Purpose: This study aimed to assess the rumination patterns of preoperative cancer patients and the correlation with depression and social support.

Methods: This cross-sectional study included 101 preoperative cancer patients diagnosed with digestive or thoracic cancer, aged 20 to 64 years, who were hospitalized in cancer cooperation hospitals (Hospital A). We assessed rumination patterns (Expanded Response Styles Questionnaire), social support (Social Support Scale by Fukuoka, 2000), depression (CES-D), and basic attributions using paper-pen surveys. We calculated two rumination patterns, t-tests between each scale, and Pearson’s correlation coefficient. We also performed a t-test on the relationship between rumination and depression for social support and its sub-items.

Results: The study had a 90.2% survey recovery rate and 100% valid response rate. A correlation was found between negative ruminative introspection and CES-D, but the correlation between facing the fact of rumination and CES-D was not significant. A significant correlation was found between facing the fact of rumination and having social support. When no rumination was observed, social support in the form of advice was associated with CES-D reduction. However, when facing the fact of rumination was recognized, the score of depression was increased by concrete actions. Additionally, in negative ruminative introspection, social support is not effective in reducing CES-D and requires mental support at the early stage of diagnosis.

Conclusion: In preoperative cancer patients, a correlation was shown between negative ruminative introspection and depressive symptom. Regarding the patterns of each ruminant, need for support varied.

Objective: To clarify learning tasks requiring integration of practice and theory as well as its structure in clinical practice of child health nursing.

Method: A qualitative analysis was conducted on a description of a situation in which a teacher who directly instruct the practice to integrate the practice and theory based on participant observation method.

Results: 10 sub-categories extracted from 52 scenes were classified into 6 categories. Those categories were roughly divided into two groups, i.e., practical understanding as well as understanding and response to sick children.

Practical understanding included [Lack of utilization of knowledge for health disorders] and [Thinking style of novice learners]. Understanding and response to sick children included [Lack of understanding on real meaning of children’s expression], [Lack of consideration of relationship between children’s response and symptoms], [Immature skill to establish relationship with children] and [Difficulty in planning approaching methods suitable for children].

Conclusion: The structure of learning tasks that require integration of practice and theory had, as its base, the task group on practical understanding against the background of thinking styles that beginners are likely to fall into. The task group on understanding and response to sick children was piled upon the base, these two groups being related to each other.

Objective: To develop a key competency scale of nursing manager.

Methods: A questionnaire survey was conducted on 4,410 nursing managers who work at facilities of University hospital and facilities of regional medical support hospitals. We set 50 items on key competencies of nursing manager, and performed item analysis and factor analysis. The construct validity is checked the model to validity confirm and the coexistence validity is checked using NACAS; Nursing Administrator’s Competency Assessment Scale. The reliability confirmed internal consistency by Cronbach’s alpha coefficient.

Results: A total of 2,480 nursing manager were response (collection rate 56.2%) and 2,330 valid responses were analyzed. Five factors were extracted as a result of factor analysis, situation awareness, meta-cognitive, self-control, career support, decision making. The fitness of the model consisting of 5 factors and 30 items was GFI = .907, AGFI = .899, CFI = .921, RMSEA = .047, and the construct validity was confirmed. The correlation between the extracted five factors and lower-level concepts of NACAS was r = .34 to .63, confirmed coexistence validity. The alpha coefficient of each factor was .81 to .88, confirmed the internally defined consistency.

Conclusions: The reliability and validity of the key competency scale of nursing manager; KCSNM were verified.

Objective: To determine the causal process of work engagement among nurses for long-term care beds according to nursing managers and staffs.

Methods: A questionnaire survey was conducted with 1,786 nurses involved in long-term care beds in the Tohoku district. With 1,269 valid responses, verification of the causal model and multi-group analysis were performed using structural equation modeling.

Results: The process model in which personal resources and job resources were the antecedent factors, work engagement was the mediating factor, and mental and physical health and work performance were the outcomes was verified. This process differentiated between nursing managers and staff. For nursing staff, the process from antecedents to outcomes had a direct effect and an indirect effect that mediated work engagement. On the other hand, the outcomes of nursing managers were directly affected by antecedent factors.

