Tomoko Kamei

Systematic review and meta-analysis of studies involving telehome monitoring-based telenursing for patients with chronic obstructive pulmonary disease.

AIM This systematic review evaluated the effects of telehome monitoring-based telenursing (THMTN) on health outcomes and use of healthcare services and compared them with the effects of conventional treatment in patients with severe and very severe chronic obstructive pulmonary disease (COPD). METHODS An extensive published work search of several databases was performed in May and October 2011. Randomized controlled trials and non-randomized controlled clinical trials were evaluated. Parameters included hospitalization rate, number of visits to the emergency department, exacerbations, mean number of hospitalizations, mean duration of bed days of care, mortality, and health-related quality of life by the duration of THMTN and COPD severity. A random effects model was applied. Risk ratio and mean difference were calculated. Heterogeneity was assessed using the I(2) statistic. RESULTS Nine original articles involving 550 participants were identified in the meta-analysis. THMTN decreased hospitalization rates, emergency department visits, exacerbations, mean number of hospitalizations, and mean duration of bed days of care in severe and very severe COPD patients. Hospitalization rates and emergency department visits were comparable between patients undergoing THMTN of different durations. In addition, THMTN had no effect on mortality. CONCLUSION THMTN significantly decreases the use of healthcare services; however, it does not affect mortality in severe and very severe COPD patients.

Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: A randomized controlled trial

AIM To evaluate the potential improvement of fall prevention awareness and home modification behaviors and to decrease indoor falls by applying a home hazard modification program (HHMP) in community-dwelling older adults followed up to 1 year in this randomized controlled trial. METHODS The present authors randomly assigned 130 older adults living in the Tokyo metropolitan region to either the HHMP intervention group (n = 67) or the control group (n = 63). Both groups received four, 2 h fall prevention multifactorial programs including education regarding fall risk factors, food and nutrition, foot self-care, and exercise sessions. However, only the HHMP group received education and practice regarding home safety by using a model mock-up of a typical Japanese home. RESULTS The mean age of the HHMP group was 75.7 years and the control group 75.8. The HHMP group showed a 10.9% reduction in overall falls, and falls indoors showed an 11.7% reduction at 52 weeks. Those aged 75 years and over showed a significant reduction in both overall falls and indoor falls at 12 weeks. Fall prevention awareness and home modifications were significantly improved in the HHMP group. CONCLUSION HHMP has the potential to improve fall prevention awareness and home modification behaviors, and specifically decreased overall and indoor falls in 12 weeks in those aged 75 years and older in community-dwelling older adults.

Information and communication technology for home care in the future

AIM This paper discusses how nurses can utilize information and communication technology (ICT) to provide care to patients with chronic diseases who are receiving home care, with particular focus on the development, basic principles, research trends, recent evidence, and future direction of telenursing and telehealth in Japan and overseas. METHODS This review was based on a published work database search. RESULTS Telenursing and telehealth use telecommunications technology to provide nursing care to patients living at a distance from healthcare facilities. This system is based on patient-nurse interaction and can provide timely health guidance to patients in any area of residence. Because of the increase in the rate of non-communicable diseases, the World Health Organization established and adopted a resolution (WHA58.28) to promote the e-health program, which uses ICT. This strategy, which was introduced throughout the world from the 1990s up to 2000, was used for the healthcare of patients with chronic diseases and pregnant women and was implemented through cooperation with various professionals. A telenursing practice model has been reported along with the principles involved in its implementation. CONCLUSION Telenursing and telehealth are effective in decreasing the costs borne by patients, decreasing the number of outpatient and emergency room visits, shortening hospital stays, improving health-related quality of life, and decreasing the cost of health care.

Prática Avançada de Enfermagem e a Parceria de Cuidados Centrados nas Pessoas para a Cobertura de Saúde Universal Sustentável e o Acesso Universal à Saúde

