situation of unmet needs for visiting nurse services among older patients discharged from acute hospitals. Methods: This was a cross-sectional correlation study. Participants were patients aged 65 years or over who had been discharged from the general units in all hospitals in four prefectures in Japan after a hospital stay of 14 days or more. Nursing staff gathered the patients' information and assessed unmet needs for visiting nurse services after discharge. Results: There were 1594 eligible participants; 190 (11.9%) utilized visiting nurse services after discharge and 87 (5.4%) were judged to have no visiting nurse services despite a need for such services. Need for assistance in activities of daily living, presence of a respiratory disease, need for continued medical/nursing care after discharge, inadequate capacity for family caregiving, and implementation of discharge planning were related to use of, and need for, visiting nurse services. Conclusion: After controlling for other factors, implementation of discharge planning determined the utilization of, and the need for, nursing care after discharge. Therefore, an adequate discharge planning screening system is necessary.

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Home Visiting Nurse Agencies for Community Dwelling Elderly at Nighttime in Japan

Taguchi Atsuko, Naruse Takashi, Kuwahara Yuki, Nagata Satoko, Murashima Sachiyo

Home Health Care Management and Practice 25 ( 6 ) 256 - 263 2013.12

Research paper (scientific journal), Accepted, ISSN 1084-8223

Our objectives were to describe the care provided during the nighttime and to discuss the characteristics of individuals who are more likely to be cared for at nighttime by visiting nurses of home visiting nurse agencies (HVNAs). Thirty-one clients participated in this study. Eight clients were physically independent and 23 clients were chair/bed bound. Among the physically independent group, the contents of the care at scheduled times were insulin injection and blood sugar measurement in four clients. Among the chair/bed-bound group, the most frequently given medical treatment was sputum suction (16 clients). The majority of clients who received HVNA services at night and early in the morning required medical treatment. The disease condition of clients was unstable and assessment of changes in disease condition was desirable.

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Individual and organizational factors related to work engagement among home-visiting nurses in Japan

Naruse Takashi, Sakai Mahiro, Watai Izumi, Taguchi Atsuko, Kuwahara Yuki, Nagata Satoko, Murashima Sachiyo

Japan Journal of Nursing Science 10 ( 2 ) 267 - 272 2013.12

Research paper (scientific journal), Accepted, ISSN 1742-7932

Aim: The increasing number of elderly people has caused increased demand for home-visiting nurses. Nursing managers should develop healthy workplaces in order to grow their workforce. This study investigated the work engagement of home-visiting nurses as an index of workplace health. The aim of the present study was to reveal factors contributing to work engagement among Japanese home-visiting nurses. Methods: An anonymous, self-administered questionnaire was sent to 208 home-visiting nurses from 28 nursing agencies in three districts; 177 (85.1%) returned the questionnaires. The Job Demands-Resources model, which explains the relationship between work environment and employee well-being, was used as a conceptual guide. The authors employed three survey instruments: (i) questions on individual variables; (ii) questions on organizational variables; and (iii) the Utrecht Work Engagement Scale (Japanese version). Multiple regression analyses were performed in order to examine the relationships between individual variables, organizational variables, and work engagement. Results: Nurse managers and nurses who felt that there was a positive relationship between work and family had significantly higher work engagement levels than others. The support of a supervisor was significantly associated with work engagement. Nurses in middle-sized but not large agencies had significantly higher work engagement than nurses in small agencies. Conclusion: Supervisor support and an appropriate number of people reporting to each supervisor are important factors in fostering work engagement among home-visiting nurses.

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Measuring the efficiencies of visiting nurse service agencies using data envelopment analysis

Kuwahara Yuki, Nagata Satoko, Taguchi Atsuko, Naruse Takashi, Kawaguchi Hiroyuki, Murashima Sachiyo

Health Care Management Science 16 ( 3 ) 228 - 235 2013.09

Research paper (scientific journal), Accepted, ISSN 1386-9620

This study develops a measure of the efficiency of visiting nurse (VN) agencies in Japan, examining the issues related to the measurement of efficiency, and identifying the characteristics that influence efficiency. We have employed a data envelopment analysis to measure the efficiency of 108 VN agencies, using the numbers of 5 types of staff as the input variables and the numbers of 3 types of visits as the output variables. The median efficiency scores of the VN agencies were found to be 0.80 and 1.00 according to the constant returns to scale (CRS) and variable returns to scale (VRS) models, respectively, and the median scale efficiency score was 0.95. This study supports using both the CRS and VRS models to measure the scale efficiency of VN service agencies. We also found that relatively efficient VN agencies filled at least 30 % of staff positions with experienced workers, and so concluded that this characteristic has a direct influence on the length of visits.

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The strategies of Japanese public health nurses in medication support for high-risk tuberculosis patients

Shimamura Tamae, Taguchi Atsuko, Kobayashi Sayuri, Nagata Satoko, Magilvy Joan Kathy, Murashima Sachiyo

Public Health Nursing 30 ( 4 ) 370 - 378 2013.07

Research paper (scientific journal), Accepted, ISSN 0737-1209

Objective: The purpose of this study was to describe the support provided by Japanese public health nurses (PHNs) to high-risk tuberculosis (TB) patients, focusing specifically on the support aimed at preventing interruptions in treatment. Design and Sample: A qualitative descriptive approach was used with a convenience sample of 11 PHNs in Japan who cared for TB patients at highest risk for medication adherence problems. Measures: Semi-structured interviews were conducted to learn the scope and practice of PHNs with high-risk TB patients. Data were analyzed using a qualitative descriptive analysis process. Results: One main theme was identified: "Supporting the patients in overcoming tuberculosis, regaining health, and living a healthier life." Three categories with five subcategories described the nurses' activities: (1) empathetic and reliable support, (2) motivational strategies for medication adherence, and (3) developing a foundation for healthier life. Conclusions: The nurses interviewed described creative and extraordinary strategies used to promote medication adherence and facilitate development of a healthy posttreatment lifestyle. Their approach was patient-centered and culturally congruent. Findings may be transferrable to PHN practice in other regions as care for this economically disadvantaged and marginalized population is a critical need.

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