Conclusion: These findings suggest that managers need to recognize that there are differences between positions in the processes that affect physical and mental health and work performance; managers responsible for nursing management need to support job resources and demands.

Purpose: The purpose of this study is to clarify the contents of decision-making support aimed to respect the thoughts of older adults in relation to withdrawing maintenance hemodialysis.

Methods: Semi-structured interviews were conducted targeting 13 Certified nurses in dialysis nursing, and analysis was conducted using a Modified Grounded Theory Approach.

Result: According to the certified dialysis nurses, it is necessary to “understand each specific situation of older adults as well as how they view dialysis treatment and prognosis” and to “provide information on dialysis treatment and prognosis in line with each specific situation and views of older adults.” It also became clear that, even after a patient has opted to withdraw treatment, it is important to provide “continuous support with future reversal of the decision to withdraw maintenance hemodialysis in mind” by “understanding how the older adult and his/her family view the decision to withdraw maintenance hemodialysis,” and it is important to provide “support in making a decision that is based on the desires of older adults” as well as “examination of optimal measures for older adults based on interprofessional collaboration.”

Conclusion: Results suggested that it is necessary to repeatedly conduct these types of support in accordance with the fluctuating moods of older adults.

Purpose: To explore the awareness that diabetes patients have about their carbohydrate consumption.

Methods: Semi-structured interviews were held with eleven patients with type 2 diabetes, aged 20 to 75. A qualitative and descriptive analysis was performed to explore their awareness of carbohydrate intake.

Results: Six categories were identified; 1) “making efforts not to overeat”; 2) “vague knowledge about carbohydrates”; 3) “preferences for eating carbohydrates that are easy to obtain”; 4) “general feelings about carbohydrates”; 5) “deviant eating behaviors triggered by accumulated stress resulting from lifestyle or dietary restrictions”; and 6) “eating carbohydrates to gain satisfaction”.

Conclusion: Type 2 diabetes patients consume carbohydrates, and regard them as the food that satisfies them most easily. When they fail to deal with the stress resulting from their lifestyle or dietary restrictions, they yearn for carbohydrates, which leads them to deviant eating behaviors. All of them had received nutrition education at least once; however, their awareness became vague over time, and wrong perceptions and misconceptions undermined their dietary self-management.

Aim: The present study, involving the nursing departments of Japanese hospitals, aimed to examine the status of their preparedness for and awareness of disasters, efforts to address it, and related problems.

Methods: The subjects were people who represent nursing departments of hospitals in Japan. They were asked to respond, on a webpage or by mail, to a questionnaire sent to them. Based on the results of previous studies, a survey of the following items was conducted: the attributes of people in nursing departments, the status of their preparedness for and awareness of disasters, and their attitudes and views.

Ethical considerations: An anonymous survey was conducted with the approval of the research ethics committee of the institute of the principal investigator.

Results: Analysis of 1,986 responses was conducted. The number of disaster base hospitals was 414 (20.8%). Regarding the status of preparedness for disasters in relation to facilities, there were differences in stocks of supplies (91.0%) and organizations to develop measures (77.4%) between the two types of health care institution: hospitals that had/had not been designated as disaster base hospitals.

Conclusion: Although people in the nursing departments of Japanese hospitals had stocks of supplies and manuals to respond to emergency situations, their awareness of disasters was low. Although disaster base hospitals had made greater efforts for preparedness than other health care institutions in general, there were no differences in systems for the dispatch of nursing staff and mental support following the provision of nursing care between the two types of hospital.

Objective: To clarify perceptions of the current situation of the certified nurse specialists in critical care nursing (CCNS) regarding nurse participation in the shared decision-making (SDM) process for patients with advanced heart failure to make treatment choices.

Methods: Semi-structured interviews were conducted with 10 CCNS, and the obtained data were analyzed adopting a qualitatively and integrative (KJ) method.

