Objective: The purpose of this study was to develop the “Waiting-Nursing” Practice Model with a focus on people living with diabetes.
Method: As for the method of model development, the initial model was created by fieldwork, and then the model was refined by expert meetings.
Results: As a result, a nursing model for people living with diabetes consisting of phases 1 to 4, which shows the interaction between people living with diabetes and nurses, was derived. The central concept consisting of categories obtained from fieldwork is shown in «», and the common theme extracted from the central concept is shown in [ ].
The first phase of the model was defined as «interest in and access to a close person». The second phase was defined as «relationship-based Dynamic Waiting-Nursing». The third phase was defined as «recognize each other as a growing person». The 4th phase was defined as «facing the same direction with patients and nurses».
As a result, Waiting-Nursing brings «harmony between medical treatment and life.» Waiting-Nursing has an impact on the surrounding environment. It was suggested that Waiting-Nursing has [harmony] as a common theme, and that it is a model for weaving [harmony].
Discussion: Waiting nursing brings growth to both people living with diabetes and nurses. In order to promote waiting nursing, it is important to create an environment surrounding waiting nursing. This model shows nursing that supports living in a person’s own way while weaving “harmony” that arises from the interaction between people living with diabetes and nurses.

Purpose: This study aimed to identify factors that influence the continued employment of female rheumatoid arthritis patients being treated with biologic agents and to examine the nursing support they require.
Methods: Semi-structured interviews were conducted with nine patients undergoing outpatient treatment with biologic agents, and the collected data were subjected to inductive qualitative analysis.
Results: Seven categories were extracted: Practicing of methods acquired to maintain their physical condition such that it does not impede their work; No worsening of rheumatic symptoms or deformation of joints, thanks to the treatment; Desirable work environments for maintenance of their physical condition while continuing treatment; The need to work in order to pay for the high cost of their treatment and their living expenses; and three other categories.
Conclusion: These seven categories reveal how the subjects, who prefer to continue to work, had acquired active self-care in their daily recuperation, established a desirable environment, and had various thoughts and emotions about working.
This indicates the need for providing nursing support to patients in obtaining self-care, adjusting work to suit their recuperation, and addressing their psychological and social issues, including stress relief.

The purpose of this study was to describe the experiences of elderly insulin-using type 2 diabetic dialysis patients living with the illness. Semi-structured interviews were conducted with five study participants aged 65 years or older who were attending dialysis while using insulin, and qualitative analytic methods were used. The experiences of the elderly type 2 diabetic dialysis patients with insulin use were described as follows: “shock, regret, and the beginning of life as a diabetic,” “living with difficult and severe diabetes,” “now that I am living with the illness carefully because I cannot see my future life”. The category of “now that I am living with the illness carefully because I cannot see my future life” was understood as an experience that led to what might be called the “integration” of life. It was suggested that it is important for nurses to understand and support the real, vivid life of the patient, rather than being caught up in the biased image of lifestyle-related diseases.

Objective: This study aims to clarify outpatient nurses’ perceptions of their roles in comprehensive community care through a focus group discussion (FGD).
Methods: Data collected through an online FGD was qualitatively analyzed. This study was approved by the ethics review board of the affiliated hospital.
Results: Nine categories were extracted from outpatient nurses’ roles recognized in community-based care systems, and some examples are as follows: “Community-based medical care system,” “Regional lifestyle orientation of patients as valued by outpatient nurses,” “Interest in the system as outpatient nurses,” and “social resources of outpatient and ward nurses as they accompany home-based medical and nursing visits.”
Conclusions: Outpatient nurses in facilities with a comprehensive community care ward recognized their facility as a “community-based care system.” Furthermore, they described their practice as “performing nursing without missing opportunities,” and mentioned challenges such as “difficulties in outpatient comprehensive community care and cooperation with other departments and institutions.”

Objectives: To clarify the experiences of counselors who provide telephone consultations for clients with chronic musculoskeletal pain, and to obtain suggestions for nursing.
Methods: We conducted semi-structured interviews with four people who had at least one year of experience providing telephone consultations for chronic pain. Data was analyzed qualitatively and inductively.
Results: We extracted nine categories from the experiences of counselors providing telephone consultations. Notable categories of experience as counselors included: [experience in dealing with complaints about health care staff from clients] [experience with realizing that those around them do not understand chronic pain] [experience with conveying a friendly atmosphere through vocal inflection] [experience in hoping that people suffering from chronic pain live lives that are not dominated by pain] and so on.
Conclusions: Counselors understood the lives impacted by chronic pain and communicated their acceptance and compassion to their clients through vocal inflection. When providing nursing care to people with chronic pain, it is important to consider chronic pain as a situation that can lead to catastrophic thinking as well as understand and respond to clients from both physical and psychosocial perspectives.

The aim of this study is to clarify how COPD patients accept and practice home oxygen therapy, and what meanings do they find in their experiences. A guided semi-structured interview was conducted with 12 male COPD patients practicing home oxygen therapy, and thus obtained data were analyzed in a qualitative descriptive way.
Based on the analysis, five categories were extracted in meanings given to home oxygen therapy by COPD patients, specifically, “There is no other choice”, “Breathing gets easier, and I can do what I want to do”, “Life becomes hard”, “I feel death nearby”, and “I can carry on thanks to support”.
Home oxygen therapy proved to have contradictory meanings for COPD patients: “Breathing gets easier, and I can do what I want to do”, but on the other hand, “Life becomes hard”. The study suggested that nurses can help alleviate patients’ difficulties by understanding and supporting their experiences.

Objective: To determine the activities of certified nurse specialists(CNS)in chronic care nursing and to examine future issues.
Methods: An anonymous self-administered questionnaire survey was conducted with 178 CNS in chronic care nursing whose names and affiliations are available on the Japanese Nursing Association website. Descriptive statistics were calculated based on participants’ responses to 18 questions regarding fundamental attributes and activities.
Results: A total of 94 CNS responded to the survey and 74 CNS were analyzed. The mean number of years of work experience of the CNS was 6.3 years. About 86.5% were affiliated with hospitals, 88.0% worked in outpatient departments, hospital wards, or both, and 56.7% worked irregularly or with the number of times was unknown.
CNS activities averaged 40.9% in “practice,” 13.7% in “consultation,” 11.4% in “coordination,” 6.6% in “ethics coordination,” 17.1% in “education,” and 10.3% in “research.”
Conclusions: Owing to the nature of chronic illnesses, patients must cope with repeated remissions and exacerbations; this could be why outpatient clinics and hospital wards for chronic illnesses were the places where most CNS were active. The high percentage of “practice” results from “practice” being a central role of CNS. In contrast, the small percentage of “ethics coordination” was because of nurses’ lack of awareness of ethical issues, suggesting that collaboration with nursing managers could be beneficial.