Purpose：The purpose of this study was to examine the elements of role expectations for nurses in a community-based integrated care systems using role theory as a framework.

Methods：Role expectations, including role rules, were extracted from social norms and role concepts. A scale was developed to measure role expectations for nurses in c Community-based integrated care systems, and non-nursing professionals involved in community-based integrated care systems were surveyed about their level of expectation and practice. The analysis included item analysis, factor analysis for validity, reliability analysis employing the ω coefficient, and analysis of role expectations and practice using Wilcoxon's signed rank test.

Results：A total 55 role expectations were derived from the social norms and role conceptions and consolidated into 36 items, and three role rules were extracted: (a) “Respecting patients comprehensively and upholding their human rights, while building a support system that enables patients to continue living the life they want,” (b) “Coordinating support to assume all possible situations so that patients can receive the necessary support,” and (c) “Providing the nursing care the patient needs.”

Conclusion：The review of the components of role expectations revealed that the aggregated 36 items, including the three role expectations, accurately reflect the role expectations of nurses in Community-based integrated care systems.

Aim：To determine homecare nursing agency administrators' perceptions of building a collaborative system among homecare nursing agencies in urban areas in the event of a disaster.

Methods：Semi-structured interviews were conducted with six administrators, and the data were analyzed using qualitative descriptive methods.

Results：Five categories were identified in the perceptions of administrators who experienced barriers to collaboration but who were still working with a social mission, including “difficulty in building relationships due to diverse organizational structures and resource gaps,”“local offices being both rivals and communities,” and “fulfilling the social mission of home healthcare nursing while balancing between management and business,” as well as the perceptions of administrators who experienced barriers to collaboration under disaster. Five categories were generated in administrators’ perceptions regarding the promotion of collaboration in the event of a disaster, including “establishing a relationship of mutual support through normal home-visit nursing activities” and “establishing a system to support cooperation in a disaster.”

Conclusion：Amid complex relationships among offices, which involve both competition and cooperation, administrators recognized the need to fulfill the social mission of home healthcare nursing under disaster conditions. To build a collaborative system under disaster conditions, an organizational culture of mutual support must be fostered during normal times and a system developed to support collaboration under disaster conditions.

Purpose：Outcomes related to home health care nurses' use of nutrition assessment and monitoring sheets are evaluated, along with those of case studies with registered dietitians.

Method：For this study, we examined nine home health care nurses who used the Nutrition Assessment and Monitoring Sheet (nutrition sheet). Also, we conducted case studies with registered dietitians. After conducting semi-structured group interviews with them, their data were analyzed by qualitative coding.

Results：All study subjects were female. They were 40–70 years old. Outcomes of the use of nutrition sheets and case studies with dietitians were the following: [Recognition of the importance of information necessary for food and nutrition support], [Clarification of the relation between the processes and issues of the patient], [Implementation of continuous support based on evidence], and [Promotion of a food and nutrition support network through collaboration with dietitians].

Conclusion：The home care nurses' use of the nutrition sheet and their collaboration with the registered dietitian through advice at the case study meeting with the dietitian led to clarification of guidance on food and nutrition related issues for the convalescent patients. Use of the nutrition sheet promoted sustainable and effective support.