Japan Journal of Nursing Science最新文献

{"title":"Effect of a sleep-support intervention program designed for primiparous women and infants up to 2 months postpartum: A non-randomized controlled trial","authors":"Kanako Matsueda","doi":"10.1111/jjns.70042","DOIUrl":"10.1111/jjns.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Owing to nighttime breastfeeding, primiparous women often experience disrupted and poor-quality sleep for up to 2 months postpartum. To improve postpartum sleep, we developed a sleep-support program to adjust sleep–wake rhythms and reduce wake time during breastfeeding and evaluated its effectiveness using the primary outcome (Pittsburgh Sleep Quality Index; PSQI) and secondary outcomes (sleep quantity indices).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This non-randomized controlled trial included 110 primiparous women (28–32 weeks gestation) assigned to intervention (<i>n</i> = 41) or control (<i>n</i> = 29) groups. The intervention comprised a childcare diary and pamphlets, two 1-h intrapartum educational sessions promoting postpartum sleep and breastfeeding techniques, and two 30-min postpartum follow-up interviews. The PSQI and Epworth Sleepiness Scale were administered at 2, 4, and 8 weeks postpartum. At 2 and 8 weeks, we also measured total sleep time, wake after sleep onset (WASO) time, number of awakenings, nap duration and frequency, bedtime, wake time (mother and infant), and maternal sleep efficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The primary PSQI outcome showed no significant intergroup difference. However, subjective sleep quality (C1) was significantly lower, and sleep efficiency (C4) significantly higher, in the intervention group than in controls. One indicator (C1) improved, whereas another (C4) worsened. The intervention group had earlier bedtimes at 2 and 8 weeks, and their infants had shorter WASO. From 2 to 8 weeks, infant WASO significantly decreased in both groups and then stabilized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The postpartum sleep-support program may promote earlier maternal bedtimes and shorter WASO at 8 weeks postpartum, though qualitative sleep evaluations showed no improvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal stress in the Neonatal Intensive Care Unit: A concept analysis","authors":"Mitsuki Nojima,&nbsp;Hisayo Okayama","doi":"10.1111/jjns.70039","DOIUrl":"10.1111/jjns.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to provide a clear definition of the concept of maternal stress in the neonatal intensive care unit (NICU), which has been inconsistently described in previous studies. It also aimed to identify the essential attributes, antecedents, and consequences of maternal stress through concept analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Rodgers' concept analysis method was used. A search was conducted using the web version of the Central Journal of Medicine, PubMed, PsycINFO, and CINAHL, yielding 223 hits. Of these, 32 were selected for the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three attributes of maternal stress in the NICU were identified: “Earnest feelings for my infant,” “Stuck feeling,” and “Vague anxiety about the future.” Six antecedents and four consequences were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results of this study indicated that mothers felt a sincere desire for their infants, as well as a vague sense of helplessness due to circumstances beyond their control, and anxiety about the future. These findings suggest that while the NICU environment can be a source of stress for mothers, it may also serve as a supportive space and an opportunity for them to reflect on their role as mothers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12757185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study of the developmental process of professional identity of nurses who stutter-Narratives of a nurse at career maturity: An analysis using the trajectory equifinality approach.","authors":"Akiko Yano, Hiromi Fukuda, Akihiro Araki, Yuta Himeno, Gerald Shirley, Chihiro Tanaka, Sachiyo Murashima","doi":"10.1111/jjns.70041","DOIUrl":"https://doi.org/10.1111/jjns.70041","url":null,"abstract":"<p><strong>Objectives: </strong>The lived experiences and challenges faced by nurses who stutter (NWS) have largely remained unvoiced and overlooked. This study aimed to describe the developmental process of professional identity among these nurses while also identifying pivotal experiences and significant others that could be relevant to other NWS.</p><p><strong>Methods: </strong>The Trajectory Equifinality Approach, a qualitative research method, was employed. Four semi-structured interviews were conducted with a nurse possessing 14 years of clinical experience. A Trajectory Equifinality Modeling diagram was developed to visually represent the participant's sequence of lived experiences, emotional responses, and key interactions with significant others.