The authors reanalyzed the data of a questionnaire survey for 3000 randomly sampled adults in a city to examine 1) whether suicidal ideation associates with demographic characteristics, 2) whether suicidal ideation associates with self-reported health status, subjective stress, and hesitation to consult others on distress, and 3) whether the associations obtained from 2 explain the associations obtained from 1. Suicidal ideation was defined as thinking about committing suicide in the past one year. Among 1438 respondents, 5.1% reported experiencing suicidal ideation. The prevalence was higher among those aged 20–44 years, divorced respondents, those who were between jobs, and other“ unemployed” respondents, showing they should be a target population for measures to prevent suicidal ideation. Suicidal ideation was correlated with poor health status, being highly distressed, having no one to consult with, and the degree of hesitation in consulting others on distress. These variables also associated with demographic characteristics, explaining the association of suicidal ideation with demographics. These results indicated the need for measures to prevent suicidal ideation taking into consideration their health status, subjective distress, and isolation.

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This study purposed to understand the literature trends regarding the distress experienced by nurses during End-of-Life care and to clarify the significance of this stress. A literature search was performed using the ICHUSHI web and, among articles published from 2015 to 2020 (search date: November 26, 2020), 28 articles deemed suitable for the research purpose were selected as subjects. Consequently, the issues experienced by nurses were classified into the following two categories: 1) factors attributable to the nurses themselves, and 2) factors attributable to relationships with patients and medical care providers. The results revealed that nurses experienced difficulty in managing their emotions while providing support to grieving patients and their families. Therefore, continuous support to the nurses is required to enable them to deal with the emotional challenges they face while caring for patients and their families during End-of-Life care.

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This study examined how clinical nursing practicums impact clinical reasoning in nursing students. A nursing practicum was conducted with 82 students in the third year of a four-year bachelor's course in nursing. The students' clinical reasoning was measured before and after the nursing practicum using a self-report survey. The survey measured clinical reasoning using a scale to assess the critical thinking of clinical nurses as an operationalized measure. Data were obtained from 41 participants in the pre-nursing practicum survey and 42 in the post-nursing practicum survey. An unpaired t-test revealed that overall scores wweere significantly higher in the post-nursing practicum survey, as were the scores for three subscales: reasoning, creativity, and intuition. However, no significant improvements were observed in the other subscales: open-mindedness, perseverance, and reflection. This study suggests that nursing students improve their clinical reasoning ability through the process of immersing themselves in cases during nursing practicum, verbalizing their thoughts and communicating them to others, and receiving feedback from instructors and teachers.

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