PURPOSE : To clarify nursing practices of maternity nurses in the support process for mothers at risk for child maltreatment. METHOD : Interview data of six maternity nurses engaged in the prevention of child maltreatment were qualitatively analyzed. RESULTS : The individual support process for mothers at risk for child maltreatment included three nursing practices and five stages. “Individual Nursing Practice” included [the identify stage for mothers who need support], [the trust-building stage], and [the discharge support stage]. “Nursing Practice with the maternity Nursing Team” included [cooperation with the maternity Nursing Team stage], “Nursing Practice with in-hospital and out-ofhospital related professionals” included [the “Cooperating with in-hospital and out-of-hospital related professionals” stage]. CONCLUSION : Clarified nursing practice, centered on “Individual Nursing Practices” and expanded to support in cooperation with obstetric nursing teams and in-hospital and out-ofhospital professionals. Maternity nurses need to learn the nursing practice for child maltreatment prevention, the acquisition of Cultivate a sense of “worry” to identify mothers with risk of child maltreatment, Awareness that it is nursing practice to prevent maltreatment prevention, and Practices for collaboration with in-hospital and out-of-hospital professionals.

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The National Institutes of Health Stroke Scale （NIHSS） is an important tool for predicting pneumonia among patients with acute stroke. This study aimed to evaluate the predictors of pneumonia at admission in patients with acute stroke, who required assistance for basic mobility using the NIHSS sub-items. A total of 111 patients with acute stroke were included, and their medical record data were collected retrospectively to analyze their NIHSS sub-item scores at admission and the incidence of pneumonia during hospitalization. Logistic regression analysis was used to assess the relation between the NIHSS sub-items as independent variables and the presence of pneumonia; significance was set at p ＜ 0.05. Among the 111 patients, the incidence of pneumonia was 15.3%, and the median of NIHSS score at admission was 9 points. In the logistic regression analysis, the NIHSS sub-items, question （Odds ratio （OR） 9.41, 95% confidence interval （CI） 2.00 ─ 44.26, p = 0.005） and facial palsy （OR 1.65, 95%CI 1.08 ─ 25.01, p = 0.040） were identified as predictors of pneumonia. The presence or absence of consciousness disorder, that cannot be answered the questions such as “What month is it now?” or “How old are you?”, and facial palsy were suggested as the predictors of pneumonia based on NIHSS sub-item scores at admission for patients with acute stroke, who required assistance for basic mobility.

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Objectives: To investigate the relationship between sensory processing and integration difficulty（ SPID） and exercise ability in preschool children. Methods: The current study included 75 healthy children （52─82 months of age）. SPID was evaluated using the Japanese Sensory Inventory mini （JSI-mini）. Exercise ability was evaluated by measuring muscle endurance, flexibility, balance, and explosive power. We assessed body support time, forward trunk bending, single leg standing, and standing broad jump. Results: Body support time revealed weak correlation with vestibular sense （r＝－0.27）. Forward trunk bending revealed weak correlation with proprioception （r＝－0.29）. Single leg standing revealed weak correlation with visual sense（ r＝－0.27） and proprioception（ r＝ －0.25）. Standing broad jump showed moderate correlation with vestibular sense （r＝ －0.30） and proprioception （r＝－0.35）. Among the analyzed variables, multiple linear regression models suggested that age, gender, and vestibular sense were the most relevant predictors of standing broad jump ability. Conclusions: This study suggests that components of SPID are related to exercise ability in preschool children, most notably vestibular sense.

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The purpose of this study was to investigate the effectiveness of group activity using IroKaruta for elderly persons （more than 65 years old） with decline in cognitive function in a convalescent rehabilitation ward.The study participants comprised 28 elderly subject and they were assigned to either an experimental and a control group. 14 persons of experimental group received a regular rehabilitation program and 30 to 40 minutes of group activity using IroKaruta twice a week for 4 weeks. 14 persons of control group received only regular rehabilitation program for 4 weeks at the hospital. There were significant differences between the experiment and control groups. The scores for MOHOST, ACIS, NPI-NH and FIM in the experimental group were significantly greater than those in the control group. This study suggests that group activity using IroKaruta for elderly persons with decline in cognitive function in convalescent rehabilitation wards can affect social activity and behavioral and psychological symptoms of dementia（ BPSD）.

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We developed the Self-checklist for Promoting Information Sharing（ SPIS） for use in nursing care homes in Japan. The SPIS is a self-assessment tool for use by occupational therapists to identify factors that facilitate information sharing with care workers. The present study aims to investigate this tool by assessing its reliability and validity among occupational therapists working in geriatric health service facilities （excluding nursing care homes）. We distributed a questionnaire survey to 400 occupational therapists working in these facilities in Japan, and we received 257 valid responses. Each question was primarily analyzed based on the item reaction theory, and our results suggest that all SPIS items were appropriate for scale configuration. Furthermore, the measurement accuracy of the SPIS was maintained when an occupational therapist could promote information sharing with average inclination towards information sharing and was highest when he or she could promote information sharing with somewhat below average inclination. Thus, the SPIS can be considered a reliable and valid scale that can be used in geriatric health service facilities.

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