</p><p><strong>Results: </strong>The following three initiatives were identified as crucial for NWS to develop their professional identity: (1) Aspiring to become a nurse and addressing their stuttering directly, (2) Identifying personal strengths and pursuing career advancement with ambition, and (3) Releasing oneself from the captivity of stuttering and building a fulfilling career. Notably, during their early career stages, nursing faculty, senior nurses and nurse managers were identified as significant others supporting NWS, and their roles were elucidated.</p><p><strong>Conclusion: </strong>It is suggested that this process leads to the integration of their experiences as both nurses and individuals who stutter, ultimately resulting in a more fulfilling and enriched nursing practice.</p>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":"e70041"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining “disaster-related death” for valid inference: An administrative category in Japan","authors":"Nahoko Harada,&nbsp;Motohiro Tsuboi,&nbsp;Masahide Koda","doi":"10.1111/jjns.70038","DOIUrl":"10.1111/jjns.70038","url":null,"abstract":"&lt;p&gt;We read with interest the descriptive analysis of certified disaster-related deaths following the 2024 Noto Peninsula earthquake (Kida &amp; Ishikawa, &lt;span&gt;2025&lt;/span&gt;). The tabulation of ICD-10 categories (Table 2, p. 5) and the co-occurrence network of narrative descriptors (Figure 2, p. 6) provide useful information for practice and policy.&lt;/p&gt;&lt;p&gt;For readers outside Japan, we should clarify one point of terminology that bears directly on inference. In Japan, disaster-related death is not a clinical diagnosis or a sociological construct; it is an administrative certification issued by municipalities after a family application and committee review, primarily within the condolence-grant system. As Kida and Ishikawa (&lt;span&gt;2025&lt;/span&gt;) notes, stating this administrative basis at first mention may help align expectations about what such data can demonstrate.&lt;/p&gt;&lt;p&gt;Recent nationwide evidence underscores this context. A cross-sectional study of 755 certified indirect disaster-related deaths after the 2011 Great East Japan Earthquake found that only 9.8% of death certificates and 19.2% of medical records explicitly mentioned disaster relevance, while 71.0% relied on bereaved-family self-reports. Tsuboi et al. (&lt;span&gt;2025&lt;/span&gt;) describes these deaths as certified and recorded by municipalities at family request for condolence grants. These features indicate that the label primarily reflects a legal-administrative judgment of indirectness rather than a standardized biomedical attribution of causality.&lt;/p&gt;&lt;p&gt;Three issues deserve attention:&lt;/p&gt;&lt;p&gt;Case ascertainment reflects procedures as well as health status. The analyzed population comprises cases that underwent application, certification, and consent for public release. As acknowledged in the Methods and Limitations, fatalities not applied for are excluded; under-ascertainment of indirectly disaster-associated deaths is therefore possible.&lt;/p&gt;&lt;p&gt;Administrative certification is not a causal estimate. Pairing ICD-10 “direct causes of death” (Table 2) with narrative descriptors is informative descriptively; yet without a defined at-risk denominator, counterfactual comparisons, or standardized medical documentation of “disaster relevance,” causal effects or effect sizes cannot be inferred from these data alone.&lt;/p&gt;&lt;p&gt;Finally, the text network should be interpreted cautiously: it visualizes word co-appearance rather than causal mechanisms. The co-occurrence map summarizes word co-appearance in public narratives under a Jaccard-based approach and does not encode etiologic direction or magnitude; an explicit note in figure captions could help avoid mechanistic interpretations.&lt;/p&gt;&lt;p&gt;This aligns with broader findings in the literature on classification and interpretation of disaster-attributed mortality (Combs et al., &lt;span&gt;1999&lt;/span&gt;; Hayakawa, &lt;span&gt;2016&lt;/span&gt;). These points do not detract from the article's practical insights—for example, the prominence of circulatory and respiratory causes among ce","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12728486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing real-world data integration in nursing research: A policy perspective on Japan's next-generation medical infrastructure law and the EU EHDS framework","authors":"Kazumi Kubota,&nbsp;Saeko Ishibashi","doi":"10.1111/jjns.70037","DOIUrl":"10.1111/jjns.