Aim: This study aimed to define rehospitalization prevention in patients with heart failure in home healthcare nursing practice.

Methods: We analyzed 30 domestic and international studies using Rodgers’ evolutionary concept analysis.

Results: Five attributes, five antecedents, and four consequences were extracted: “comprehensive assessment emphasizing lifestyle,” “life-based support from the early stage of treatment,” “decision support for conditions with difficult prognosis,” “disease management through integrated coordination and collaboration with other professions and agencies,” and “maintaining continuity of care.”

Conclusions: Rehospitalization prevention for patients with heart failure in home healthcare nursing practice was defined as “a lifestyle-oriented, comprehensive assessment-based, life-oriented support from the early stage of treatment, with the patient and family confirming the patient’s intention regarding the treatment plan, in coordination and collaboration with other professionals for disease management, to maintain continuity of care.” This practice improves patients’ level of self-care and makes it a habit, leading to active disease management by the patient and their family, which is reflected in their quality of life and continuation of home healthcare.

This study seeks to clarify how home care equipment expert advisors address issues regarding their actual situation with regards to older adults with disabilities. Apropos this, a semi-structured interview survey was conducted with six home care equipment expert advisors from their rental offices for welfare and preventive care equipment in the Tokyo metropolitan area. The analysis generated 28 codes, which were organized into seven categories, and divided into three scenarios involving home care equipment expert advisors: self-consciousness of home care equipment expert advisors, service and monitoring of home care equipment, and human resource development and self-improvement. Consequently, we found that each home care equipment expert advisor not only had different perspectives on work and issues related to workload, but also regarding their awareness of self-improvement. The results suggest that home care equipment expert advisors are required to provide a certain standard for the selection of assistive technology on the knowledge gathered by their predecessors and create an environment where leaders supervise each home care equipment expert advisor.

Objective: To identify how older adults with heart failure recuperate at home by coming to terms with and live with the condition.

Methods: Semi-structured interviews were conducted with seven older adults (age range: 65–80 years), who had been diagnosed with heart failure and were recuperating at home. Qualitative data obtained were analyzed using steps for coding and theorization (SCAT).

Results: Participants’ acknowledgement and acceptance of the condition were found to consist of the following seven aspects: 1) physical awareness of abnormal sensations in the body, 2) adopting a lifestyle to accommodate their level of cardiac function, 3) hope for a significant recovery from the condition, 4) awareness of cardiac function degrading in stages, 5) fear of nearing death, 6) family’s support to enable recuperation at home, and 7) desiring peace of mind during recuperation.

Conclusions: Understanding physical conditions and devising a lifestyle that suits an individual’s level of cardiac function are important in older patients with heart failure to avoid deterioration of their pathological condition. Care providers must provide guidance in daily life to people living at home by carefully listen to their expressed concerns and feelings, and effectively apply their knowledge about people and people’s skill in helping patients cope with the condition.

Purpose: This study aimed to clarify the nursing practices of home-visiting nurses who provide end-of-life care at home in hilly and mountainous areas.

Methods: Semi-structured individual interviews were conducted with eight home-visiting nurses working in both hilly and mountainous regions. The data were analyzed using qualitative inductive analysis.

Results: Nine categories were obtained: “Building a foundation for home care,” “Accepting the wishes of the older adults,” “Establishing cooperating system for continued home care,” “Providing care to prevent complications,” “Providing nursing care according to changes in condition,” “Supporting to relieve pain and provide comfort,” “Providing a space to share older adult’s feeling and thoughts,” “Empathizing with family caregivers’ feelings and thoughts,” and “Supporting the family in accepting the older adult’s death.”

Conclusion: Home-visiting nurses in hilly and mountainous areas demonstrated an awareness and commitment to being an integral member of the limited community resources available for end-of-life care to ensure the psychological safety of older adults and their families.

This study aimed to identify infection prevention and control measures practiced by nurses in daycare centers that accommodate children with medical complications. Semistructured interviews were conducted with eleven nurses working at eight licensed daycare centers in Tokyo. The obtained data were analyzed qualitatively and descriptively.

Nurses’ practices were categorized as “understanding information necessary to maintain health,” “disseminating preventive actions through information provided by them,” “daily collaboration with nurses and other professionals,” “efforts to prevent infection through contact,” and “efforts to prevent infection through aerosols and droplets.”

Nurses balanced medical care, daily life, and children’s needs by allowing children to interact and grow through contact with peers while ensuring infection prevention.

Additionally, considering the balance between medical care, daily life, and childcare, nurses provided support and environmental arrangements to enable children with medical complications to continue attending the daycare center, and the entire daycare center and community, including other professionals, looked after the children.

Objectives: This study aimed to clarify actual multidisciplinary collaboration that home care nurses perform in end-of-life care at home and that perceived by primary family caregivers.

Methods: Semistructured interviews were conducted with seven primary family caregivers in a case involving end-of-life care conducted in a multidisciplinary collaboration with eight home care nurses in charge of the case. The interviews were analyzed and discussed qualitatively and descriptively.

Results: The primary family caregivers recognized the following three activities: “reporting, confirming, and consulting with the doctor,” “connecting the patient to the most patient-appropriate home care support service,” and “providing information about the patient’s condition.” Five results were obtained for home care nurses, three of which were common with primary family caregivers; the remaining two that were different were: “clarifying the patient and family’s intentions and communicating the future direction to other professionals” and “deciding the direction of care among the parties concerned, including the family.”

Conclusions: Home care nurses should inform and explain the content of multidisciplinary collaboration to the families in advance. When they think about the direction of care together, families feel more satisfied and realize that they are collaborating to support the patient.

[Objective] To determine the ideal state of collaboration and support between medical and nursing care for patients receiving long-term home support for destination therapy-ventricular assist devices (DT-VAD).

[Methods] An anonymous self-administered questionnaire survey was conducted at the facilities implementing and managing destination therapy in the Kyushu and Okinawa regions, and among medical staff at visiting nursing stations with experience in caring for patients with DT-VAD. Descriptive statistics and free descriptions were analyzed qualitatively and inductively.

[Results] Responses were obtained from 35 participants from various professions, and 12 of them mentioned issues such as “coordination and expansion of medical and nursing care,” “examination of services, assuming the absence of caregivers,” and “support systems in remote islands and areas” as being necessary for building a home support system for DT-VAD.

[Conclusion] In supporting patients with DT-VAD, greater cooperation and collaboration are needed with home care physicians, visiting caregivers, and home care support offices.