This study clarifies the intentions and related factor about having a second career in nursing (defined as coming to work again in the nursing profession after retirement due to age, hereafter SC), targeting nurses who were at a later stage in their career, 40 to 60 years old, working in Chiba Prefecture. A questionnaire was used to examine the Intentions toward and the target characteristics of second career nurses, including their experience in nursing practice.
Among 1,562 valid responses, the SC-desiring group contributed 1,194 (76.4%) responses. The main reasons for SC-desiring were "need for additional financial resources", "desire to put my experience to use", "wish for maintain healthy life" and "the attractiveness and satisfaction from nursing". The SC-desiring group mostly comprised 55-year-olds or elder, who were working in medical clinics and were employed on a part-time basis. They maintained good health and were satisfied with their current nursing work, making use of their experience in working as nurses at elder-care facilities.
To promote the engagement for an SC in nursing in the later stages of a nurse's career, it is essential to guarantee a working environment where individuals can accumulate satisfactory experience in nursing practice while maintaining their mental and physical health, as well as a career development path that includes transition to a second career.

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The aim of this study was to elucidate employment realities and needs for nurses returning to the workforce. We conducted a mail questionnaire survey of 640 facilities, including geriatric care health facilities, geriatric care welfare facilities, and visiting nursing stations, in Chiba Prefecture. We received 149 responses (a 23.3% response rate), of which 147 were valid. Of these 147 facilities, 68.7% employed nurses returning to the workforce. Employment of nurses returning to the workforce helped resolve a nursing shortage, improve the quality of nursing care, and create a better environment for employees. In addition, 88.4% of these facilities indicated that they intend to employ nurses returning to the workforce in future. The facilities preferred to re-employ nurses returning to the workforce who had previously worked for them, and expected nurses returning to the workforce to have nursing experience relevant to the specific characteristics of the facility they had once worked for. The results of the study indicate that the facilities believe that nurses returning to the workforce can well serve their needs, and are prepared to hire them. Future challenges for employers include how to measure the experience and ability of nurses returning to the workforce and how to set wages accordingly. On the other hand, nurses returning to the workforce are expected to gain experience and skills that are attractive to employers.

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The principal aim of the present study was to clarify how nurses who graduated after receiving physical assessment (PA) education at a nursing university and currently work at a hospital acquired PA techniques after finding employment. A semi-structured interview was conducted with seven nurses one to five years after graduation from a nursing university, and the results were analyzed using the qualitative synthesis method (KJ method).
Based on the results of the analysis, seven symbol marks were extracted: A (deepening of understanding of the purpose and importance of PA by assessing the position of PA in nursing practice), B (sharpening five senses by utilizing teaching materials and accumulating experiences in applying PA to real patients), C (improvement of judgment ability in nursing by comparing judgment process with others regarding PA findings), and so on.
It appears that, in basic nursing education, it is necessary to examine educational content that allows the significance and importance of PA to be realized and accumulate experiences in applying PA in actual patients starting from university education. These findings suggest that, in the future, it may be necessary to structuralize PA skills and investigate the content of education with a view to the process of acquiring postgraduate skills.

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This study aims to illuminate whether symptom recording using the 10-item "Anemia Assessment Tool", developed by researchers, is useful in the self-care of cancer patients undergoing chemotherapy. A total of 61 patients receiving chemotherapy as outpatients or over short-term hospital admission recorded their symptoms every day using a sheet that was created based on the Tool. Patients brought the sheets when making outpatient visits and received selfcare guidance from nurses. Qualitative analysis of data collected from interviews conducted after approximately four weeks yielded the following results. A total of 65.6% of subjects responded that recording enabled them to notice symptoms earlier, or prompted them to be more alert in day-today life. Changes that patients experienced as a result of recording symptoms were summarized into 10 categories, such as "I was able to connect the symptoms I experienced to a condition of anemia". A total of 68.9% of subjects answered that the records they kept were useful in communicating symptoms to medical staff, etc. The reasons for usefulness were summarized into 7 categories. Finally, 63.9% of subjects answered that they felt little burden from recording their symptoms. These findings indicate that symptom recording using the Anemia Assessment Tool developed by researchers is highly useful in the self-care of cancer patients undergoing chemotherapy.

