The purpose of this study was to review the medical care for children with home care at public schools, and to clarify the tasks for the future.

We searched “Igaku chuo zasshi”, “CiNii”, “JDream III” and “National Diet Library Search” in a Japanese Database in June 2014. Search keywords were “children”, “public schools”, and “medical care”. The selection criteria of the studies were: 1) the subjects were children; 2) studies about medical care at public schools; 3) the purpose of the studies were not home care and discharge support; and 4) the text was written in Japanese. A total of 110 articles were selected by the keywords searched. After an initial screening of the title and abstract, 49 articles were rejected. After reviewing the full text of the remaining articles, 17 articles were retained.

The subjects were almost all elementary school students. The contents were the identification of the actual state of care systems, needs and interprofessional collaboration in medical care at public schools. Some articles reported on the system of nurses at the gengeral schools, and one article reported the introduction of home care nurses in the general schools. These trials had an effect on the burden reduction of mothers and the promotion of self-care among the children who were able to enter public schools in the communities.

There were not enough articles on the topic of medical care for children at the public schools. It is necessary to develop the effectiveness of medical care at public schools. The effectiveness should be considered from the viewpoint both of children with home care and of healthy children. It might be better to conduct not only employment of the caretaker but also the total care system of medicine, education and welfare, and to adapt care with the aim of fostering self-care among the children.

Objectives: This study sought to determine whether the backgrounds of care workers at special nursing homes for the elderly are factors influencing their views, anxieties, and attitudes toward end-of-life care at nursing homes.

Method: An original, self-administered, anonymous survey was mailed to 320 care workers at special nursing homes for the elderly in Ishikawa Prefecture. The reported views and anxieties toward end-of-life care were analyzed, and the corresponding attitudes were measured using the Japanese version of the Frommelt Attitudes Toward Care of the Dying Scale.

Results: From the total 226 questionnaires returned (response rate, 70.6%), 74.8% of the care workers reported experiencing end-of-life care at their present nursing home workplace. Care workers who had been involved in end-of-life care for their own relatives family members or for residents at the nursing homes had positive views toward end-of-life care provided at nursing homes (p ＜ .01 and p ＜ .001, respectively) and also had a proactive attitude toward end-of-life care (p ＜ .05 and p ＜ . 001, respectively). The factor causing anxiety about end-of-life care among senior care workers was the absence of physicians at night (p ＜ .05), while the factor influencing whether care workers worked long term at the nursing homes was an insufficient number of private rooms (p ＜ .001).

Conclusion: To improve the quality of end-of-life care at nursing homes, it is necessary to address factors affecting individual care workers to reduce their anxieties about end-of-life care.

The purpose of this study is to examine factors related to demands of long-term care of the Chinese elderly living in Xuzhou city, a regional hub city. We specially include two indicators which are not focused as candidates of related factors in previous studies; consciousness of family norms and long term care and the characteristics of children. Face-to-face interviews were conducted with 206 residents aged 60 and over, living in Jiangsu, Xuzhou city. We measured demands of long-term care by using four categories; “only use of family caregiving”, “use of both family caregiving and community services”, “only use of community services”, and “nursing-home admission”. Candidates of related factors without the two factors described above included demographics, health, and social factors (socioeconomic status and family structure). We used “only use of family caregiving” as the reference category and conducted a multinomial logisticregression. Longer years of education or having a larger number of children were likely to have higher demands for “only use of community services”. Living alone or longer distance from a child living at the nearest location was related with demands of “nursing home admission”. With regard to the effects of consciousness of family norms and long term care, the elderly with higher traditional family norms or higher interpersonal anxiety were likely to have lower demands for “only use of the community services” and “nursing home admission”. Higher negative feeling for the long-term care system was likely to have lower demands for “use of both family caregiving and community services”.

The purpose of this study is to clarify the factors related to the professional identity of novice visiting nurses. The questionnaire consisted of Nursing Professional Identity Scale, individual factors (individual attributes, desire to resign from the job, state of burnout, etc.) and environmental factors (work situation, ease of attending nursing training, job satisfaction, emotional support network in the workplace, etc.). We used Nursing Professional Identity Scale in order to measure the professional identity of novice visiting nurses. The subjects were 135 novice visiting nurses. Data were analyzed to multiple regression analysis (step-wise). The results showed that job satisfaction and desire to resign from the job were significantly related to the professional identity of novice visiting nurses. Those factors were related to ease of attending the nursing training, having vacation, and state of burnout. Job satisfaction was related to emotional support network in the workplace.

In this research, it was found that ease of attending the nursing training and access to an emotional support system in the workplace, were co-related with a work system in which the ideas about work-life balance of each nurses are associated with the professional identity of novice visiting nurses.

The purpose of this study is to examine the factors that influence the subjective well-being of elderly people as they begin home care service (hereinafter called service) and considers points of attention to improve the subjective well-being of elderly people. Questionnaires containing the Philadelphia Geriatric Center (PGC) Morale Scale were administered and interviews were conducted with 200 elderly people beginning home care service.,

As a result, two factors affecting the subjective well-being were extracted. The factors are “how home care service usage was decided” and “family members.” The subjective well-being of elderly people who start the service shortly after hospital discharge is low and that of those who live in three-generational households is high.

The anxieties of elderly people are certainly over home care service. Staff of home care services should accept their feelings and offer services.

This research aimed to clarify the difference between persons requiring support for part of personal care and household tasks (support required 1) and persons requiring support as some nursing care in addition to some personal care and household tasks (support required 2) in their daily living conditions, in order to show concrete measures of support according to their distinct living conditions.

Methods : The subjects were 800 elderly individuals requiring care with which professionals of community comprehensive care centers in 13 municipalities in Nagasaki prefecture were involved. We interviewed 17 elderly people requiring support and 21 professionals in community comprehensive care centers in order to construct 30 items of living conditions. A cross-sectional survey was conducted after checking their content validity, confirming the differences between support required 1 and support required 2 in criteria for determining requirements on each item.

Results: There were subjects who passed all requirements on 30 items of living conditions. There were also statistically significant differences between support required 1 and support required 2 on 18 items in the criteria for determining requirements on the support level.

Conclusion: There were differences of support content appropriate to daily living conditions between the elderly who require support 1 and the elderly who require support 2 on indoor and outdoor movements and bathing conditions at home.