The purpose of this study was to describe the current effort and challenges of the secondary prevention program for the elderly with depression from the viewpoint of community general support center staff. A qualitative study was conducted involving interviews with twenty-two staff in community general support centers. The main category of the current effort in the program was to try to link the person to services to maintain their daily life. They focused on collecting information of home-bound people, assessed the person's needs with respect to their behavior and daily life, and tried to link a person to services to maintain community people's daily life. The main category regarding challenges of the program was difficulties managing a person with depression. They had difficulties collecting information, assessing, linking the elderly to services or treatments, and finding time. To improve the secondary prevention for the elderly with depression : to improve the staff's knowledge and techniques of the program respecting on their perspective putting more emphasis on the quality of life of the elderly than on their depression itself, to create a network with local government staff and community organizations, to spread of the depression knowledge to community people, and to reform the care system including finance and human resources, were needed.
Objective : We developed a tobacco educational program for baccalaureate nursing students, which aimed to encourage the students to be non-smokers, improve their attitudes toward smoking as healthcare professionals, enhance their attitudes toward smoking cessation support, increase their opportunities to learn about smoking cessation support, and elevate their smoking cessation support efficacy. We assessed the long-term effects of the program on the baccalaureate nursing students. Methods : We surveyed 188 students at 6 months before, immediately before, immediately after, 6 months after, and 18 months after the intervention. Responses were collected at all five points from 163 students. The questionnaires included information about the students' smoking behavior and attitudes, learning experience, and ability to provide smoking cessation support. To verify the effects of the intervention, we performed the Friedman test, repeated measures analysis of variance, and multiple comparisons tests. Results : Most students continued to be non-smokers or quit smoking after the intervention. The scores for their attitudes towards smoking as healthcare professionals, experience of smoking cessation support learning methods, and smoking cessation efficacy rose significantly after the intervention. Conclusion : Our program was simpler than those used in previous studies, and thus, it is considered to be highly implementable, even in the already overcrowded nursing education curriculum.
Objective : The objective was to evaluate registered nurses' perceptions of their initial experience in pediatric nursing practice. Methods : The participants were 459 registered nurses with at least 2 years' experience of pediatric nursing. They completed anonymous questionnaires related to their perceptions of the initial experience of pediatric nursing, as well as their self-actualization as a nurse and professionalism. Valid replies (n=226) were analyzed. Results : Nurses' perceptions of their initial experience of pediatric nursing comprised 2 factors, “professional development as a pediatric nurse” and “capacity to work”. Nurses who had an interest in children, had more than 6 years' pediatric nursing experience, worked in an outpatient setting or where all patients were children, and wished to continue developing their pediatric nursing experience scored highly on “professional development as a pediatric nurse”. Nurses who worked in environments where they were dealing only with child patients and those who expressed a desire to gain pediatric nursing experience in the future scored highly on “capacity to work”. Conclusions : In the initial stage of employment in pediatric nursing, nurses perceive that their “professional development as a pediatric nurse” is heightened through accumulation of experience in pediatric nursing. Furthermore, it seems that positive engagement in shaping workplace systems to accumulate work experience raised “capacity to work” among pediatric nurses.