People in the world’s most populated continent are living longer, but not necessarily healthier, lives with overburdened, provider-led healthcare systems. As life expectancy across Asia-Pacific continues to rise, the region now carries a huge global burden of non-communicable diseases such as cancer and mental illnesses. As a result, governments in the Asia-Pacific region will need to consider policies and initiatives that prioritise improvements in care for people with a wide range of chronic conditions—but they must maintain vigilance against infectious diseases such as tuberculosis, HIV/AIDS and hepatitis.
These are among the findings of a new study by The Economist Intelligence Unit (EIU): The shifting landscape of healthcare in Asia-Pacific: A look at Australia, China, India, Japan and South Korea, sponsored by Janssen. Through in-depth desk research and interviews with healthcare experts, the study examines the disease-burden challenges facing healthcare systems in these countries.
For more information, please visit: http://www.economistinsights.com/healthcare/analysis/shifting-landscape-healthcare-asia-pacific
R232 Okada, Y., Sawaumi, T., & Ito, T. (2019). Setting Achievable Goals to M...Takehiko Ito
Setting achievable goals for students is an important part of teaching as it makes learning more effective. Our study aimed to examine how language learners are kept motivated by showing them improvements made by other nonnative speakers. We used two types of motivational tools to achieve this: video clips of the performance of former students and a visual demonstration of the changes in the Test of English for International Communication (TOEIC) scores of nonnative speakers. Study participants were 56 Japanese college students enrolled in either TOEIC preparation courses or speaking courses. Before and after demonstrating the improvements of other learners, students answered written questions regarding their language learning experiences, their beliefs about language learning, and what they learned from observing other students’ improvements. The results indicated that the motivational tools were useful in building positive attitudes toward language learning. These findings also suggested that both tools were beneficial for students in either the TOEIC preparation or speaking courses. Based on these quantitative results, we propose that it is essential to set achievable goals to keep learners motivated for task performance.
Keywords: motivation, goal setting, Japanese EFL learners, video demonstrations, Test of English for International Communication (TOEIC)
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People in the world’s most populated continent are living longer, but not necessarily healthier, lives with overburdened, provider-led healthcare systems. As life expectancy across Asia-Pacific continues to rise, the region now carries a huge global burden of non-communicable diseases such as cancer and mental illnesses. As a result, governments in the Asia-Pacific region will need to consider policies and initiatives that prioritise improvements in care for people with a wide range of chronic conditions—but they must maintain vigilance against infectious diseases such as tuberculosis, HIV/AIDS and hepatitis.
These are among the findings of a new study by The Economist Intelligence Unit (EIU): The shifting landscape of healthcare in Asia-Pacific: A look at Australia, China, India, Japan and South Korea, sponsored by Janssen. Through in-depth desk research and interviews with healthcare experts, the study examines the disease-burden challenges facing healthcare systems in these countries.
For more information, please visit: http://www.economistinsights.com/healthcare/analysis/shifting-landscape-healthcare-asia-pacific
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Setting achievable goals for students is an important part of teaching as it makes learning more effective. Our study aimed to examine how language learners are kept motivated by showing them improvements made by other nonnative speakers. We used two types of motivational tools to achieve this: video clips of the performance of former students and a visual demonstration of the changes in the Test of English for International Communication (TOEIC) scores of nonnative speakers. Study participants were 56 Japanese college students enrolled in either TOEIC preparation courses or speaking courses. Before and after demonstrating the improvements of other learners, students answered written questions regarding their language learning experiences, their beliefs about language learning, and what they learned from observing other students’ improvements. The results indicated that the motivational tools were useful in building positive attitudes toward language learning. These findings also suggested that both tools were beneficial for students in either the TOEIC preparation or speaking courses. Based on these quantitative results, we propose that it is essential to set achievable goals to keep learners motivated for task performance.
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Abstract: Having a dream is a way to meet the deceased for survived family members. We make it clear what kind of dream the bereaved family sees, to resume communication with the deceased. Twenty-seven interview stories in the book She came to see me in my dream were analyzed by the text mining technique. The most frequently used words were nouns such as “togetherness,” “earthquake disaster,” “tsunami,” “dream,” and verbs such as “be,” “get together,” “think,” “see,” and “talk”. The future of the dream was clarified by frequency analysis of dependency and reputation analysis. It will be discussed how surviving family members often have an orientation and sense of values that are together with those of the departed soul in the dream by experiencing the encountering of shadows and the soul of the dead.
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1. 2
訪問看護における高齢者の強みの活かした実践に関する研究
A Study on Practice of Visiting Nurses by Exploiting
the Strengths of the Elderly
佐口清美 神奈川工科大学看護学部看護学科
いとうたけひこ 和光大学心理教育学科
Kiyomi Saguchi Faculty of Nursing, Kanagawa Institute of Technology
Takehiko Ito Department of Psychology and Education, Wako University
[目的] 本研究の目的は、訪問看護実践場面より、看護師の高齢者の強みのとらえ方と看護
においての強みを活かした実践について、そのプロセスを明らかにすることである。
[方法] 高齢者の強みを活かした訪問看護経験がある看護師 11 名を対象に半構造化面接法
による聴き取り調査を行った。分析には修正版グラウンデッド・セオリー・アプローチを用
いた。[結果] その結果、病態の急激な変化を呈す状態でない場合において、《高齢者の強み
の把握》がなされ、《強みを活かした看護アプローチ》が導入される。その実践は【強みを
活かす働きかけ】、【強みを維持・調整する働きかけ】、【強みを活かす基盤づくりをする働き
かけ】に分けられた。[結論] 疾患や加齢に伴う身体的変化を兼ね合わせて生活をする高齢
者に対し、強みを活かしながら看護をしていくためには、高齢者の力を信じて関わることの
傍らで、体調面の安定化に留意しながら高齢者の自律的な生き方を支援することの必要性
が示唆された。
キーワード:強み,高齢者,訪問看護 実践、M-GTA
Key words:strengths, the elderly, practices visiting nurses, grounded theory
Ⅰ.緒言
我が国は諸外国と比較すると例を見ない高い高齢化率にあり、そのスピードも速い。高
齢者を取り巻く環境が変化している中、高齢者のための国連原則である尊厳・自己実現・
参加・自立・ケアの考え方は、保健・医療・福祉などの学問体系にも影響している。
とりわけ看護では、高齢者のケアを考えるにあたり、高齢者が望む自律的な生き方の
実現に貢献すること(北川,2016)が目標とされている。そのため、高齢者自身が援助者と
の関わりを通して主体性を発揮できることが目指される(鳥田・正木,2007)。しかし、従
来通りの問題解決志向型思考で支援活動しようとすると、高齢者のコミュニケーション
の仕方や ADL の状態から、主体性が捉えにくいなどと、マイナスイのメージでとらえて
しまうこともある。高齢者に対する看護師のとらえ方はケアに影響すると言われており、
柿川(2000)は、医療従事者の高齢者に対するイメージは、肯定的なイメージを持っている
場合はサービスの向上につながり、否定的なイメージを持っている場合はサービスの質
の低下を招くと指摘している。また、松本ら(2011)は高齢者に対する看護師のとらえ方に
関し、高齢者が本来もっている能力を洞察し、自立への志向性を信頼して支援することに、