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This Viewpoint analyzes the policy implications of Real-World Data (RWD) utilization in Japanese nursing research, comparing Japan's revised Next-Generation Medical Infrastructure Law with the European Union's European Health Data Space (EHDS) regulation. The paper explores how data standardization, interoperability, privacy protection, and technological integration can be improved in Japan and proposes actionable policy solutions for RWD integration into nursing practice and health policy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The paper draws on a review of empirical studies and policy documents, comparing Japan's fragmented RWD framework with the EU's EHDS regulation. Focus areas include data standardization, interoperability, privacy protection, and technological integration. The review analyzes case studies from chronic disease management, nursing workflow optimization, and predictive analytics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The comparison reveals barriers to RWD integration in Japan, such as inconsistent data standards, fragmented IT infrastructure, and lack of centralized data repositories. The EU's EHDS law offers a cohesive framework for cross-border data sharing through standardized data formats, enhanced interoperability, and privacy protections. The paper argues that Japan must adopt similar policies to improve data governance, enhance interoperability, and develop integrated systems for nursing research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Japan must strengthen its data governance frameworks, establish centralized data repositories, and adopt standardized practices to fully capitalize on RWD's potential. By aligning its policies with the EU's EHDS regulation, Japan can improve RWD integration in nursing practice and health policy, leading to better outcomes and more effective interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12722108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A nursing-led pathway to safe task sharing in Japan: Interprofessional simulation and a common competency credential","authors":"Kazumi Kubota,&nbsp;Ayako Nishimura,&nbsp;Jun Funaki","doi":"10.1111/jjns.70036","DOIUrl":"10.1111/jjns.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To propose a nursing-led pathway for safe task sharing in Japan to address population aging and workforce shortages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This Viewpoint outlines a practical route centering on five shared competency domains (decision-making, safety management, communication, equipment operation, and troubleshooting) verified through interprofessional simulation. We describe a common competency credential (CCC) assessed via standardized scenarios, objective rating scales, and mastery thresholds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A nursing-led policy pathway would align education, credentialing, and financing via the national fee schedule. By embedding stop rules, clear supervision levels, and psychological safety, the approach addresses concerns regarding safety, legal accountability, and hierarchy in the Japanese context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>With the 2024 fee schedule emphasizing team-based care, nursing-led interprofessional simulation and a CCC offer a feasible, evidence-informed route to safer care, greater efficiency, and a more sustainable workforce.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12685413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practices and outcomes of multidisciplinary collaboration to support the integration of healthcare into the daily lives of technology-dependent children","authors":"Rie Watanabe,&nbsp;Yukako Shigematu","doi":"10.1111/jjns.70035","DOIUrl":"10.1111/jjns.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to clarify the relationship between the implementation of multi-professional collaboration to support “medical care in daily life” for technology-dependent children in community settings and their outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted in 18 prefectures across Japan, involving 343 professionals, including consultation support specialists, visiting nurses, care workers, school nurses, and school nurse teachers. Fifty-five items related to the three elements of multi-professional collaboration—Gearing up individually, Working together, and Achieving results—were analyzed using factor analysis, one-way ANOVA, multiple regression analysis, and the Mann–Whitney <i>U</i> test with SPSS version 29. Ethical approval was obtained from the ethics committee.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine factors were identified: two related to prerequisites, four to collaborative practices, and three to outcomes. All factors demonstrated high internal consistency. Appropriate staffing of professionals, openness to new members, and the presence of a leader were significantly associated with all collaborative practices. Furthermore, communication through shared problem-solving and mutual respect for professional roles was associated with all activities. Collaboration centered on the needs of individuals and families showed the strongest association with positive outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Three essential elements for strengthening multi-professional collaboration were identified: (1) structured