Effect of Psychological Distress on the Association of Workplace Social Capital with Presenteeism and Sickness Absence.

Greater workplace social capital (WSC) can be related to workers' health and productivity. We sought to clarify the association between horizontal WSC and presenteeism and sickness absence (SA) and to examine the effects of psychological distress on these associations among Japanese workers. A cross-sectional study was conducted in 2017 at seven large Japanese companies. Logistic regression analysis was performed with presenteeism and SA as the dependent variables, horizontal WSC as an independent variable, and sociodemographic characteristics and psychological distress as covariates. After adjustment for sociodemographic characteristics, the results showed that greater horizontal WSC was associated with lower presenteeism and SA. The odds ratios for the relationship between horizontal WSC and presenteeism and that between horizontal WSC and SA dropped moderately after adjustment for psychological distress but remained significant. Further exploration of the factors underlying the relationship between WSC and productivity is needed to confirm if WSC enhances workers' health and productivity and to inform the development of effective occupational health initiatives.

Quality Evaluation of Nursing Observation Based on a Survey of Nursing Documents Using NursingNAVI.

We have identified three foci of the nursing observation and nursing action respectively. Using these frameworks, we have developed the structured knowledge model for a number of diseases and medical interventions. We developed this structure based NursingNAVI® contents collaborated with some quality centred hospitals. Authors analysed the nursing care documentations of post-gastrectomy patients in light of the standardized nursing care plan in the "NursingNAVI®" developed by ourselves and revealed the "failure to observe" and "failure to document", which leaded to the volatility of the patients' data, conditions and some situation. This phenomenon should have been avoided if nurses had employed a standardized nursing care plan. So, we developed thinking process support system for planning, delivering, recording and evaluating in daily nursing using NursingNAVI® contents. It is important to identify the problem of the volatility of the patients' data, conditions and some situation. We developed a survey tool of nursing documents using NursingNAVI® Content for quality evaluation of nursing observation. We recommended some hospitals to use this survey tool. Fifteen hospitals participated the survey using this tool. It is estimated that the volatilizing situation. A hospital which don't participate this survey, knew the result. So the hospital decided to use NursingNAVI® contents in HIS. It was suggested that the system has availability for nursing OJT and time reduction of planning and recording without volatilizing situation.

Analysis the Nursing Documentation of the Observation Plans and Practices of Breast Cancer Using Nursing NAVI.

We analyzed in nursing observation planning and practices circumstances of a breast cancer patient using the Nursing NAVI® Contents. The result of this analyzed were clearly that the master plan item was satisfying a vital signature, so it could be practiced 100%. But even if the observation item of in-out balance were not records so the implementation rate of the 50%, comparison with the Nursing NAVI® Contents. About the item esteemed as required item, like, the thing with the low observation implementation rate became clear. We found that problem about estrangement of the difference between the planning the observation drafting and the implementation. The implementation item can see a little tendency much, and later, the plan item will be also a problem about the current state to which the necessary item is inferior.

Problem Solving for Volatilizing Situation in Nursing: Developing Thinking Process Supporting System using NursingNAVI® Contents.

We have identified three foci of the nursing observation and nursing action respectively. Using these frameworks, we have developed the structured knowledge model for a number of diseases and medical interventions. We developed this structure based NursingNAVI® contents collaborated with some quality centered hospitals. Authors analysed the nursing care documentations of post-gastrectomy patients in light of the standardized nursing care plan in the "NursingNAVI®" developed by ourselves and revealed the "failure to observe" and "failure to document", which leaded to the volatility of the patients' data, conditions and some situation. This phenomenon should have been avoided if nurses had employed a standardized nursing care plan. So, we developed thinking process support system for planning, delivering, recording and evaluating in daily nursing using NursingNAVI® contents. A hospital decided to use NursingNAVI® contents in HIS. It was suggested that the system has availability for nursing OJT and time reduction of planning and recording without volatilizing situation.

Development of structured clinical process model of dementia.

As Japan is aging rapidly with more people with dementia, healthcare providers need to develop and share the care delivery model in order to respond to the need of not only the patients' but also of the families' and society's. The authors have developed a disease management and care system of the people with dementia based on the previous model developed by us for other diseases. Through the case reviews of the patients, this model proved to be useful in visually describing the patients' courses. We are going to develop as a next step a model to foresee the patients' progress so that we may be able to make timely interventions. Additionally, we have a plan to use it to improve the Japanese guideline of dementia care.

Developing the structured knowledge model to navigate the nurses' thinking process in their professional judgment and action.

Authors have defined the function of the nursing observation as "monitoring the onset and course of health problems" and that of nursing action as "preventing health problems". We have also identified three foci of the nursing observation and nursing action respectively. The foci of nursing observation are: "signs and symptoms related to the diseases", "complications related to the invasive medical procedures such as surgery" and "adverse effects related to the pharmacotherapy". Those of nursing action are: "nursing care to fulfill the needs arising from the diseases and the medical interventions", "nursing care to prevent the complications", and "nursing care to prevent the adverse effects". Finally, we have categorized hospitalized patients' conditions into "pre-surgery", "post-surgery" and "rehabilitative phase" for the surgical patients and "severe", "moderate" and "mild" for non-surgical ones. Using these frameworks, we have developed the structured knowledge model for a number of diseases and medical interventions.

A hospital survey on the utilization of the master file of the standardized nursing practice terminology in Japan.

A common language in nursing facilitates better communication among nurses and other healthcare providers, assuring better nursing care, hence better patient outcomes. As we developed and disseminated the standardized terminology of nursing which provided nurses with a set of terms to describe nursing observations and nursing actions, we run a survey to see how much it was recognized and utilized in actual clinical settings. The result showed that approximately 60% of the respondents were cognizant of our terminology, and again 60% of them were either actually using the terminology or interested in using it in the future. For them, the main purposes of utilizing the terminology were nursing documentation and care planning. Sometimes it was used as an educational tool. This suggests that we should further develop a tool to assist nurses with their documentation and care planning alongside the revision of the terminology itself.

Developing the nursing care plans using the "master file of standardized nursing practice terminology" in Japan.

A common language in nursing facilitates better communication among nurses and healthcare team, assuring better nursing care, hence better patient outcomes. As we developed and disseminated the standardized terminology of nursing which provided nurses with a set of terms to describe nursing observations and nursing actions, we developed a certain number of nursing care plans using the terms in it. The nursing care plans included those for the patients requiring medical (pharmaceutical)/surgical procedures or the patients showing some signs and symptoms. Generally, nurses found that the nursing care plans were useful and flexible enough to allow for the modification according to the needs of each individual patient. In conclusion, the nursing care plans based on the standardized terminology showed its relevance to the clinical settings.