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.
Methods
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.
Results
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.
Conclusion
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.
{"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":"10.1111/jjns.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-16","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}
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).
Methods
This non-randomized controlled trial included 110 primiparous women (28–32 weeks gestation) assigned to intervention (n = 41) or control (n = 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.
Results
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.
Conclusions
The postpartum sleep-support program may promote earlier maternal bedtimes and shorter WASO at 8 weeks postpartum, though qualitative sleep evaluations showed no improvement.
{"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}
Objective: This study aimed to evaluate the effects of the care coordination of pleural mesothelioma program (CCOM program), an educational program that we developed for nurses to improve their knowledge, attitude, and confidence on the care coordination of pleural mesothelioma (PM) patients.
Methods: In this randomized controlled study relative to the CCOM program, we measured the self-reported total scores of knowledge, attitude, and confidence of nurses before (pre-test) and after (post-test) the CCOM program. The CCOM program consisted of a care guide and nine study videos featuring various aspects of PM (2 h 15 min) and a face-to-face workshop (3 h 30 min). Sixty participants were randomly assigned to the intervention group (n = 30; with program) and control group (n = 30; without program). Fifty-eight participants completed the study (intervention group, 28; control group, 30). The total scores of knowledge, attitude, and confidence at pre-test and post-test were compared using one-way repeated measures analysis of variance (ANOVA).
Results: At pre-test, the groups showed no significant differences in age, experience of taking care of PM patients, and working department, except for the years of experience as a nurse. The CCOM program improved the knowledge, attitude, and confidence in the intervention group, whereas the control group showed stability in the scores. Repeated measures ANOVA showed significantly greater beneficial changes in the intervention group on main measurement scores.
Conclusions: The CCOM program was effective in improving the knowledge, attitude, and confidence of nurses on the care coordination of PM patients.
{"title":"Evaluation of an educational program for nurses on the care coordination of pleural mesothelioma patients: A pilot randomized controlled trial.","authors":"Yasuko Nagamatsu, Wakanako Ono, Yumi Sakyo, Edward Barroga, Keiko Hosokawa, Minako Ito, Shino Matsuura, Taiki Fukujin, Yoko Maehara, Masaya Ito, Haruhiko Mitsunaga, Satomi Nakajima, Nobukazu Fujimoto, Kazunori Okabe","doi":"10.1111/jjns.70043","DOIUrl":"10.1111/jjns.70043","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effects of the care coordination of pleural mesothelioma program (CCOM program), an educational program that we developed for nurses to improve their knowledge, attitude, and confidence on the care coordination of pleural mesothelioma (PM) patients.</p><p><strong>Methods: </strong>In this randomized controlled study relative to the CCOM program, we measured the self-reported total scores of knowledge, attitude, and confidence of nurses before (pre-test) and after (post-test) the CCOM program. The CCOM program consisted of a care guide and nine study videos featuring various aspects of PM (2 h 15 min) and a face-to-face workshop (3 h 30 min). Sixty participants were randomly assigned to the intervention group (n = 30; with program) and control group (n = 30; without program). Fifty-eight participants completed the study (intervention group, 28; control group, 30). The total scores of knowledge, attitude, and confidence at pre-test and post-test were compared using one-way repeated measures analysis of variance (ANOVA).</p><p><strong>Results: </strong>At pre-test, the groups showed no significant differences in age, experience of taking care of PM patients, and working department, except for the years of experience as a nurse. The CCOM program improved the knowledge, attitude, and confidence in the intervention group, whereas the control group showed stability in the scores. Repeated measures ANOVA showed significantly greater beneficial changes in the intervention group on main measurement scores.</p><p><strong>Conclusions: </strong>The CCOM program was effective in improving the knowledge, attitude, and confidence of nurses on the care coordination of PM patients.</p>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 1","pages":"e70043"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12846763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068259","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}
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.
Methods
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.
Results
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.
Conclusions
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.