Objetivo: o estudo desenvolveu um modelo de parceria de cuidados centrados nas pessoas (CCP) para uma sociedade que esta envelhecendo, com o fim de enfrentar os desafios das mudancas sociais que afetam a saude das pessoas e o novo papel da pratica avancada de enfermagem para sustentar a cobertura universal de saude. Metodo: um modelo de parceria de cuidados centrados nas pessoas foi desenvolvido com base na meta-sintese qualitativa da literatura e a avaliacao de 14 projetos relacionados. Os projetos em curso resultaram na transformacao individual e social, melhorando a alfabetizacao de saude da comunidade e comportamentos que usam o cuidado centrado nas pessoas e aumentando a parceria entre os profissionais de saude e membros da comunidade por meio da pratica avancada de enfermagem. Resultados: o cuidado centrado nas pessoas comeca quando os membros da comunidade e os profissionais de saude colocam em primeiro plano as questoes sociais entre os membros da comunidade e das familias. Esse modelo aborda essas questoes, a criacao de novos valores relativos a saude e forma um sistema social que melhora a qualidade de vida e da apoio social para sustentar o sistema de saude universal por meio da construcao de parcerias com as comunidades. Conclusao: um modelo de parceria CCP aborda os desafios das mudancas sociais que afetam a saude geral e o novo papel das enfermeiras de pratica avancada em sustentar a UHC.ABSTRACT Objective: this study developed a people-centered care (PCC) partnership model for the aging society to address the challenges of social changes affecting people’s health and the new role of advanced practice nurses to sustain universal health coverage. Method: a people-centered care partnership model was developed on the basis of qualitative meta-synthesis of the literature and assessment of 14 related projects. The ongoing projects resulted in individual and social transformation by improving community health literacy and behaviors using people-centered care and enhancing partnership between healthcare providers and community members through advanced practice nurses. Results: people-centered care starts when community members and healthcare providers foreground health and social issues among community members and families. This model tackles these issues, creating new values concerning health and forming a social system that improves quality of life and social support to sustain universal health care through the process of building partnership with communities. Conclusion: a PCC partnership model addresses the challenges of social changes affecting general health and the new role of advanced practice nurses in sustaining UHC.Objetivo: este estudio desarrollo un modelo de alianza para el cuidado centrado en las personas (CCP) para una sociedad envejecida, que haga frente a los retos de los cambios sociales que afectan a la salud de las personas y el nuevo papel de las enfermeras de practica avanzada para apoyar la cobertura universal de salud. Metodo: un modelo de alianza para el cuidado centrado en las personas fue desarrollado sobre la base de la meta-sintesis cualitativa de la literatura y la evaluacion de 14 proyectos relacionados. Los proyectos en curso dieron lugar a la transformacion individual y social mejorando la “alfabetizacion sanitaria” de la comunidad y los comportamientos, utilizando los cuidados centrados en las personas y aumentando la colaboracion entre los profesionales sanitarios y miembros de la comunidad a traves de las enfermeras de practica avanzada. Resultados: el cuidado centrado en las personas comienza cuando los miembros de la comunidad y los profesionales sanitarios ponen en primer plano a la salud y las cuestiones sociales entre los miembros de la comunidad y las familias. Este modelo aborda estas cuestiones, creando nuevos valores relativos a la salud y formando un sistema social que mejora la calidad de vida y el apoyo social para hacer sostenible la atencion sanitaria universal a traves del proceso de construccion de alianzas con las comunidades. Conclusion: un modelo de alianza para CCP responde a los desafios de los cambios sociales que afectan a la salud en general y al nuevo papel de las enfermeras de practica avanzada en el sostenimiento de la Cobertura Universal en Salud (CUS).

Por una enfermería de práctica avanzada y una alianza para la atención centrada en las personas, para la Cobertura Universal y Acceso Universal a la salud

Objetivo: o estudo desenvolveu um modelo de parceria de cuidados centrados nas pessoas (CCP) para uma sociedade que esta envelhecendo, com o fim de enfrentar os desafios das mudancas sociais que afetam a saude das pessoas e o novo papel da pratica avancada de enfermagem para sustentar a cobertura universal de saude. Metodo: um modelo de parceria de cuidados centrados nas pessoas foi desenvolvido com base na meta-sintese qualitativa da literatura e a avaliacao de 14 projetos relacionados. Os projetos em curso resultaram na transformacao individual e social, melhorando a alfabetizacao de saude da comunidade e comportamentos que usam o cuidado centrado nas pessoas e aumentando a parceria entre os profissionais de saude e membros da comunidade por meio da pratica avancada de enfermagem. Resultados: o cuidado centrado nas pessoas comeca quando os membros da comunidade e os profissionais de saude colocam em primeiro plano as questoes sociais entre os membros da comunidade e das familias. Esse modelo aborda essas questoes, a criacao de novos valores relativos a saude e forma um sistema social que melhora a qualidade de vida e da apoio social para sustentar o sistema de saude universal por meio da construcao de parcerias com as comunidades. Conclusao: um modelo de parceria CCP aborda os desafios das mudancas sociais que afetam a saude geral e o novo papel das enfermeiras de pratica avancada em sustentar a UHC.ABSTRACT Objective: this study developed a people-centered care (PCC) partnership model for the aging society to address the challenges of social changes affecting people’s health and the new role of advanced practice nurses to sustain universal health coverage. Method: a people-centered care partnership model was developed on the basis of qualitative meta-synthesis of the literature and assessment of 14 related projects. The ongoing projects resulted in individual and social transformation by improving community health literacy and behaviors using people-centered care and enhancing partnership between healthcare providers and community members through advanced practice nurses. Results: people-centered care starts when community members and healthcare providers foreground health and social issues among community members and families. This model tackles these issues, creating new values concerning health and forming a social system that improves quality of life and social support to sustain universal health care through the process of building partnership with communities. Conclusion: a PCC partnership model addresses the challenges of social changes affecting general health and the new role of advanced practice nurses in sustaining UHC.Objetivo: este estudio desarrollo un modelo de alianza para el cuidado centrado en las personas (CCP) para una sociedad envejecida, que haga frente a los retos de los cambios sociales que afectan a la salud de las personas y el nuevo papel de las enfermeras de practica avanzada para apoyar la cobertura universal de salud. Metodo: un modelo de alianza para el cuidado centrado en las personas fue desarrollado sobre la base de la meta-sintesis cualitativa de la literatura y la evaluacion de 14 proyectos relacionados. Los proyectos en curso dieron lugar a la transformacion individual y social mejorando la “alfabetizacion sanitaria” de la comunidad y los comportamientos, utilizando los cuidados centrados en las personas y aumentando la colaboracion entre los profesionales sanitarios y miembros de la comunidad a traves de las enfermeras de practica avanzada. Resultados: el cuidado centrado en las personas comienza cuando los miembros de la comunidad y los profesionales sanitarios ponen en primer plano a la salud y las cuestiones sociales entre los miembros de la comunidad y las familias. Este modelo aborda estas cuestiones, creando nuevos valores relativos a la salud y formando un sistema social que mejora la calidad de vida y el apoyo social para hacer sostenible la atencion sanitaria universal a traves del proceso de construccion de alianzas con las comunidades. Conclusion: un modelo de alianza para CCP responde a los desafios de los cambios sociales que afectan a la salud en general y al nuevo papel de las enfermeras de practica avanzada en el sostenimiento de la Cobertura Universal en Salud (CUS).

