To structure nutrition improvement approaches for care-dependent older people and related challenges, this study examined 12 medical and welfare professionals engaged in community-based integrated care services using the semi-structured interview method. [Devising measures for nutrition improvement and related collaboration] and [organizing nutrition improvement approaches] represented the approaches actually provided by these professionals to improve the nutritional status of care-dependent older people in community-based integrated care, and this indicates that all of these professionals engaged in community-based integrated care services were aware of the [correlation between the nutritional status and environmental factors] and [correlation between the nutritional status and mental/physical functions] in these people. On the other hand, they faced various challenges such as [difficulty in collaborating with other professionals/institutions for nutrition improvement], [a lack of nutrition education and its necessity], and [non-implementation of nutritional assessment and its necessity]. The results clarified a structure, where [difficulty in collaborating with other professionals/institutions for nutrition improvement] is the major challenge in [devising measures for nutrition improvement and related collaboration] and [organizing nutrition improvement approaches], suggesting the necessity of opportunities for interprofessional education (IPE) and interprofessional work (IPW) beyond occupations and institutions to improve the nutritional status of care-dependent older people in community-based integrated care.

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Online gatekeeping is a psychological consultation service using e-mail intended for Internet users with suicide risk. One of the problems is that some users do not respond to initial contact e-mails sent. This research aimed to clarify the relation between continuation rate of the service and the reply speed to user’s first-contact e-mails. Specified Nonprofit Corporation OVA received initial mails from 324 people from June 2017 to June 2018, out of which 23 replies were error e-mails, and 11 people were not covered by our services; therefore, 290 users participated. We conducted a chi-square test to assess the association between three types of reply speed (within 12 h, between 12 and 24 h, and 24 h or more) and the consultation continuation rate. Reply speed for the e-mails arriving between 10 a.m. and 10 p.m. was related to consultation continuation: responses sent within 12 hours and those sent in over 12 hours produced continuation rates of over 70% and approximately 44%, respectively. Help-seeking intention of users with high-risk of suicide might begin to decline after they have waited for the reply from consultants for more than 12 hours. This study contributes to effectiveness of future suicide prevention consultation using media. Systems that consultants to reply to first-contact e-mails within 12 hours are important for initiation and continuation of consultation for suicide prevention.

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Objectives: In order to cope with a rapidly aging national population, the Japanese government promotes the use of a comprehensive community care system known as Kantaki, which was established in 2012. Aimed at older populations, Kantaki offers a variety of services, including home-visit nursing care, day care, and overnight care. This study clarified the factors that affect the estimated revenue of Kantaki services through a secondary analysis of detailed information released by the Ministry of Health, Labour and Welfare (MHLW). Our goal was to provide information that may facilitate the stable management of Kantaki operations across Japan. Methods: We conducted a secondary analysis of official statistics data and detailed information released by the MHLW in April 2020. As such, we calculated the estimated revenue for Kantaki services. We then conducted a logistic regression analysis with estimated revenue set as the dependent variable in order to assess the magnitude of each influencing factor. Results: A total of 594 multifunctional in-home long-term care services were established. Of these, 506 met the requirements for Kantaki set in this study’s analysis. The logistic regression analysis showed that items with large odds ratios included tube feeding (2.59), enhanced working conditions for care workers (I) (2.58), and colostomy/ileostomy care (1.76). Conclusion: To achieve stable management practices for Kantaki, it is important to handle at-home medical needs through the use of skilled care workers, who must be properly trained and ensured stable employment.

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Lecturer evaluation by students is one of the methods that are likely to provide important information in evaluating the “quality” of education. However, the current situation is that it is being promoted without investigation of reliability and validity. The purpose of this study is to verify the reliability, content validity, and construct validity of Shimonoseki city university Lecturer Evaluation Scale (SLES), which is a lecturer evaluation by students. The subjects were 1,286 students in the freshman to senior of economics. SLES is a comprehensive scale can be applied to three types of lectures: face-to-face lecture, simultaneous bidirectional lecture, and on-demand lecture. The reliability was verified using Cronbach’s α coefficient, and construct validity was verified using structural equation modeling. As a result of the analysis, the reliability was 0.912 for the face-to-face type, 0.930 for the simultaneous bidirectional type, and 0.919 for the on-demand type. In terms of construct validity, a high degree of suitability was shown in all lecture form. This study suggests that SLES can be used effectively with undergraduate students.

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Background: This study aimed to examine the qualities required for new graduate visiting nurses from the perspective of experienced home-visiting nurses. Methods: An anonymous survey was mailed to 2,000 home-visiting nurses randomly selected from 5,565 home-visit nursing stations. Results: We extracted four subscales using an exploratory factor analysis: (a) being well-mannered, (b) acquiring basic knowledge and skills, (c) giving consideration to the patient and their family members, and (d) actually practicing trained concepts in nursing education. Conclusion: Our findings indicated that nursing education should focus more on developing appropriate bedside manner and that it may be useful to develop tools such as virtual reality simulation to translate and apply new nurses' theoretical knowledge and skills to clinical contexts.

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