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Japanese Journal of Nursing Research 34: 329-339, 2001. in Japanese ; 40. Kanda K, Sato R, Emori K, Takemura Y, Matsumoto A, Ogawa R. Nurse Staffing and Nurses' Job by Type of Healthcare Facility -- Role and Job of Nurses in General Clinics, Report of Grant-in-Aid for Health Sciences Research from the Ministry of Health and Welfare, 2001. in Japanese ; 41. Kanda K, Zhao H, Takahashi Y. Quality of life in Chinese patients with gynecological cancer. Proceedings of the 2nd Conference on Nursing Education & Research between School of Nursing, Seoul National University and School of Health Sciences & Nursing, The University of Tokyo : 6-10, 2001. 42. Kawana N, Ishimatsu S, Kanda K. Psycho-physiological effects of the sarin attack on the Tokyo subway system. Military Medicine 166 Suppl. 2: 23-26, 2001. Ibe T, Ichiduka K, Kawano R, Kanda K, Moriwaki M, Yanagisawa H. Actual Condition of Nurses as Clinical Research Coordinators: Comparison of the Results Surveyed in 1998, 1999 and 2000. Japanese Nursing Association, 2001. in Japanese ; 44. Kanda K, Takemura Y, Ogawa R, Yamagishi M, Kodama S. Nurse Staffing and Nurses' Job by Type of Healthcare Facility -- Role and Job of Nurses in Sanatorium-type Wards of General Hospitals, Report of Grant-in-Aid for Health Sciences Research from the Ministry of Health and Welfare, 2002. in Japanese ; 45. Yamagishi M, Kanda K, Takemura Y. Development of methods for detecting occurrences of adverse events as nursing quality indicators. Journal of Japan Society for Health Care Management 3: 363-369, 2002. in Japanese ; 46. Matsumoto A, Kanda K, Shigematsu H. Development and implementation of a critical pathway for abdominal aortic aneurysms in Japan. Journal of Vascular Nursing 20: 14-21, 2002. Kanda K, Ozawa M, Irimura R. Allocation of nursing time at university hospitals in Japan. Journal of Nursing Studies National College of Nursing, Japan 1: 17-26, 2002. Kanda K, Kodama S. Determinants of nursing service in urban public hospitals: An economic perspective. Nursing and Health Sciences 4: 63-72, 2002. Takemura Y, Kanda K, Matsumoto A, Yamagishi M. Role expectations of nurses in health service facilities for the elderly. Nursing and Health Sciences 4: 73-83, 2002. Sato R, Kanda K, Anan M, Watanuki S. Sleep EEG patterns and fatigue of middle-aged and older female family caregivers providing routine nighttime care for elderly persons at home. Perceptual and Motor Skills in press, for example, nizoral for tinea.
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Client Interviews Client interviews will provide valuable information about what clients know about the range of services being offered, the services available to them, and whether what they know is accurate. It will also reveal how clients perceive they are treated, how services are delivered, and real and perceived barriers they face to greater use of services. Interviews might also suggest how outreach efforts can be enhanced. Finally, client interviews will reveal gaps in client's information about programs and services and gaps in knowledge about RH. Health Facility Manager and Staff Interviews Interviews with staff can uncover differences in perceptions between themselves and their clients. It can help identify areas where additional training is needed. It can also uncover personal biases that may pose a barrier to utilization of services for youth. It can identify areas where greater management support or initiative is needed. It can guide supervision. Visual examination of clinic layout and environment A visual examination of the clinic is necessary to recognize physical limitations such as the lack of adequate space or the proximity of rooms to one another. It can offer ideas about clinic flow, how to make the health facility more visually appealing, and determine if records are kept confidential and if the client's privacy is respected. Observations Observing the provider client interaction can provide insights into staff attitudes towards youth and identify training needs. Relevant national, local and facility policies and procedures This information can help determine if the staff knows written policies and procedures and if they are being adhered to. It can also suggest policies or procedures that pose a barrier to services for youth and that might therefore need to be changed. A review of policies and procedures can also suggest changes that should be made so that they more closely reflect what is actually happening in practice. This can ensure that staff are trained or supervised to more closely follow the policy or procedure. Copies of client education and information materials Especially in the case of YFS, a review of these materials can tell if the information is appropriate and appealing to adolescents. Adolescents should be a part of this process. It can also help identify gaps where information and client education materials are needed. Supervisors record book The supervisors record book can be used to determine if supervision is taking place on a regular basis. It should document the duration of supervisory sessions and the issues or topics covered, concerns, strategies for change and follow up. It should also provide a continuing record of individual and collective staff performance, goals and objectives set and achieved, and areas where improvement is needed.
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