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.
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.
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
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.
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）.
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.