University of Pittsburgh
生態学モデル コンセプト枠組み
地域社会
社会的支援と雇用
一個人
不安・うつ
対人関係
怒り・個人的支援
University of Pittsburgh
ヘルスケアにおける C-A-R-E
C-collaboration
（恊働 ）－ 受け入れる、導く、調整する、連携、適応させる
A-agility
（機敏）－ 柔軟性、順応性University of Pittsburgh
生き残る種とは、最も強いものではなく、
最も知的なものでもない、
しかし、変化に最も適応したものである
-
チャールズ・ダーウィンUniversity of Pittsburgh
変化が起きるためには
グローバル・パラダイム・シフトを倫理的に 引き起こす必要がある
!
University of Pittsburgh
倫理
•
個人の自律性を尊重、自己決定 ー自身の決断を下す•
公正・公平、時間を与え、明確化•
真実性–
信頼性、 透明性•
忠誠-
誠実さ•
善行-
依頼人、家族、患者の利益のための行為•
無害-
害を与えないUniversity of Pittsburgh
参考文献
• Biglan, A & Embry, D. B. (2013). A framework for intentional cultural change, Journal of Contextual Behav Science, 2:95.
• Christensen, CM, Bohmer, R, Kenagy, J (2000). Will disruptive innovations cure health care? Harvard Business Review,
• Christensen, CM, Baumann, H, Ruggles, R, Sadler, TM (2006).Disruptive innovation for social change. HBV.
• Constantino, RE, Burroughs, J, Hwang, JH (2014). ELSI:
Ethical, Legal and Sociocultural issues in nursing, Nursing and Care, 3:1-6.
• Dicken, P. (2011) Global Shift (6thEd), NY: Guilford .
• Global Health Strategies Initiatives (GHSi) (2012). Shifting Paradigm: BRICS reshaping global health.
University of Pittsburgh
参考文献
• Health Research Institute (2015). Healthcare reform:
Five trends to watch as the Affordable Care Act turns five, Wa. DC: PwC Health Research Institute.
• Institute of Medicine (2011). The future of nursing, Washington DC: National Academies Press.
• Interprofessional Education Collaborative Expert Panel (2011). Core competencies for interprofessional collaborative practice. Report of an expert panel.
Washington, DC: Interprofessional Education Collaborative.
• Jain, AK, Choube, SK, Gupta, PK (2014). M-Health: A paradigm shift in healthcare services, Altius Shodh Journal of Management and Commerce, 23:48.
University of Pittsburgh
質疑
次の段階？
•
ヘルス（保健医療）におけるGPS
センターを一緒に立 ち上げられますか？•
リーダー、会員、または最高責任者になりませんか？•
プロジェクトを開始する意思がありますか？•
教育プログラムに参加しますか？•
私にメールを送ってくれますか？:[email protected]?
•
他に質問は？−54−
University of Pittsburgh
Presented to The Rita M. McGinley Symposium at the Duquesne University School of Nursing Alana Celine Alameida, Third Year BSN Student
Rose E. Constantino, PhD, JD, RN, FAAN, FACFE University of Pittsburgh School of Nursing Department of Health and Community Systems
From Face-to-Face to HELPP to TMI to LEAF: A Journey toward Preventing Intimate Partner Violence
University of Pittsburgh
Disclosures
2
The speakers have no conflicts of interest to disclose
University of Pittsburgh
Contributors
University of Pittsburgh Students and Faculty
Dominique Dela Cruz, BSN, Research Assistant
Juhae Grace Hwang, BSN, Research Assistant
Joseph Burroughs, BSN, Research Assistant
Amirreza Masoumzadeh, Graduate Student, SIS
James Joshi, Associate Professor, SIS
Lei Jen, Graduate Student, SIS
Balaji Palanisamy, Assistant Professor, SIS
University of Pittsburgh
Objectives
At the end of this symposium the attendee will be able to:
Trace own steps in personal, research or scholarship journey
Explore on their own time and place the best intervention in health promotion and prevention
Compare intervention delivery systems: F2F, online, or mobile
Transform intervention delivery systems into best practices
資料５
Rose.E.Constantino 博士 特別講演
日時：2016（平成
28）年 8
月12
日9
時～11時 場所：アクロス福岡会議室参加者：日本フォレンジック看護学会会員
−55−
University of Pittsburgh
Face-to-Face
1997-2013-Used Face-to-Face (F2F)
Constantino, Sutton & Rohay (1997). Assessing abuse in suicide survivors. Holistic Nursing Practice, 11(2), 60-68
Constantino & Bricker (1997). Social support, stress and depression among battered women in a judicial setting. JAPNA, 3(3), 1-8
Constantino, Sekula, Rabin & Stone (2000). Negative life experiences, depression and immune function in abused women. Biological Research for Nursing, 1(3), 190-198
Constantino, Sekula, Lebish & Buehner (2002). Depression and manifestations of depression in female survivors of suicide and survivors of abuse. JAPNA, 8(1), 27-32
Crane & Constantino (2003). ISEL to Guide Intervention in women experiencing abuse. IMHN, 24(5), 523-541
Constantino, Kim & Crane (2005). Effects of social support in female residents of domestic violence shelter. IMHN, 26:575-590
Hamdan-Mansour AM, Constantino RE, Farrell M, Doswell W, Gallagher ME, Safadi R, Shishani KR, Banimustafa R. Evaluating the mental health of Jordanian women in intimate partner abuse. IMHN, 2011; 32 (10):614-23
Safadi R, Swigart V, Hamdan-Mansour AM, Banimustafa R, Constantino RE (2012). An Ethnographic-Feminist Study of Jordanian Women's Experiences of Domestic Violence and Process of Resolution. Health care for women international. PMID: 23394301
University of Pittsburgh
Lessons Learned from F2F
Feasible and effective if appointments met
Burdensome to participants
Issues of transportation
Issues of child and adult caregiving
Issues of privacy and confidentiality
Issues of recording and note taking
Issues on follow-up and return visits
University of Pittsburgh
From F2F to TMI to HELP
University of Pittsburgh2003-Present-explored and used email delivery of nursing care in IPV
Crane & Constantino (2003). Is Email interaction feasible for intervention with women and children exposed to violence? MedScape in WebMD eNursing Journal
Constantino, Crane, Noll, Doswell & Braxter (2007). Exploring the feasibility of Email-mediated intervention in survivors of domestic violence.
JPMHN
Constantino, Braxter, Ren, Burroughs, Doswell, Wu, Hwang, Klem, Joshi &
Green (Sumitted). Comparing Online with Face-to-Face HELPP Intervention in Women Experiencing Intimate Partner Violence
Lessons Learned: Feasible and effective, captured interactions, open disclosure, transportation and absences are minimized, assignments are completed, remained for Consent, Orientation, and Follow-up via F2F
University of Pittsburgh
Intimate Partner Violence Definition
Intimate Partner Violence (IPV) is defined as physical, emotional, sexual, or psychological abuse
University of Pittsburgh
Intimate Partner Violence
−56−
University of Pittsburgh University of Pittsburgh
University of Pittsburgh