Objective：To develop a reflection-oriented conference learning index for use at the visiting nursing station.

Method：Extract learning index items in an exploratory factor way from the content of interviews and discussions at conferences, and use them to draft an index for conducting a survey on the work performed by visiting nurses. The survey data will be used to verify the reliability and validity of the learning index.

Results：We drafted a learning index consisting of question items comprising 2 factors and 20 items. The extracted factors were: Factor 1 - Alleviating concerns during the conference; Factor 2 – Noticing concerns before the conference. We confirmed a correlation of the index with the reflection self-assessment scale.

Conclusion：Reflection is facilitated by sharing the factors of “noticing concerns” connected with the issues that visiting nurses should be aware of , and “alleviating concerns” later on at the conference. It is expected that such reflection will assist the next group of visiting nurses in resolving those issues, and help improve their individual performance.

Objective：To clarify the thought of a mother who cares about a severe motor and intellectual disabilities who experienced the reception of a student for the first time in a home nursing practice

Methods：An unstructured interview was conducted with 1 mother. Her responses were analyzed based on a Glaser Grounded Theory approach.

Results：A continuous comparative analysis identified A Sense of Mission to Explain what Care Entails as a core concept. Although the mother had been active, her Sense of Mission to Explain what Care Entails was characterized by feelings that arose from her experiences continually interacting with nursing students. This concept underscored the mother’s strong feelings and behaviors that emerged as a result of thinking about caring for a severely disabled child and her current circumstances. Subordinate concepts comprising that core concept were: Having a Severely Disabled Child, Wanting to Convey Current Circumstances and Concerns, Wanting to Express Oneself, Hopes for Future Nurses, and Appreciation and Joy.

Conclusion：Through continued interaction with students, the mother felt that she was engaging in a productive social activity and she felt a sense of achievement in playing a role in society. The mother’s experiences elicited A Sense of Mission to Explain what Care Entails.