Purpose: To clarify the experiences of cooperation and collaboration between doctors and nurses working in an acute hospital operating room. Methods: The study was a qualitative inductive study using a nursing conceptualization methodology. The subjects were 9 doctors working in an operating room. Results: Two hundred ninety-one codes, 91sabcategories, 21 categories, and 4 core categories (Sense of tempo and rhythm based on sharing of information and complementary behavior with nurses, Emergence of new issues and adjustment of existing systems, Awareness as a leader in order to perform effective surgery , and Effects of nurses’ attitudes on provision of smooth and safe medical care) were generated based on semi-structured interviews. Discussion: Doctors expected the operating environment to be maintained with a good tempo and rhythm based on nurses’ specialty and practical knowledge and complementarity among nurses, nursing expertise to improve, and systems to be regulated and adjusted. In doctors’ experiences and perceptions, good relationships with nurses contribute to safe behaviors in surgery. This suggests the need for training that enables smooth self-assertion by doctors and consideration by nurses in order for doctors to maintain good relationships with nurses. Conclusion: Doctors’ experience of cooperation and coordination with nurses in the acute hospital operating room comprised “Sense of tempo and rhythm based on sharing of information and complementary behavior with nurses,” “emergence of new issues and adjustment of existing systems,” “awareness as a leader in order to perform effective surgery,” and “effects of nurses’ attitudes on provision of smooth and safe medical care.”

【Objective】The objective of this study was to investigate the factors promoting collaboration between occupational health nurse and safety/ health clerk. 【Methods】We mailed a self-administered questionnaire to 611 occupational health nurses and received responses from 254(41.6%), and 243 responses were analyzed. We conducted multiple linear regression analysis by step wise method. Collaboration between occupational health nurse and safety/health clerk was a dependent variable and 29 predictors were independent variables.【Results・Discussion】We found seven factors including “Clarification of outcomes” “Eagerness of safety/health clerk to collaboration” “Existence of place offering and collecting information“. Adjusted decision coefficient (R²) was 0.540. Occupational health nurse and safety/health clerk would gain an agreement of a sense of values for their activities by evaluating each activity together and making the product clear each other,, and they would be led to recognition of the necessity of collaboration. Therefore we thought that “Clarification of outcomes” was extracted as the most powerful factor.

【Objective】The purpose of this study is to reveal the mentoring and self- directed learning of a hospital nurses’ at each step on the career ladder. 【Method】The researchers conducted an anonymous survey via a self-administered questionnaire covering 272 subjects. Career ladders were categorized into Level I (beginners) to Level VI (chief nursing officers/ specialist nurses). 【Results】The results of a one-way analysis of variance showed that the guidance/education function of mentoring is significantly higher in Level I than for nurses at other levels. Role model functioning is significantly higher in Level I than Level III. Regarding skills and the foundation of learning concerning self-directed learning, Level II is significantly lower than Level III and as is Level IV to VI. 【Discussion】These results suggest the necessity of improving the guidance/education function for Level III nurses, and of improving the learning foundation environment for Level II nurses.

The purpose of this research was to clarify the health-related problems and needs/expectation of occupational health (OH) nursing activities among hospital nurses with less than 6 years of experience. The 28.5% of the nurses knew about the OH nursing activities by OH nurses. As for health-related problems, work-related disorders such as lumbago, stiff shoulder and insomnia were the highest as a whole. Human relations with superiors, with doctors, with colleagues, working areas of nursing, general working conditions in medical institutions, the problems of overwork, the problems about infection and the education and training for nurses were significantly high with the nurses of 2 to 6 year working experience. In either item, the average of nurses with longer working experience was high and it was suggested that the expectation of OH nursing activities was high in infection measures and improvement of the work environment that might threaten the health of nurses.