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The nursing department, the Assistant Chief Nurse Committee of Chiba Prefectural Sawara Hospital, and the teachers who majored in elderly nursing in Chiba Prefectural University of Health Sciences worked together on unification and the efforts were reported here. In fiscal year 2016, we organized the efforts that have collaboratively been promoted as: "improvement of the quality of elderly care" and "human resource development of elderly nursing specialists" among other things. While organizing, we used training proposals, materials for training sessions, documents of dialogue during training sessions, and so on.
The efforts described here were based on the initiative of the nursing department of the hospital, with two major aims: "evaluation of elderly nursing from an ethical perspective" and "enhancement of practical skills in the clinical setting with the assistant chief nurse of each department as the link nurse for elderly nursing."
In about one year, we undertook five group training sessions for assistant chief nurses and two group training sessions for all nursing staff members. An assistant chief nurse also undertook one practical training session in her department. In each training session, basic knowledge about nursing ethics, case studies of inpatients, facilitation techniques in case studies, and so on were provided in various ways such as through lectures, reflection, case study, the world café method, or the role-playing method, using the "ethics of elderly care" as a keyword. University teachers participated in these efforts by giving lectures on nursing ethics, supervising the case studies, and presenting topics related to the ethics of elderly care.
Through these efforts, the members of the Assistant Chief Nurse Committee promoted a better understanding of ethical issues in the practice of elderly nursing and acquired facilitation skills in case studies.

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Purpose: The purpose of this study is to hold a training course for the application of practical nursing to patients with intra-aortic balloon pumping (IABP), and to determine level of satisfaction, degree of learning, and changes in practical skills among participants.
Method: Intensive care nurses with limited experience participated in a training course that used simulation-based education to teach practical nursing for patients with IABP, and were then asked to complete a questionnaire survey and undergo a semi-structured interview.
Results: All six participants responded that they were either "satisfied" or "somewhat satisfied" in terms of level of satisfaction after training, preparatory study material, debriefings, the second simulation, and feedback. In regard to degree of learning, the six participants said they gained a deeper knowledge of "exploring the cause of" and of "how to respond to" IABP alarm situations, improved their "response skills," expanded their "understanding of patient status" and "knowledge of monitoring respiratory and cardiovascular systems", and enhanced their "patient repositioning skills". Three months after training, almost all participants exhibited a reduction in apprehension toward caring for patients with IABP as well as positive changes in their behaviors and thought processes.
Discussion: Level of satisfaction and degree of learning among the participants was high, and three factors are believed to be particularly important: preparatory study, involvement of facilitators and changes in behavior.

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We had taken a systematic review about rehabilitation of cancer patient focused on occupational therapy viewpoint as effect of their intervention. We took four databases in Japanese, from 2005 to 2016, when key words were cancer, rehabilitation, evaluation, and occupational therapy. And we got 723 articles totally, but there are 55 articles those are fitted our conditions. Then we analysed them. The number of articles on occupational therapy as cancer rehabilitation has been increased recently. Major part of methodology was case study. The most common diagnoses were breast cancer and brain tumour, that is the same trend as we have already pointed out; however, occupational therapy has been spread more variety of carcinoma, sarcoma and brain tumour.

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The principal aim of the present study was to obtain basic data about effective physical assessment education among nurses; a questionnaire survey concerning the necessity of acquiring skills in different domains as a nursing student and the frequency of utilization of technology in clinical practice was conducted with nurses who graduated from a nursing college and worked in a hospital. Questionnaires were distributed to 212 persons from one to five years after graduation, and responses were obtained from 55 persons.
The results of the questionnaire revealed that the skills reported by a high proportion of subjects as being "absolutely necessary" as a student were in the domains of "vital signs," and "respiratory sound auscultation," Aspects of current clinical practice that were "used frequently" included "vital signs," "assessment of level of consciousness." and "abdominal sound auscultation." Furthermore, it was shown that that there may be differences between utilization and non-utilization of technology in physical examination.
These findings suggest that it may be necessary to at least acquire skills pertaining to "vital signs," "respiratory sound auscultation," "assessment of level of consciousness." and "abdominal sound auscultation," which are frequently used, as part of physical assessment education.

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