Objective: We aimed to obtain organizational management suggestions that enhance the work engagement (WE) of nurses. We studied the correlations among sex, gender-related personality traits, and WE in nurses, as well as the factors influencing WE.

Methods: A self-administered questionnaire survey was conducted with 639 hospital-based nurses (37.3% of whom were men) via mail or online.

Results: A two-way analysis of variance, with WE as the dependent variable revealed no significant differences by sex; however, it confirmed a relationship between sex and the four basic gender type (GT) categories, as well as the major effect of GT. Simple main effect tests demonstrated that WE scores were higher for the androgynous (psychologically bisexual) and masculine-dominant types than for the undifferentiated and feminine-dominant types among both men and women. Multiple regression analysis indicated that age, department of employment, and the presence of family members living with the participants affected WE.

Conclusion: GT, rather than biological sex differences, was associated with WE among nurses, suggesting the need for management approaches that integrate individual characteristics and organizational environments rather than depending on uniform sex-based support.

This study aimed to clarify the concept of death from senility in nursing homes in Japan, using a literature analysis. PubMed and the web version of Igaku Chuo Zasshi (ICHUSHI) were used to conduct the literature search; additionally, hand searching was performed using Medical Online, J-Stage, and books. Thirty-five documents were analyzed using Rodgers’ concept analysis. Consequently, six attributes were identified: “Joint decision-making between older adults or their families and the medical or care team”, “Avoiding over- and under-medication”, “Providing care to support people to live life in their own way”, “Educating families about death from old age”, “Supporting the turbulence of family members who are accompanying the family”, and “Initiatives involving a range of professionals and families to consider the best way of life for older adults”. In addition, four antecedents were identified: “Uncertainty regarding the diagnosis of death from senility”, “How to greet death from senility”, “Readiness to support death from senility”, and “A biased view of life and death favoring the prolongation of life”. Three consequences were also identified: “Dignified death from senility”, “Families finding meaning in death from senility and overcoming grief”, and “Continuity in improving the ability to face death from senility”. These findings suggest that this concept encompasses an element of care that allows older adults to live their lives until the end in a way that is true to themselves.