000002729 001__ 2729 000002729 005__ 20260120144901.0 000002729 0247_ $$2DOI$$a10.6083/M4K35S0J 000002729 037__ $$aETD 000002729 245__ $$aThe relationship between care workers' exposure to dementia-related aggressive behavior and occupational stress in Japan: a mixed-methods 000002729 260__ $$bOregon Health and Science University 000002729 269__ $$a2013 000002729 336__ $$aDissertation 000002729 502__ $$bPh.D. 000002729 520__ $$aAggressive behaviors (ABs) in dementia care increase occupational stress and may contribute to staff turnover, yet little research exists in Japan where cultural norms may shape responses. This mixed-methods, cross-sectional study translated and validated the Japanese Exposure to Disruptive Behavior scale and surveyed 137 care workers in dementia units across 10 nursing homes. Higher exposure to ABs was associated with greater job burnout and intention to resign, while caregiving for dependents showed no effect. Qualitative responses highlighted cultural values and perceptions of ABs as stress-related or linked to care quality. Findings support culturally tailored training to reduce ABs and occupational stress. 000002729 540__ $$fCC BY 000002729 542__ $$fIn copyright - single owner 000002729 650__ $$aAged$$014351 000002729 650__ $$aHealth Personnel$$019889 000002729 650__ $$aAggression$$014357 000002729 650__ $$aDementia$$017461 000002729 650__ $$aProblem Behavior$$011078 000002729 650__ $$aBurnout, Professional$$015909 000002729 650__ $$aOccupational Stress$$012148 000002729 650__ $$aHome Nursing$$020280 000002729 650__ $$aCross-Sectional Studies$$017206 000002729 650__ $$aStress, Psychological$$026470 000002729 651__ $$aJapan$$041008 000002729 6531_ $$amixed methods research 000002729 691__ $$aSchool of Nursing$$041370 000002729 7001_ $$aHirata, Hiromi$$uOregon Health and Science University$$041354 000002729 7201_ $$aMiller, Lois$$uOregon Health and Science University$$041354$$7Personal$$eMentor 000002729 8564_ $$977648dc8-35a4-490c-a9d0-b0ca669e4a44$$s2420229$$uhttps://digitalcollections.ohsu.edu/record/2729/files/3460_etd.pdf$$ePublic$$20ae4a492e73347ec2a986cce671a36ca$$31 000002729 905__ $$a/rest/prod/1g/05/fb/94/1g05fb948 000002729 909CO $$ooai:digitalcollections.ohsu.edu:2729$$pstudent-work 000002729 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000002729 980__ $$aTheses and Dissertations