Results: The following categories outlined the status of nurse participation in SDM: [situations faced by nurses with difficulty participating in SDM], [independent nursing approaches adopted by CCNS to promote understanding of their activities among other professionals], [promotion of advance care planning and participation in SDM among nurses], [promotion of participation in SDM among nurses addressing distress in patients with advanced heart failure], [approaches to innovate medical teams’ decision-making patterns], [support for patients who choose ventricular assist device/heart transplantation], and [support for patients who choose palliative care, rather than transplantation].

Conclusion: The CCNS recognized the current situation, where both nursing and medical team approaches are required to resolve insufficient nurse participation in SDM.

Purpose: We focused on loneliness as a factor influencing the mental health of female nurses, and examined its association with Sense of Coherence and social support in different generations.

Methods: A self-administered questionnaire survey was conducted on 662 female nurses in their 20s to 60s working at eight general hospitals. Among these responses, 335 (50.6%) were valid for the analysis. They were divided into three groups: adolescence (20–29 years old), adulthood (30–39 years old), and middle and old age (40–68 years old), and multiple regression analysis was conducted with Sense of Coherence, social support, and individual factors as explanatory variables, and loneliness as the objective variable.

Results: Subjects’ feeling of loneliness was negatively and significantly affected by the following factors: Sense of Coherence, support from co-workers, and age in adolescence; Sense of Coherence and support from family members and friends in adulthood; and Sense of Coherence, support from family members and friends, and having children in middle and old age.

Conclusion: The support of enhancing Sense of Coherence and the development of social support by taking into account their life cycle were effective in reducing the loneliness among female nurses.

Objectives: This study aimed to clarify self-assessment of implementation of discharge support for terminal cancer patients and related factors by ward nurses.

Methods: We conducted an anonymous self-administered questionnaire survey of 473 ward nurses of a cancer care district liaison hospital A. The survey contents were self-assessment of attributes and implementation of discharge support.

Results: Responses from 153 nurses who had experiences of implementation of discharge support for terminal cancer patients were analyzed. The items with high self-assessment of implementation of discharge support were information gathering from patients and their families and confirmation of desired care places with families, and those with low self-assessment were use of social resources and confirmation of the understanding of life-expectancy with the patients. Factors related to the self-assessment of implementation of discharge support by ward nurses included their sense of weakness in supporting discharge, experience of leading terminal cancer patients to be discharged at home, experience of receiving information about events after care at home, and presence or absence of knowledge about discharge support.

Discussion: Creation of a system through which ward nurses can receive information of discharged patients, measures to improve their sense of weakness, and the necessity for chances for them to learn discharge support were suggested to be useful for supporting ward nurses.

Purpose: This study aimed to investigate the educational methods using E-learning teaching materials that were utilized to improve nurses’ skills in promoting team-based diabetes medical care (“the teaching materials”).

Method: The educational intervention using the teaching materials was a three-stage program that was provided up to four times a year via a website, targeting nurses involved in diabetes care. Its effectiveness was evaluated using the Self-evaluation Questionnaires for Nurses to Promote Team-based Diabetes Medical Care, which comprises four viewpoints and 25 items.

Results: A total of 164 (60.3%) nurses received the intervention once. Meanwhile, 108 (39.7%) nurses received such an intervention more than once. In particular, 54, 29, and 25 nurses received the intervention two, three, and four times, respectively. The learning effectiveness significantly increased in the second intervention compared with that before the initial intervention. Nurses who had no diabetes nursing qualifications and received the intervention two or three times had significantly high scores regarding Viewpoint 4: Expressing opinions to the team from a nurse’s perspective.

Conclusion: Providing this educational intervention twice using E-learning teaching materials is significantly effective in learning. Therefore, this method is useful for nursing education that promotes team-based diabetes medical care.

Purpose: The purpose of this study was to describe the family support process of nurses in End-of-Life Care (EOLC) practice of elderly inpatients who cannot express their intentions clearly, which has not been paid adequate academic attention whereas it amounts to actual practices.

Methods: The study participants were 19 hospital nurses from four hospitals in three prefectures in Japan and data was collected with semi-structured interviews.