placement and flexible integration of professionals, (2) mutual trust and respect among professionals, and (3) sustained collaboration centered on the needs of individuals and families. These findings provide a practical framework for improving team-based care for technology-dependent children in community settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12682617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical obligations in supporting pregnant nurses","authors":"Yusrita Zolkefli","doi":"10.1111/jjns.70033","DOIUrl":"https://doi.org/10.1111/jjns.70033","url":null,"abstract":"","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145426188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing voluntary surgical contraception choice in a developing country: A cross-sectional study","authors":"Edith Geraldina González González,&nbsp;Oscar Fidel Antunez Martinez,&nbsp;Judith Victoria Castillo Mejia","doi":"10.1111/jjns.70032","DOIUrl":"https://doi.org/10.1111/jjns.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify sociodemographic, psychological, and relational factors associated with the acceptance of VSC among adults of reproductive age in the Medina community, San Pedro Sula, Honduras.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with 240 randomly selected adults using structured interviews. Data were analyzed using descriptive statistics and multivariable binary logistic regression in Python to identify significant predictors of VSC acceptance. Independent variables included age, education, number of children, previous reproductive experiences, and relationship dynamics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Older age, higher education, urban residence, and being in a stable union were positively associated with VSC acceptance, with prior contemplation emerging as the strongest predictor (<i>p</i> &lt; .001). Partner infidelity (<i>p</i> = .026) and abortion history (<i>p</i> = .031) were negatively associated. The logistic regression model demonstrated good discrimination (AUC = 0.85).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In this community sample, older age, higher education, and prior reflection on VSC increased acceptance, with prior contemplation as the strongest predictor. Conversely, abortion history and partner infidelity reduced acceptance. The number of children and physician recommendation showed less consistent effects. Findings underscore the need for reproductive health education, relationship-focused counseling, and policies supporting informed, autonomous contraceptive decisions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145426187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study","authors":"Yuchun Yang,&nbsp;Jiamin Jiang,&nbsp;Kei Takahashi,&nbsp;Nagaaki Tanaka,&nbsp;Keisuke Kosugi,&nbsp;Akemi Ono,&nbsp;Junji Kozawa,&nbsp;Naoto Katakami,&nbsp;Atsunori Fukuhara,&nbsp;Norikazu Maeda,&nbsp;Iichiro Shimomura,&nbsp;Yasuko Shimizu","doi":"10.1111/jjns.70031","DOIUrl":"https://doi.org/10.1111/jjns.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Diabetes-related stigma poses challenges for individuals with diabetes, including impaired self-care. Understanding its relationship with healthcare professional support is essential to clarify strategies for reducing stigma. This study aimed to examine the association between diabetes stigma and the support provided by physicians and nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted from October 2022 to May 2023 in Osaka, Japan, among outpatients attending hospitals and clinics with diabetes specialists. Participants were aged ≥18 years with type 1 or type 2 diabetes; those with gestational diabetes or unable to complete the questionnaire were excluded. Diabetes-related stigma was assessed using the Kanden Institute Stigma Scale, whereas support from physicians and nurses was evaluated using the doctors' and nurses' support scale. Data were analyzed using multivariate logistic regression. Ethical approval was obtained prior to study initiation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Diabetes-related stigma was inversely associated with physicians' support and nurse's support. Social and self-stigma were associated with physicians and nurses' support among participants aged &lt;65 years but not among those ≥65 years. By contrast, discordant stigma was associated with physicians' support in the younger group and with both physicians' and nurses' support—particularly in health information subscales—among older participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Support from physicians and nurses may reduce diabetes-related stigma. Younger adults may benefit from advocacy and personalized care, whereas older adults require enhanced emotional and informational support. Healthcare professionals should address stigma to improve self-management and quality of life among people with diabetes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145426183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}