A literature review was conducted to identify the approaches used by visiting nurses in clinical practice teaching to obtain an overall picture. Ichushi Web, Medical Online, and CiNii Research were used to search the following search terms: “visiting nurse AND clinical practice” OR “visiting nursing station AND clinical practice.” The selection criteria of the literature were as follows: 1) the focus of the research must be on visiting nurses who provide clinical practice teaching and 2) the literature must describe the approach of visiting nurses in clinical practice teaching. An analysis of the approaches of visiting nurses in clinical practice teaching described in the literature selected based on the selection criteria was conducted. As a result, three categories of approaches were extracted: “Creating an environment for students to learn,” “Initiating students as a person in charge of teaching,” and “Having a mindset as a person in charge of teaching.” Visiting nurses took on the role required for clinical practice teaching and approached students, clients and their families, home-visit nursing agencies, and related departments. The behavior of visiting nurses in attempting to coordinate and create a clinical practice environment inside and outside the establishment in clinical practice teaching is a characteristic part of the visiting nurses’ approach.

Objectives: We previously devised a model of interprofessional collaboration between home-visit nurses and home helpers with regard to administering medication. This study determined the usefulness of that model, refined it, and examined its functioning as a community of practice.

Methods: The model was implemented for two months with four groups of participants, each group consisting of a home-visit nurse, a home helper, and an individual receiving at-home care.

Results: When the intervention started, a relationship was established between visiting nurses and home helpers through an Understanding from Visiting Nurses and Home Helpers, a Common Understanding of the Relationship between Personnel Working at Different Facilities, and by Laying the Groundwork for Interprofessional Collaboration. After a month, there was Information Shared and Consolidated as visiting nurses and home helpers began Seeing each other as Vital Team Members, as part of the Common Understanding of the Relationship between Personnel Working at Different Facilities.

Discussion: In four of the six cases, medication was appropriately administered as a result of the model, and the model helped with the administration of medication. Moreover, the effects of the model included mutual learning, which worked as a community of practice.

Aims: This study aimed to elucidate the practice of home-based pulmonary rehabilitation (HBPR) by nurses, physiotherapists, and occupational therapists in patients with chronic pulmonary disease.

Methods: Semi-structured interviews were conducted with six nurses, six physiotherapists, and three occupational therapists who provided home-visit nursing or rehabilitation services. We describe the characteristics of HBPR users and the components of HBPR. Next, the practice methods of HBPR were described using both qualitative and descriptive methods.

Results: Of the 19 cases discussed as HBPR practices, 18 were in their 70s to 90s, and approximately half (9 cases) required care-need level 3 or above. All cases included activities of daily living training and self-management interventions. The practice methods for HBPR were as follows: [Considering care to realize the user’s desired life from a medium- to long-term perspective]; [Building a mental and physical foundation]; [Practicing breathing techniques and daily activities that match the user’s actual life]; and [Preparing an environment so that pulmonary rehabilitation can be performed outside of visits].

Conclusions: The findings demonstrated the characteristics of users and practices of HBPR.

This study investigated home-visit nurses’ perceptions of the circumstances under which older adults undergoing insulin therapy have difficulty with self-management and the support they require. The respondents were also asked to suggest ideas for multidisciplinary cooperation in home care. A free-form questionnaire survey was conducted.

Home-visit nurses identified the following signs of difficulties with self-management: direct management problems, such as the inability to handle insulin injection; hypoglycemia; sick days; changes in sensory and cognitive functions due to aging; declines in fine motor skills; changes in health status and daily activities; and difficulties in establishing a support system. In addition, respondents reported difficulties in establishing support systems. In terms of necessary support, nurses advised the provision of extensive self-management support through home-visit nursing and the creation of further support through cooperation with physicians, family members, other medical institutions, and home care service personnel. The limitations of the current long-term care and medical insurance systems in supporting insulin therapy, the need to expand support, and expectations for the development of support tools and social resources are also discussed.