Results: The nursing practices for the terminal elderly inpatients involved three phases: (1) obtaining consensus within the ward’s medical team regarding EOLC nursing practices, which reinforced the practices, (2) guiding the family in preparing to accept the inpatient’s death, and (3) evaluating their nursing practices through the family’s reactions after the patient’s death.

Conclusion: The practice of EOLC for terminal elderly inpatients in hospitals is to consider the patient’s comfort and palliation. Nurses commit their families to be able to accept the inpatient’s dying and support them to provide the patients EOLC.

Aim: To develop and validate an instrument to evaluate the course design of in-service education for nurses.

Methods: The questionnaire items were generated based on the criteria used by nurses to evaluate in-service education courses as revealed by qualitative and inductive research. Content validity was established by a panel of experts and via a pilot study. The results of the first survey—which was administered to nurses who attended 22 in-service education courses at 16 hospitals—showed that the score distribution was biased. Thus, the response choice patterns were modified, and the second survey was conducted with 444 nurses who attended 22 in-service education courses at 11 hospitals.

Results: The analysis of data from 385 participants showed that the Cronbach’s alpha coefficient of the scale was .955, signifying that the scale has internal consistency. The scale scores were significantly correlated with the nurses’ satisfaction with the courses. The scores of the nurses who attended courses that had been conducted six or more times at their hospitals were significantly higher than those for nurses who attended courses that had been conducted two times or less. The one-dimensionality of the scale was confirmed via principal component analysis. These results indicate that the scale has validity.

Conclusion: The scale that was developed has both reliability and validity, and can be utilized for evaluating the quality of course designs by nurses in charge of planning courses.

Objective: To develop a scale to measure the level of People-Centered Care (PCC) Partnership between community members and healthcare providers and to examine its reliability and validity.

Method: A draft scale (37 items) was distributed to community members and healthcare providers. The first survey assessed the content validity, and second survey assessed reliability, validity, the confirmatory factor analysis, and model suitability of the scale.

Result: The number of valid responses was 329 (237 community members and 92 healthcare providers). Considering ceiling effect and item-total correlation, the draft scale was organized to comprise 16 items. Our principal component analysis for 8 factor measure components showed 0.88 loading with 77% contribution rate (Cronbach’s α > .70). PCC Partnership scale score was positively correlated with a usefulness of cooperation factor called “a scale to measure belief in cooperation”. The fit factor of the 8-factor, 16-item temporary model was examined in the confirmatory factor analysis, which showed acceptable consistency.

Conclusion: We developed PCC Partnership-16 (8-factor with 16-item) and confirmed its reliability and validity.

Purpose: The purpose of this study was to clarify the relationship among job stress, workplace adaptation and sense of coherence (SOC) of nurses who were relocated to the operating room within 5 years.

Methods: A questionnaire survey on job stress, SOC, and workplace adaptation was administered to 256 nurses within 5 years after their relocation to the operating room. In the analysis, hypotheses were considered based on the theory of SOC and structural equation modeling was used to examine the relationships between the concepts.

Results: In total, 190 participants completed the survey questionnaire (response rate: 74.2%) and 143 responses were analyzed. The structural equation modeling fit was generally good (GFI = .942, CFI = .975, RMSEA = .061). The rate of adjustment for workplace adaptation was 71%. The pass coefficient was .68 from SOC to workplace adaptation, –.47 from SOC to job stress, and –.27 from job stress to workplace adaptation (p < .01). Higher job stress was associated with lower workplace adaptation, and higher SOC was associated with lower job stress and higher workplace adaptation.

Conclusion: SOC was shown to be associated with workplace adaptation among operating room nurses. It was suggested that SOC-focused support, such as encouraging awareness of being part of the surgical team and involvement in surgical progression, may promote workplace adaptation.

Objective: We aimed to identify the awareness among nurses regarding how their nursing practice in their medical team changed after completing the Training for the Tokutei Acts.

Methods: We conducted a semi-structured interview with ten study participants and analyzed the data using a qualitative descriptive method.