Toward Advanced Nursing Practice along with People-Centered Care Partnership Model for Sustainable Universal Health Coverage and Universal Access to Health

Objetivo: o estudo desenvolveu um modelo de parceria de cuidados centrados nas pessoas (CCP) para uma sociedade que esta envelhecendo, com o fim de enfrentar os desafios das mudancas sociais que afetam a saude das pessoas e o novo papel da pratica avancada de enfermagem para sustentar a cobertura universal de saude. Metodo: um modelo de parceria de cuidados centrados nas pessoas foi desenvolvido com base na meta-sintese qualitativa da literatura e a avaliacao de 14 projetos relacionados. Os projetos em curso resultaram na transformacao individual e social, melhorando a alfabetizacao de saude da comunidade e comportamentos que usam o cuidado centrado nas pessoas e aumentando a parceria entre os profissionais de saude e membros da comunidade por meio da pratica avancada de enfermagem. Resultados: o cuidado centrado nas pessoas comeca quando os membros da comunidade e os profissionais de saude colocam em primeiro plano as questoes sociais entre os membros da comunidade e das familias. Esse modelo aborda essas questoes, a criacao de novos valores relativos a saude e forma um sistema social que melhora a qualidade de vida e da apoio social para sustentar o sistema de saude universal por meio da construcao de parcerias com as comunidades. Conclusao: um modelo de parceria CCP aborda os desafios das mudancas sociais que afetam a saude geral e o novo papel das enfermeiras de pratica avancada em sustentar a UHC.ABSTRACT Objective: this study developed a people-centered care (PCC) partnership model for the aging society to address the challenges of social changes affecting people’s health and the new role of advanced practice nurses to sustain universal health coverage. Method: a people-centered care partnership model was developed on the basis of qualitative meta-synthesis of the literature and assessment of 14 related projects. The ongoing projects resulted in individual and social transformation by improving community health literacy and behaviors using people-centered care and enhancing partnership between healthcare providers and community members through advanced practice nurses. Results: people-centered care starts when community members and healthcare providers foreground health and social issues among community members and families. This model tackles these issues, creating new values concerning health and forming a social system that improves quality of life and social support to sustain universal health care through the process of building partnership with communities. Conclusion: a PCC partnership model addresses the challenges of social changes affecting general health and the new role of advanced practice nurses in sustaining UHC.Objetivo: este estudio desarrollo un modelo de alianza para el cuidado centrado en las personas (CCP) para una sociedad envejecida, que haga frente a los retos de los cambios sociales que afectan a la salud de las personas y el nuevo papel de las enfermeras de practica avanzada para apoyar la cobertura universal de salud. Metodo: un modelo de alianza para el cuidado centrado en las personas fue desarrollado sobre la base de la meta-sintesis cualitativa de la literatura y la evaluacion de 14 proyectos relacionados. Los proyectos en curso dieron lugar a la transformacion individual y social mejorando la “alfabetizacion sanitaria” de la comunidad y los comportamientos, utilizando los cuidados centrados en las personas y aumentando la colaboracion entre los profesionales sanitarios y miembros de la comunidad a traves de las enfermeras de practica avanzada. Resultados: el cuidado centrado en las personas comienza cuando los miembros de la comunidad y los profesionales sanitarios ponen en primer plano a la salud y las cuestiones sociales entre los miembros de la comunidad y las familias. Este modelo aborda estas cuestiones, creando nuevos valores relativos a la salud y formando un sistema social que mejora la calidad de vida y el apoyo social para hacer sostenible la atencion sanitaria universal a traves del proceso de construccion de alianzas con las comunidades. Conclusion: un modelo de alianza para CCP responde a los desafios de los cambios sociales que afectan a la salud en general y al nuevo papel de las enfermeras de practica avanzada en el sostenimiento de la Cobertura Universal en Salud (CUS).