A free answer-style web questionnaire was administered to all staff at Tokyo Women's Medical University (including the medical professionals) so as to investigate the current state of family care (looking after elderly) and the needs of a support system for desired work-life balance. The ratio of men to women in the responders was approximately similar to all university staff (i.e., 3:7) and the largest proportion fell into the 40s age group. Over 70% of all respondents (across all three groups - present caregivers, those who experienced family care in the past, and those with no family care) desired greater balance between work and family care. Furthermore, many respondents felt anxiety concerning family care, with their work environment acting as an anxiety-driving factor. Tokyo Women's Medical University has provided a support system that helps balance work- and family-life for workers who take care of family; however, about 28% of staff with no experience of family care, along with about 15% of present caregivers, answered that they do not know anything about the support system. As such, a thorough notification of the current support system is necessary. For a new project, many respondents stated that they desire flextime, a backup system, and the establishment of consulting services by specialists ( i.e. a "Care Concierge" ). Our results suggest that a support system suited to the individual needs of workers, in accordance with their situation, will be important in assisting and promoting positive work-life balance.

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目的：看護職の経験学習を促進するリフレクションマッププログラム（RMP）を開発し，その効果を検証する．

方法：RMPはALACTモデルを基盤とし，ブレインストーミングから抽出したテーマや問いを配置した5段階プログラムとして開発した．RMPに参加した看護職を対象に単群前後比較の準実験研究を行った．RMP開始前と直後に看護師レジリエンス尺度や心理的ストレス反応尺度等を含めた質問紙調査を行った．研究倫理審査の承認を得て行った．

結果：260名のデータを分析した．前後比較では看護師レジリエンス尺度得点が有意に増加した．看護に対するモチベーション3項目，自己肯定感2項目，看護実践に対する困難感2項目の得点に有意差があった．心理的ストレス反応尺度得点が有意に減少した．プログラム評価は満足度や役立ち度等が7点以上だった．

結論：RMPはレジリエンスの向上や心理的ストレス緩和の効果があることが示された．

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Objectives: On the basis of Diagnosis Procedure Combination (DPC) survey data, the factors that increase the value of function evaluation coefficient II were considered. Methods: A total of 1,505 hospitals were divided into groups I, II, and III, and the following items were considered. 1. Significant differences in function evaluation coefficient II and DPC survey data. 2. Examination of using the Mahalanobis-Taguchi (MT) method. 3. Correlation between function evaluation coefficient II and each DPC survey data item. Results: 1. Function evaluation coefficient II was highest in group II. Group I hospitals showed the highest bed capacity, and numbers of hospitalization days, operations, chemotherapies, radiotherapies and general anesthesia procedures. 2. Using the MT method, we found that the number of ambulance conveyances was effective factor in group I hospitals, the number of general anesthesia procedures was effective factor in group II hospitals, and the bed capacity was effective factor in group III hospitals. 3. In group I hospitals, function evaluation coefficient II significantly correlated to the numbers of ambulance conveyances and chemotherapies. In group II hospitals, function evaluation coefficient II significantly correlated to bed capacity, the numbers of ambulance conveyances, hospitalization days, operations, general anesthesia procedures, and mean hospitalization days. In group III hospitals, function evaluation coefficient II significantly correlated to all items. Conclusions: The factors that improve the value of function evaluation coefficient II were the increases in the numbers of ambulance conveyances, chemotherapies and radiotherapies in group I hospitals, increases in the numbers of hospitalization days, operations, ambulance conveyances and general anesthesia procedures in group II hospitals, and increases in the numbers of hospitalization days, operations and ambulance conveyances. These results indicate that the profit of a hospital will increase, which will lead to medical services of good quality.

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本研究では、東京都区部所在の大学及び専門学校等が、終戦直後にどのような旧軍施設に対して使用希望を出していたのかと、使用希望が実現したケースの実態を考察した。そして、旧軍施設の使用希望は、罹災した学校が８割を占めたこと、校地から離れた旧軍施設の希望も多く寄せられていたこと、旧軍の学校、兵営、研究所に対する希望が多かったこと、使用希望は15％しか実現していなかったこと、使用希望実現の背景には旧陸軍将校とのコネクションや不法占拠という実態があったこと、使用希望が取りまとめられた10月頃までにその多くが実現していること、旧軍施設の恒久使用は校地の大幅な拡大を伴い、将来的な発展に寄与したことが明らかになった。

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