Objective：This study aimed to clarify the actual state of resilience among university nursing students who experienced behavioral restrictions during the coronavirus disease (COVID-19) pandemic and received primary and secondary education with increased ICT utilization. The relationship between resilience and skills in the practical use of information, beliefs about failure, and communication skills was also explored.

　Methods：Nationwide, an anonymous self-administered questionnaire survey was administered to university nursing students. Resilience was set as the dependent variable and nursing-student characteristics as explanatory variables. Data were analyzed using t-tests, one-way ANOVA, and correlation analyses.

　Results：Analysis of 434 valid responses revealed that overall resilience among university nursing students was lower than the pre-pandemic levels. In contrast, the practical use of information and communication skills was relatively high. However, the ability to generate original ideas was low, and a tendency presented to perceive failure negatively. Resilience was associated with these factors. Students who had experienced diverse ICT-based lessons or more frequent face-to-face interactions than social media users exhibited higher levels of resilience.

　Discussion：To enhance resilience, educational support should focus on strengthening students’ ability to think creatively using ICT, reframing failure as an opportunity for learning, and fostering environments in which students can build trusting relationships using face-to-face communication.

　This study aimed to clarify the construct of resilience and the process of its exercise among critical care nurses in Japan. Critical care nurses who had over 5 years of experience, were working in the field of critical care, and had experienced intense stress related to work underwent semistructured interviews. During the interview, they were asked about their process of overcoming stress. The results were then analyzed using a modified grounded theory approach. In total, 12 participants were included, with a mean duration of experience of 12.25 (standard deviation: 3.98) years as a critical care nurse. Analysis results revealed that their resilience emerged from six core categories: assessing stress from a bird’s-eye view, responding by encouraging oneself, distancing oneself from a stressful situation and stabilizing one’s mind, seeking support from others, using one’s identity as an emotional support, and preparing for the next stress by accumulating experiences of stress management and learning continuously. In conclusion, critical care nurses exercise resilience not only to overcome current stresses but also to prepare for future ones through accumulated experiences of overcoming stress and continual learning.

　Objective：The purpose of this study was to clarify the challenges that ward managers perceive in the management of end-of-life care （EOL care） for older patients aged 90 years or above （hereafter, “oldest-old”） admitted to acute care wards.

　Methods：This study targeted ward managers of acute care wards in 414 facilities in the Kanto region in which oldest-old patients were hospitalized. An anonymous self-administered questionnaire was distributed to two ward managers at each facility, and responses were collected individually via mail.

　Results：A total of 828 questionnaires were distributed, of which 196 indicating respondents’ consent were analyzed. Of the respondents, 59.4% reported experiencing the death of one or more oldest-old patient per month. Among the items that staff nurses were perceived to be aware of in EOL care for oldest-old patients, “what the oldest-old patient values” was the least frequently mentioned, while “advance care planning” was the most frequently cited item that departments wished to strengthen. The most frequently cited area for strengthening EOL care management skills was “building a team capable of providing nursing care tailored to the characteristics of the oldest-old patients.”

　Discussion：According to the respondents’ perceptions, staff nurses may not be able to provide EOL care that reflects a patient’s worldview and values, despite it being the core of EOL care. Ward managers must improve their management skills in team building tailored to the characteristics of their departments.