Results: Our analysis of data extracted seven categories, including the following: (1) Being able to exercise medical reasoning and judgement; (2) Performing physical assessment from a wider perspective; (3) Expressing in-depth opinions about diagnosis and treatment; (4) Providing suggestions to physicians made possible after completing the training to perform Tokutei Acts; and (5) Increasing the types of care that can be provided because of completing the training to perform Tokutei Acts.

Conclusions: After completion of the Training for the Tokutei Acts, which gave trainees knowledge about diagnostic processes and qualified them to perform Tokutei Acts, they became aware that they could make suggestions to physicians and provide expanded care, which they had been unable to do prior to the training. Our future challenge is to clarify how such changes in nursing practice mentioned by trainees were associated with their service provision from a medical care viewpoint.

Aim: This study aims to clarify the experiences of mid-to-long-term residents of Japan with type 2 diabetes who were being followed up at a hospital.

Methods: A semi-structured interview was conducted among 6 mid-to-long-term residents with type 2 diabetes who were being followed up at a hospital in Japan. Their responses were analyzed using the KJ method, a qualitative synthesis method; then, the whole analysis was performed.

Results: Individual analysis of the responses of the 6 residents was conducted, and 39 concepts were derived. As a result of the whole analysis, 7 categories were extracted from the interview data: “the fear of diabetes observed in Japan,” “the self-management approach applied in Japanese medical care is better than their home country,” “the self-treatment method without medical staff reliance,” “the difference in the food culture between my home country and Japan in terms of its impact on self-management,” “my own life with diabetes,” “the fear and anxiety associated with living with diabetes in different countries,” and “the expectations of foreigners for diabetes treatment.”

Conclusions: The self-management of mid- to long-term residents and their lives with diabetes were affected by the cultural gap with respect to a participant’s home country and how Japanese medical care was implemented, indicating the presence of specific contributing factors and conditions. Therefore, the consideration of the need to address cultural diversity is recommended.

Chest compressions were performed on 46 nursing students while these students lay on the floor, a bed, and a backboard put on a bed, which all produce a different hardness beneath the body surface, and differences in compression depth, number of compressions, and appropriate decompression rate for compressions were compared in order to develop educational suggestions for examining the impact of nursing students on chest compressions. The results showed a significant difference in compression depth due to variation in hardness beneath the body surface depending on whether the compressions were performed on the floor or a backboard on a bed. Furthermore, differences between the sexes were seen in compression depth and decompression rate. Male students showed a deep compression depth and low decompression rate, whereas female students showed a shallow compression depth and high decompression rate. These findings suggest the importance of chest compression exercises and training that take into account sex-related differences in compression depth, as well as the need for an approach to correct physical characteristics and posture during compressions.

Purpose: To identify the characteristics of older adults living alone who received in-home long-term care support, were approved for long-term care, and used visiting nursing care services at the start of their in-home care.

Methods: Five-year data were collected from documentation related to long-term care certification and from in-home long-term care service records for 100 older adults who lived alone. In the analysis, the characteristics of those individuals were compared with those of older adults living alone who did not use visiting nursing care services.

Results: When they first began receiving support from long-term care support providers, 21 individuals (21%) in the sample used visiting nursing care and 79 (79%) did not. There were significant differences during the home-care period depending on the disease (p = .024). Among those who used visiting nursing care immediately, a significantly higher proportion had cancer (p = .008), had undergone a medical procedure (p = .013), or needed to use visiting medical care services (p = .019).

Conclusion: The results suggest that among older adults living alone who qualify for long-term care services, those who use visiting nursing care at the start of their in-home care with care management tend to be those with cancer or in need of medical attention.

Purpose: The present study aimed clarifying the regional issues of wandering of elderly people with dementia in suburban and mountainous areas.

Method: We targeted one metropolitan suburb and one mountainous district by analyzing already existing data (e.g., demographics), performing a community windshield survey and conducting interviews with 16 families caring for elderly with dementia, local volunteers and 15 healthcare/welfare professionals. The key information was extracted and organized from these data. The identified items were structured into 3 groups and 8 categories, characteristics of each community were described in terms of “strength” or “weakness”, and a logic-tree analysis was performed to assess common and specific characteristics for the two communities.

