Purpose：This study describes the adverse effects inferred to be associated with sleep medicine among older adults at home and care provided by home health nurses.

Method：The Stake’s qualitative case study method was utilized. A semi-structured interview was conducted with four home health nurses who provide nursing care to older adults taking sleep medicine. From the seven cases studied, themes were qualitatively generated using the inductive approach focusing on similarities and dissimilarities.

Results：The main adverse effects included falling at night, carry-over effects lasting through the next day due to additional medication, and aggravation of the consciousness level due to higher doses. The home health nurses provided care by adjusting appropriate sleep habits and timing of taking sleep medicine, coordinating between reduction of sleep medicine and reduction of family care burden at night, and fostering a multi-disciplinary care.

Conclusion：The adverse effects inferred to be associated with sleep medicine were related to a home-specific environment which is not always under the supervision of medical staff. The results imply that these effects led to accidents which threatened the safety and comfort of older adults.

Objective：To clarify the relationship between the role model behavior of visiting nurses and student leadership skills, home nursing practical skills, and occupational commitment.

Methods：A self-administered questionnaire survey by mail was carried out among 322 visiting nurses in 4 prefectures in terms of basic attributes, role model behavior and three factors (student leadership skills, home nursing practical skills, and occupational commitment). The correlation coefficients between role model behavior and three factors were calculated. Moreover, verification of the differences or the correlation coefficients between the three factors and the basic attributes was calculated.

Results：There were 188 valid responses. The average number of years of nurse experience was 22.1 years while the average number of years of visiting nurse experience was 8.0 years. The positive correlation was observed between role model behavior and all three factors. Job title and number of years of visiting nurse experience were related to all three factors. Moreover, nurses with less than 3 years of visiting nurse experience and nurses with more than 3 years had differences in three factors.

Conclusions：Number of years of visiting nurse experience were suggested to be important in order to improve the three factors. Visiting nurses with high three factors tend to engage in role model behavior, so it is suggested to select visiting nurses to accompany students based on the number of years of visiting nurse experience in order to provide practical training that is interested in visiting nursing.

Purpose：To clarify “support provided by a public health nurse for the continuation of living alone of elderly men with dementia”.

Method：We conducted a semi-structured interview with 8 public health nurses of the Consignment-type Community Comprehensive Support Center, which has more than 5 years of practical experience. Analysis was performed using the modified grounded theory approach.

Result：24 concepts, 8 subcategories, 3 categories generated. The process by which the Community Comprehensive Support Center public health nurses support the continuation of living alone for elderly men with dementia begins with the “Get an overview from clues”. After that, you go through “watch over” such as “Cherish his way”, “touching emotions”, “appeal to the community”. Then, as in “step forward”, “Check the timing and intervene” to move toward “Stabilization of living alone”. In addition, the entire process is affected by “Improve little by little” such as “select a position” and “prepare not to notice”.

Conclusion：Public health nurses consider the characteristics of elderly men with dementia, supported them little by little, and intervened to improve the situation from a nursing perspective. The results of this study are useful for explaining and predicting the practices of public health nurses and are useful in improving the quality of their practices.

Purpose：The purpose of the present study was to clarify the behaviors and intentions of visiting nursing certified nurse to establish relationships with home care patients during the initial visit.

Methods：Semi-structured interviews were conducted with 15 visiting nursing certified nurse who were certified as certified home-visiting nurses, and qualitative and descriptive analysis was performed.

Results：Regarding behaviors and intentions implemented to build relationships during the initial visit, four categories concerning the period until arriving at the home (e.g., grasping the total image of the home care patient in order to understand the situation of the home care patient), three categories concerning the period after arriving at the home and until meeting the home care patient (e.g., grasping the lifestyle of the home care patient in order to under the living situation of the home care patient), and seven categories concerning when meeting the home care patient (e.g., grasping physical and mental characteristics based on the health status of the home care patient) were extracted.

Conclusion：Visiting nursing certified nurse searched for needs while attempting to understand the lifestyle and mental and physical characteristics of the home care patients in three stages. Behaviors and intentions were shown not only for building human relations, but also for starting home-visit nursing services and concluding contracts.

Purpose：The purpose of this study was to understand how visiting nurses felt fulfilled in their jobs, and to find what could keep them motivated in their careers.

Method：The study focused on 20 visiting nurses with over five years of working experience who participated in semi-structured interviews. Their responses were qualitatively analyzed using an inductive approach.

Result：The level of fulfillment that nurses felt changed during their careers. For this study, nine categories were used to classify levels of satisfaction. The nurses felt fulfilled when they were appreciated by their patients and their patients’ families, when they were able to take care of their patients’ individual needs and wishes, and when they developed strong relationships with their patients. Certified visiting nurses also found fulfillment when they could share their wisdom and experience with other nurses and produce a more well-defined and more effective level of care. Furthermore, the nurses felt fulfilled when they saw the growth of their staff and the expansion of social contribution through their work. They also felt fulfilled when they saw their personal development and other nurses’ development through mutual support.

Conclusion：This information can be used by visiting nurses to understand where they are as a visiting nurse and what makes them feel fulfilled in their work. Also, this information could be a useful resource to understand what is needed for one’s self-development.