{"title":"Maternal stress in the Neonatal Intensive Care Unit: A concept analysis","authors":"Mitsuki Nojima, 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}
<p>We read with interest the descriptive analysis of certified disaster-related deaths following the 2024 Noto Peninsula earthquake (Kida & Ishikawa, <span>2025</span>). 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.</p><p>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 (<span>2025</span>) notes, stating this administrative basis at first mention may help align expectations about what such data can demonstrate.</p><p>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. (<span>2025</span>) 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.</p><p>Three issues deserve attention:</p><p>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.</p><p>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.</p><p>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.</p><p>This aligns with broader findings in the literature on classification and interpretation of disaster-attributed mortality (Combs et al., <span>1999</span>; Hayakawa, <span>2016</span>). These points do not detract from the article's practical insights—for example, the prominence of circulatory and respiratory causes among ce
我们饶有兴趣地阅读了对2024年诺户半岛地震后经证实的灾害相关死亡人数的描述性分析（Kida & Ishikawa, 2025）。ICD-10分类表（表2，第5页）和叙述性描述符共现网络（图2，第6页）为实践和政策提供了有用的信息。对于日本以外的读者，我们应该澄清一个与推论直接相关的术语。在日本，与灾害有关的死亡不是临床诊断或社会学建构；这是市政当局在家庭申请和委员会审查后颁发的行政证明，主要是在慰问金制度内。正如Kida和Ishikawa（2025）所指出的那样，首先说明这种管理基础可能有助于协调人们对这些数据所能证明的内容的期望。最近全国范围内的证据强调了这一背景。一项针对2011年东日本大地震后755例经证实与灾害间接相关的死亡的横断面研究发现，只有9.8%的死亡证明和19.2%的医疗记录明确提到与灾害有关，而71.0%的人依赖于遇难者家属的自我报告。Tsuboi等人（2025年）指出，这些死亡是市政当局应家属的慰问金请求而证明和记录的。这些特征表明，该标签主要反映了间接的法律行政判断，而不是标准化的生物医学因果关系归因。应注意三个问题：病例确定反映程序和健康状况。所分析的人口包括经过申请、认证和同意公开发布的病例。如方法和限制中所述，未申请的死亡不包括在内；因此，与灾害间接相关的死亡人数可能被低估。行政认证不是因果估计。将ICD-10“直接死亡原因”（表2）与叙述性描述符配对在描述性上具有信息性；然而，如果没有明确的风险分母、反事实比较或“灾难相关性”的标准化医学文件，就无法仅从这些数据推断出因果效应或效应大小。最后，文本网络应该被谨慎地解释：它可视化的词共现而不是因果机制。共现图总结了基于jaccard方法的公共叙事中的词共现，不编码病因方向或大小；在图片说明中明确说明有助于避免机械式的解释。这与文献中关于灾害死亡率分类和解释的更广泛发现一致（Combs et al., 1999; Hayakawa, 2016）。这些观点并没有减损文章的实际见解——例如，在已证实的病例中，循环系统和呼吸系统原因的重要性——但可能有助于读者将这些发现作为服务规划的信号，而不是作为既定的因果途径。这一观点与将灾害相关死亡定位为中长期影响指标的工作相一致，并对因果解释提出了警告（Yamamura et al., 2024）。为了支持有效的推断，同时保留研究的描述性价值，我们提供了简洁、中性的措辞调整，以保持接近设计：首先提到的定义：将灾害相关死亡描述为吊慰金系统中使用的市政行政认证，与临床死亡原因或诸如“社会死亡”之类的概念不同。事件术语：考虑用“报告的与经证实的死亡暂时相关的事件”代替“因果事件”。推断范围：请注意，该分析描述了认证病例之间的关联，并未估计因果效应或人群水平的风险。图/结果说明：澄清网络显示文本共现（无方向性），并且ICD-10代码表示直接/官方死亡原因，与行政认证不同。我们感谢对市政公共数据的仔细收集，并将这项研究视为对灾害护理的建设性贡献。法律证明、临床死亡原因和假设途径之间的明确分离应有助于未来的联系研究和比较设计，可以更直接地量化风险和机制。这项工作得到了卫生劳动科学研究的支持，资助号24LA2001。作者声明无利益冲突。
{"title":"Defining “disaster-related death” for valid inference: An administrative category in Japan","authors":"Nahoko Harada, Motohiro Tsuboi, Masahide Koda","doi":"10.1111/jjns.70038","DOIUrl":"10.1111/jjns.70038","url":null,"abstract":"<p>We read with interest the descriptive analysis of certified disaster-related deaths following the 2024 Noto Peninsula earthquake (Kida & Ishikawa, <span>2025</span>). 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.</p><p>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 (<span>2025</span>) notes, stating this administrative basis at first mention may help align expectations about what such data can demonstrate.</p><p>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. (<span>2025</span>) 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.</p><p>Three issues deserve attention:</p><p>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.</p><p>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.</p><p>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.</p><p>This aligns with broader findings in the literature on classification and interpretation of disaster-attributed mortality (Combs et al., <span>1999</span>; Hayakawa, <span>2016</span>). 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}
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.
Methods
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.
Results
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.
Conclusions
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.
{"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, 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}
To propose a nursing-led pathway for safe task sharing in Japan to address population aging and workforce shortages.
Methods
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.
Results
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.
Conclusions
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.
{"title":"A nursing-led pathway to safe task sharing in Japan: Interprofessional simulation and a common competency credential","authors":"Kazumi Kubota, Ayako Nishimura, 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}
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.
Methods
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 U test with SPSS version 29. Ethical approval was obtained from the ethics committee.
Results
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.
Conclusion
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.
{"title":"Practices and outcomes of multidisciplinary collaboration to support the integration of healthcare into the daily lives of technology-dependent children","authors":"Rie Watanabe, 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}
Edith Geraldina González González, Oscar Fidel Antunez Martinez, Judith Victoria Castillo Mejia
Objective
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.
Methods
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.
Results
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 (p < .001). Partner infidelity (p = .026) and abortion history (p = .031) were negatively associated. The logistic regression model demonstrated good discrimination (AUC = 0.85).
Conclusions
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.
{"title":"Factors influencing voluntary surgical contraception choice in a developing country: A cross-sectional study","authors":"Edith Geraldina González González, Oscar Fidel Antunez Martinez, 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> < .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}
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