This study aimed to clarify the actual situation and evaluation of collaborative practice with other hospital healthcare workers by nurses working in nursing homes for older adults (hereinafter referred to as nurses at special elderly nursing homes) and the factors related to the evaluation of collaborative practice. Using the postal method, an anonymous, self-administered, questionnaire survey was conducted with 2,000 nurses at special elderly nursing homes at 2,000 facilities nationwide: data from 252 participants were analyzed. In the results of the correlation analysis between the evaluation of collaborative practice by nurses at special elderly nursing homes (as assessed using the Collaborative Practice Evaluation Scale) and their nursing practice ability (as assessed using the NCSI), a positive correlation (r <0.2–0.5) was observed in all cases. Hence, nurses at special elderly nursing homes with a high level of nursing practice ability are also able to collaborate well with hospitals outside the facility.

  Regarding factors related to the evaluation of collaborative practice, multiple logistic regression analysis was performed using total scores for the Collaborative practice Evaluation Scale to divide the sample into two groups (upper and lower groups), which were then used as the dependent variables. In total, seven items were extracted from the background of nurses at special elderly nursing homes and the NCSI as being related to the evaluation of collaborative practice. Among these, NCSI (Factor 2: Ability to collaborate with multiple professions) was shown to have the greatest influence on the evaluation of collaborative practice with other hospital healthcare workers of nurses at special elderly nursing homes. On the other hand, the average score of Factor 2 was the lowest among the four factors of the NCSI, suggesting the need to enhance the ability of nurses at special elderly nursing homes to collaborate with various professions.

  The purpose of this study is to identify the conditions of delirium prevention care that nurses provide to elderly adults upon admission to acute hospitals and find suggestions regarding delirium prevention care education and practice. We conducted an anonymous, self-administered questionnaire survey of 459 acute hospital nurses. Responses were received from 282 nurses (collection rate 61.4%), of which 259 responses were subjected to analysis (91.8% of responses collected). Among these 259 nurses, 90% had provided delirium care within a month preceding the survey and understood the risk factors for delirium and the necessity of delirium prevention care. On the other hand, the number of participants who received training related to dementia and delirium and the number of conferences held were low. Among delirium upon admission prevention methods, the reproduction of a familiar environment, reminiscence therapy, and foot baths or massages before bedtime were implemented by fewer than 40% of the respondents, and they found it difficult to provide this care. It was suggested that support is needed to create well-defined preventive care methods and organization-wide efforts for delirium prevention care so that nurses at acute hospitals can effectively implement this care upon admission.

Purpose: This study aimed to clarify nursing students' relationships with older people with dementia and their observations regarding their verbal communication in gerontological nursing practice, and to obtain suggestions about the nature of gerontological nursing practice education.

Methods: Assignment reports of 134 students who took gerontological nursing practice were analyzed using text mining.

Results: While describing their interactions with older people with dementia in their assignments, nursing students focused on the following topics: “older people with dementia,” “cognitive decline,” “behavioral and psychological symptoms of dementia,” “expression of pleasure and discomfort,” “residual capacity,” and “acceptance of language.” In addition, the students noted that the verbal utterances of the older people with dementia were of the following types: “words that weave a relationship with the student,” “words of feedback on the student's response,” “words of labor to the student,” “words of recognition of the student,” “words that upset the student,” and “words of dissatisfaction with the student.”

Conclusion: Observations related to the symptoms of dementia were extracted more frequently. Capturing the meaning and intention of the unique words and actions expressed by older people with dementia could provide clues for improving dementia care, as well as a better understanding of the illness.

  During the coronavirus disease 2019 (COVID-19) pandemic, an on-campus gerontological nursing training practicum with faculty members simulating patients was conducted as an alternative to an on-site clinical training practicum. This study aimed to evaluate this practicum and identify the nursing students’ perceptions regarding this method of training practicum. A group interview was conducted with 14 female nursing students who had participated in the abovementioned practicum between June and July 2021. Nursing students’ perceptions about the practicum were extracted from the narrative and categorized into three themes after qualitative inductive analysis. Analysis revealed the following twelve categories: five categories for the theme of Role-playing practice methods including “Realistic role-play” and “Role-play to repeat and improve practice”; three categories for the theme of Practical methods about conferences and debriefing including “Sharing of diverse practices” and “Beneficial case conferences”; and four categories for the theme of Learning environment including “Flexible practice plan.” The nursing students had a positive view of the on-campus nursing training practicum because the faculty members were familiar with the characteristics of the elderly. Practical methods about conferences and debriefing and the learning environment were generally viewed positively, and the advantages of the on-campus nursing training practicum became clear. However, the findings suggested that some aspects need improvement, such as how to create opportunities to interact with various medical/welfare professionals and families and how to cooperate with clinical instructors.

  This study clarifies nurse administrators’ efforts toward providing urination care in geriatric health service facilities semi-structured interviews were conducted with five nurse administrators of geriatric health service facilities, and a qualitative and descriptive analysis was conducted. Seven categories were extracted: creation of an environment in which multiple occupations can cooperate and collaborate; development of human resources with practical ability; clarification of facility policies on urination care; reduction in sense of workload burden; understanding of urination care issues; influence on motivation; and decisions about how to evaluate care. In order to provide urination care that leads to the patient’s return home, the nurse administrators strived toward realizing the facility’s care policy, facilitated the coordination and cooperation between multiple professions so that the team could demonstrate the expertise of each occupation, and worked to maintain and improve motivation for individual staff members so that their awareness of better care could be raised.