Introduction: Nurses working in long-term care welfare facilities for the elderly must have medical judgment, knowledge, and skills regarding dementia and multidisciplinary cooperation. However, there is a lack of efforts toward ensuring the systematic evaluation of interventions for improvement.

  Objective: This study aimed to explore the factors related to the competence of nurses working in long-term care welfare facilities for the elderly.

  Methods: Anonymous, self-administered questionnaires were mailed to 1,100 nurses working at 550 nursing homes in Tokyo. IBM SPSS Statistics for Windows, version 27, was used to perform univariate and multiple regression analyses.

  Results: Data from 171 survey responses were analyzed. The mean nursing experience and mean experience in facilities was 21.6 ± 10.5 years and 8.7 ± 6.7 years, respectively. Univariate analysis identified the following factors related to nursing competence: experience in the current facility, the average care levels of residents, employment position, participation in training, innate resilience factors, acquired resilience factors, and career commitment. Multiple regression analysis revealed that the acquired resilience factors, experience in the current facility, and the average care levels of residents were related to nursing competence (β = 0.181-0.262; p < 0.05).

  Conclusion: Experience in developing solutions to various nursing challenges in long-term care welfare facilities for the elderly affected competence. The findings highlight the importance of a support system enabling nurses to adapt to the facility and improve their competence

  This study aimed to elucidate nursing practices employed to preserve the personhood of older people with dementia when performing medical procedures in geriatric health services facilities. Semi-structured interviews were conducted with eight nurses with extensive experience in dementia care. Through a qualitative descriptive analysis, the following five categories were identified: “Determining whether medical procedures are necessary or a priority for the person to live their desired life,” “Providing explanations satisfactorily to the person's ability to understand,” “How the person perceives the medical procedures is considered before involvement,” “Performing medical procedures in a way that integrates them into daily life,” and “To ensure medical procedures are performed safely, causing minimal pain and discomfort.” Many of the nursing practices identified in this study aligned with the principles of positive person-work, reflecting positive interactions that bolster personhood. The study also showed that nurses in geriatric health service facilities consider medical procedures a continuum of daily care and try to implement them while maintaining the person's daily life.

  Purpose: To clarify the current situation of and factors related to denture use among older people requiring at-home care and daycare services.

  Methods: A total of 107 older people aged 65 years or older who required at-home care, used dentures, and were able to perform oral self-care were included. The participants were interviewed about denture use and underwent observational assessments of their oral cavity and oral care behaviors. Attributes, physical function, cognitive function, motivation, oral care behavior, and interest in dentures were investigated as factors related to denture use. A binary logistic regression analysis was performed to predict denture use.

  Results: Among the participants, 81.3% used dentures. Of them, 18.4% used poorly fitting dentures, 32.2% did not use denture cleansers, and 28.7% constantly used their dentures (even at night). Participant interest in dentures influenced their use.

  Conclusions: These findings suggest the need to increase interest in dentures among non-users and check for a poor fit and monitor management practices among older people who use dentures.

  This study aimed to identify effective intervention methods for enhancing the understanding and prevention of dementia among community-dwelling people. The study undertakes a systematic review and categorizing of intervention methods to provide insights into effective approaches for dementia prevention within community settings. A comprehensive search was conducted for articles published between 2012 and July 2023 across Ichushi-Web, PubMed, and CINAHL databases, resulting in the extraction of 11 articles. These articles underwent meticulous examination, focusing on various aspects such as subject demographics, intervention techniques, evaluation criteria, and intervention outcomes. As a result, the intervention objectives were classified into two categories: awareness-raising support to promote understanding of dementia and preventive support for dementia. Furthermore, the intervention support for prevention of dementia was divided into two main categories: intervention support focused on improvement of cognitive function and intervention support focused on improvement of lifestyle. The results showed that the awareness-raising support was effective even when the intervention time was short. In the prevention support, the support focused on lifestyle improvement suggested the necessity of continuous individualized support, while the support focused on improvement of cognitive function suggested the difficulty of maintaining the effects of the intervention over a long period of time.