Results: “Lack of organization for supporting elderly with dementia” and “Fostering motivation among residents for dementia support” were found as common characteristics. “Promotion of collaboration between welfare providers, residents and various industries” and “Insufficient help among residents for watching over elderly with dementia” characterized the suburb, while “Maintaining mutual support among residents watching over elderly with dementia” and “Lack of public awareness of dementia” characterized the mountainous district.

Discussion: Neighborhood relations were found less intimate in suburban areas compared to mountainous areas; there is also a lack of help among residents living in suburban areas. On the other hand, in the mountainous areas, there is some limitation of mutual aid activities due to population decline and aging. Help among residents who watch over elderly people with dementia is needed, as well as activities to raise awareness of dementia.

Objective: To elucidate the relationship between the sense of self-confidence and anxiety of visiting nurses regarding remote death diagnosis by physicians using information communication technology (ICT) and the confidence of nursing skills used for remote death diagnosis, and so on, and consider the issues for the spread of remote death diagnosis.

Methods: Anonymous self-administered questionnaires were administered to nurses at 1,785 visiting nursing stations in Japan. After a simple tabulation, the relationship of perception of death diagnosis to the end-of-life care system, the confidence of nursing skills used for remote death diagnosis, and so on, was examined.

Results: A total of 325 participants provided valid responses (18.2%). In regard to the perception of death diagnosis, 176 participants (54.2%) responded that they did not believe physicians could diagnose death remotely using ICT, and the most cited reason was “the family would not accept it.” The perception of death diagnosis was related to the confidence in physical observations, as well as awareness of guidelines for diagnosing death and Article 21 of the Medical Practitioners’ Act.

Conclusions: For visiting nurses to acknowledge that physicians can remotely diagnose death using ICT, it is suggested that information regarding the death diagnosis should be obtained and physical observation skills improved.

Purpose: We aimed to identify those populations vulnerable to disasters (PVD) in Uchinada town in K-DiPS app demonstration experiments and to clarify the risk of disasters using geographic information systems (GIS).

Methods: Care managers conducted interviews with PVD using the K-DiPS app. We determined the disease status of PVD and calculated the number of generators and fuel needed to run necessary medical devices for 72 hours. We used GIS to identify PVD and risks of tsunami, flood, and landslide damage.

Result: Two people needed medical equipment, each requiring one generator, 88 cassette cylinders, and one liter of oil. The ID28 shelter is in an area at risk of landslide damage. PVD in Area A were assumed to be unable to reach the shelter within 5 minutes.

Conclusion: Careful consideration should be given to using ID28 shelters during heavy rains and earthquakes. PVD living in Area A must be evacuated early during heavy rainfall events.

Aims: To identify midwives’ perceptions of the care they provided to women with twin pregnancies following assisted reproductive technology (ART).

Methods: A group interview was conducted with five midwives who had provided midwifery care to women with a twin pregnancy following ART. Data was analyzed using Riessman’s (2008) Thematic Analysis approach.

Results: The following ideas emerged relating to the midwives’ perceptions of the care they had provided: (a) pregnancy life dominated by anxiety; (b) the burden of an advanced maternal age pregnancy in addition to the pressures of a twin pregnancy; (c) bewilderment over the gap between one’s ideal and reality due to picturing delivery as the goal; (d) mothers who felt distant from their children; (e) need for ongoing support ; and (f) lack of consideration for the fact that the mother underwent ART.

Conclusions: Coherent midwifery care is not always provided to women with a history of ART. This suggests the need for improved knowledge among midwives and a more widespread practice of taking the patient’s history of ART into consideration when providing midwifery care.

Objective: To determine whether the Oral Moisture Checker for Mucus^®, a device that measures dryness of the oral mucosa, is useful for measuring salivation associated with food perception.

