Traumatic injuries are generally urgent and severe, as they may cause death or （possibly permanent） disability. Nursing interventions save lives and help people return to society are important because they significantly impact the lives of patients and their families. In this paper, we searched Japanese literature on the subject of trauma nursing, and we organized our findings to clarify the research trends and practical characteristics of trauma nursing. To minimize preventable trauma deaths （PTDs）and help patients reintegrate into society, it is worth performing feature-based analysis of research issues and nursing strategies. In practice, a categorization of literature by age and by case clearly showed the highly individualized nature of trauma nursing. Key characteristics include the need to respond to sudden emergencies and make decisions about treatment. On this basis, we clarified the following issues : first, Japan Nursing for Trauma Evaluation and Care （JNTEC） offers guidelines for teams aiming to reduce PTD and has promoted new ideas in trauma nursing from a theoretical development and educational perspective. Research is still needed on nursing judgment, practice, and evaluation based on the guidelines for early trauma nursing such as long-term studies of the reintegration of patients into society. There are also calls for research to proceed to the next level where information gained about situational awareness and adaptation processes of trauma patients is used to validate the outcomes of patient nursing practice. Based on a conceptual analysis of terminology, it is necessary to define trauma nursing, accumulate and share relevant practical nursing knowledge of this rare type of nursing, explore the role of nursing in the mental and emotional wellbeing of patients after discharge, and address issues such as conflicts and dilemmas that arise from nursing experience.

Objective : This study aimed to identify information on care of patients receiving acute care for life in community from the patients. perspective and to obtain suggestions for “Nursing Care for Patient Goals”（NCPG）.

Method : The subjects were patients receiving acute care and aged 20 years and above. They were given self-administered questionnaires. SurveyⅠ（2017）consisted of a questionnaire that was based on previously collected qualitative data and comprised 23 Likert-scale questions and free descriptive questions on the reasons for selecting the most important item. Survey Ⅱ（2018） consisted of questionnaire that was comprised of three Likert-scale questions on goals and a free descriptive question on care for the achievement of goals.

Statistical analysis included descriptive statistics, factor analysis, and t-test. Data from free-text descriptions were analyzed using qualitative descriptive analysis.

Results : SurveyⅠ: data from 448 valid responses were subjected to factor analysis to determine the factor structure. The following factors were identi.ed from the patients. perspectives: 1）social role and environment, 2）understanding/acceptance and psychological state, 3）physical condition and life, and4）hope and decision-making for life. In addition, a qualitative and inductive approach was employed to analyze participants. descriptive responses about the reason for selecting the most important item. The characteristic description of why participants selected “hope and decision-making of life” was “I cannot live without hope.” SurveyⅡ : data from 416 valid responses were analyzed. The majority of participants felt it was important to share their goals with their healthcare professionals. A qualitative and inductive approach was employed to analyze the participants. descriptive responses to care for goals achievement. The care desired by participants was categorized as “being with”, “professional care”, and “self-care support”.

Conclusion : The factors that patients wanted nurses to know were consistent with the components of “NCPG.” The care that patients desire to achieve their goals was clari.ed.

Health risks are associated with changes in body composition parameters with age. In the present study, body composition parameters (appendicular skeletal muscle mass[ASMM], fat mass [FM], and water content[water])using bioelectrical impedance analysis (BIA)and total skeletal MM (TSMM) measured by 24-h creatinine excretion(Cr)were obtained in 30 male and 38 female healthy subjects. BIA-ASMM in both sexes and Cr-TSMM in females were negatively correlated with aging, and BIA-FM was negatively correlated with BIA-water in both sexes. Of note, Cr-TSMM was a more sensitive marker of MM than BIA-ASMM. Thus, decreases in BIA-ASMM and Cr-TSMM were the most consistent markers of aging and sarcopenia. This study may help promote nursing care for healthy aging.

This study aimed to understand the early postoperative care activities of nurses, such as sharing information with the families of patients who have undergone surgery, and about nursing care based on information sharing with these families. The study participants were eight nurses in charge of care for early postoperative patients. Data were collected through semi-structured interviews and observations of care activities. Data were analyzed qualitatively and inductively. We identified the following categories related to the care activities of nurses in sharing information with the families of postoperative patients : ‘arranging family visits at the early postoperative stage so that the families can obtain necessary information’, ‘perceiving understanding by and thoughts of the families about the postoperative patients’, ‘trying to provide relevant information considering the feelings of the anxious families’, ‘providing information related to the patient conditions at the early postoperative stage’, ‘collecting information from various points of view to understand the families’, ‘connecting the patients and their families by sharing information’, and ‘caring about the families who are likely to feel negatively due to any lack of information’. The nurses provided information for the families in various postoperative situations by considering their psychological state. Furthermore, nurses cared about negative behavior and remarks of the families throughout postoperative care, suggesting that this is in.uenced by a weak relationship with the family due to the shortened preoperative hospitalization period and by the fact that nurses feel tension in providing care. These .ndings suggest the necessity that nurses ensure the quality of information provided for and shared with families while making e.orts to understand the situation of patients and their families in the limited amount of time with awareness of the necessity of having to collecting and sharing information by themselves.