The objective of the present study was to consider a new method of clinical practice of home care nursing from the perspective of a home-visit nursing agency. In the present study designed as qualitative descriptive study, a semi-structured interviews were conducted with five nurse managers working for home-visit nursing agencies in Japan. The managers felt that “practical goals of clinical practice of home care nursing were a similarity between education institutions, but the practical training method varied from institution to institution,” and “there are limits to the implementation of nursing process in a short span of time”. On the other hand, the managers wanted more emphasis on the fact that “home care nursing targets people living at home” and “the role of home care nurses” with the student. In addition, the managers felt that “students are able to gain an understanding of the true nature of nursing care”. Future issues are “the early implementation of clinical practice of home care nursing”, “a shift to clinical practice of home care nursing based on community-based integrated care”, and “a focus on human resources development of visiting nurses”.

Objectives: This study aimed to clarify the angle on prevention of long-term care management studied by a public health nurse, a social worker and a chief care manager (three types of professionals) at a community general support center and to show the effects and challenges of the support conducted based on the angle above.

Methods: A study of 17 cases for elderly persons whom the long-term care insurance system in Japan categorized as persons requiring support was carried out by the three types of professionals, and the angle confirmed its importance for prevention of long-term care management was extracted. After the support, the three types of professionals evaluated the performance based on the angle which they made sure of its importance, and analyzed the effects and challenges.

Results: The angle confirmed its importance on prevention of long-term care management was divided into 26 subcategories and 6 categories as “supporting cooperatively with supporters,” ”adjusting support with prospects for making support system,” “making comprehensive assessment,” “supporting to maintain the current endeavor,” “advising from prevention of long-term care’s point of view,” “supporting to live up to elderly persons and their family’s desire.”

Conclusions: Results clarified that it is effective for prevention of long-term care to support independent activities of elderly persons who require support and to coordinate with specialists and communal supporters to assist elderly persons properly. Meanwhile, the results also revealed that there is the need for a consultation system and for suggestions about specific attempt with technical knowledge to allow elderly persons with chronic illness to live with ease, and the need to establish and then, grow up the system to care about elderly persons as a base to build a communal system of apprehension for elderly persons.

Along with Japan’s increasingly aging society and rapidly rising medical needs, there is demand for more effective and efficient delivery of medical care. Consequently, there has been movement toward fundamental reforms of health care delivery systems, even within Ministry of Health, Labour and Welfare. As part of these efforts, review studies have been conducted on nursing and in March 2010 the “Training System for Nurses Involved in Specific Medical Care” was presented. This training system is a new framework grounded in nursing and facilitates the delivery of medical care by nurses with advanced clinical skills. Within this framework, nurses provide a wide array of medical services, which are more closely tailored toward patients’ individual lifestyles. This study conducted an opinion survey about the “Training System for Nurses Involved in Specific Medical Care,” framework with visiting home nurses who work closely with the elderly. The aim was to elucidate the relationship between nurses’ opinions on whether the training system is necessary and the reasons for their opinions. The survey also collected the names of the diseases prevalent in elderly persons who utilize visiting nursing services. Surveys were issued to visiting home nurses working at visiting nursing stations and the results were analyzed by the Pearson’s chi-square test and Cramer’s correlation coefficient. Results showed that 68.5% of the visiting nurses who returned valid responses felt there is a need for implementation of the “Training System for Nurses Involved in Specific Medical Care”

Objective: The objective of the present study was to elucidate the learning outcome of students who engaged in discharge support practical training.

Methods: Subjects were 16 nursing students who engaged in discharge support practical training at fourth grade. Qualitative inductive analysis was performed using the students’ practical training records and final papers.

Results: The following five categories were identified as the learning outcome of discharge support practical training: “understanding patients and families who try to envision their future lives while experiencing anxiety”, “paying attention to the feelings of patients and their families”, “team-building within multiple professions in order to enable smooth transitions in care settings”, “involvement that enables patients to resume independent daily living”, and “identifying one’s own study issues through self-reflection”.

Conclusion: Students learned a wide range of items including the emotions of patients approaching discharge and their families, the attitude and behavior of nurses, the actuals of multidisciplinary cooperation, and specific support skills. The underlying factors for these results were thought to be a well-developed guidance system, preparation of discharge support plans, and readiness of students for practical training.