Methods: Presence of a difference in mouth dryness after food stimulation using pudding and rice, which were each placed before the subject’s eyes and near his or her mouth, was examined using an oral moisture meter in 10 healthy men and women aged 65 years or older and 10 healthy men and women in their 20s. The data were then analyzed.

Results: There was a significant difference in the dryness of the mouth before and after food stimulation. Although there was no significant difference among the elderly, In the young subjects, a significant difference in mouth dryness was seen between before and after food stimulation when pudding was brought near the subject’s mouth and rice was placed in front of his or her eyes.

Conclusion: In view of the fact that the subjects did not smell the pudding unless it was brought near their mouth and smelled the rice the moment it was placed before their eyes, the results suggested that the smell of food affected salivation associated with food perception. Although no significant difference before and after food stimulation was seen for the elderly subjects, suggesting that the oral moisture meter may be a useful device for determining changes in salivation associated with food perception.

Objective: This study investigated a training program aimed at promoting interprofessional collaboration between home visit nurses and care managers based on relational coordination theory.

Methods: The training program involved two training sessions and a month-long practice period. Each training session lasted for 2.5 hours, and consisted of three practical seminars and a lecture designed to improve mutual relationships and communication in accordance with relational coordination theory. Participants comprised 17 home visit nurses and 16 care managers. The promotion of collaboration was analyzed by conducting a paired t-test to compare the scores between pre- and post-program.

Results: The mean score for the face-to-face relationship assessment scale (which indicates the collaboration stage of “linkage”) increased from 79.1 (standard deviation [SD]: 13.1) before the training program to 83.7 (SD: 12.1) after the training program (p = .018). The mean score for the collaborative behavior assessment scale (which indicates the collaboration stage of “full integration”) increased from 66.0 (SD: 10.7) before the training program to 69.4 (SD: 9.5) after the training program (p = .023).

Conclusions: This study showed that the training program was effective in promoting interprofessional collaboration between home visit nurses and care managers.

Purpose: The purpose of this study is to organize knowledge from the domestic literature for the effective oral health care of the elderly with dementia, and to get the suggestion about the actual state of the care that nurses are practicing and the forthcoming research problems in consideration of it.

Methods: A literature search was conducted in two databases, the Japan Medical Abstract Society (JAMAS) and JDream III, using the keywords “Dementia” and “Oral Health Care”. As a result of the search, we included 22 original papers for analysis.

Results: There were 15 papers about structural oral health care and 7 papers about functional oral health care. The result of the content analysis classified: “Problems of structural oral health care practice”, “Ingenuity of the oral health care by nurses”, “Ingenuity of the oral health care by other professionals” and “Ingenuity of the oral health care by multiple professionals”.

Conclusion: In the actual state of oral health care for the elderly with dementia by the result of this study, it was suggested that the following attempts are forthcoming research problems: the education of nurses to improve knowledge and a technique about the oral health care of elderly with dementia, the environmental establishment for multiple professionals cooperation always available in oral health care practice, and the acquisition of ability of nurses to coordinate it.

Objective: To determine the factors associated with physical activity in postoperative breast cancer (BC) patients, with a special focus on body image.

Method: In a cross-sectional survey, we used the Body Appreciation Scale-2 and International Physical Activity questionnaires to evaluate body image and physical activity, respectively in 127 females with a history of BC surgery. Then, 53 participants with no missing values for physical activity were enrolled. The relationship between body image and physical activity was examined using correlation analysis.

Results: In women without outpatient treatment, positive correlations were observed between body image and moderate- to high-intensity physical activity (p = 0.51) and between living with a spouse and the amount of walking (p = 0.59). Conversely, in women with outpatient treatment, there was no significant relationship between body image and physical activity. Besides, while living with siblings was positively associated with moderate- to high-intensity physical activity (p = 0.35), BC stage and the number of treatment types were negatively correlated with the amount of walking (p = –0.37 and –0.39, respectively).

Conclusion: The relationship between body image and physical activity varied depending on the presence or absence of outpatient treatment. Supportive intervention programs tailored to the patient’s medical condition may improve physical activity in postoperative BC patients.