Japan Journal of Nursing Science最新文献

{"title":"School Nursing Practice and Factors Associated With Job Satisfaction Among School Nurses Supporting Children With Medical Complexity in Japanese Elementary Schools","authors":"Mutsumi Seki,&nbsp;Rie Okamoto,&nbsp;Shizuko Omote,&nbsp;Satomi Ikeuchi,&nbsp;Yuko Noguchi,&nbsp;Yutaro Takahashi","doi":"10.1111/jjns.70083","DOIUrl":"10.1111/jjns.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The number of children with medical complexity attending mainstream elementary schools in Japan has increased, highlighting the critical role of school nurses in supporting their care. We aimed to clarify the current status of school nursing practice and to explore factors associated with job satisfaction among school nurses supporting children with medical complexity in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an exploratory and descriptive cross-sectional web-based survey among school nurses working in elementary schools across nine prefectures in Japan with a high proportion of children having medical complexity (estimate of eligible nurses = 768; valid responses = 137). We measured job satisfaction levels using a visual analog scale and subsequently performed multiple regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most school nurses were employed in non-regular positions (93.7%); 65.6% worked as the sole nurse at their school. Advanced medical procedures were more frequently performed in schools with multiple school nurses. Job satisfaction was positively associated with collaborative achievement (<i>β</i> = 0.539, <i>p</i> &lt; 0.001) and consultations with school staff (<i>β</i> = 0.214, <i>p</i> = 0.004) and was negatively associated with developing individualized care manuals (<i>β</i> = −0.184, <i>p</i> = 0.013).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggests that effective interprofessional collaboration, appropriate staffing, and supportive working environments may be important for sustaining the school nursing workforce caring for children with medical complexity. These findings provide empirical evidence for considering working conditions and organizational support in developing a sustainable school nursing system in Japan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185707","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":"Factors Associated With Midwives' Perceived Difficulty in Supporting Couples With Older First-Time Mothers by Workplace Type in Japan","authors":"Chisato Kinoshita,&nbsp;Mami Tamaue","doi":"10.1111/jjns.70082","DOIUrl":"https://doi.org/10.1111/jjns.70082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine differences in midwives' perceived difficulty in providing child-rearing and social support to couples with older first-time mothers according to the workplace setting, and to identify contributing individual and organizational factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted among midwives working at medical institutions and midwifery centers across Japan who had supported couples with older first-time mothers within the previous year. Data on individual characteristics, workplace characteristics, perceived difficulty in providing child-rearing support, and perceived difficulty in providing social support were collected using online or anonymous self-administered questionnaires. Workplace settings were categorized into four types: perinatal medical centers, general hospitals, clinics, and midwifery centers. Logistic regression analysis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 922 midwives were included. Compared with midwives working in midwifery centers, those working in perinatal medical centers (odds ratio [OR] = 2.71), general hospitals (OR = 2.67), and clinics (OR = 1.94) reported significantly greater perceived difficulty in providing child-rearing support. Midwives with fewer than 10 years' experience also reported greater difficulty than those with 30 or more years' experience. Perceived difficulty in providing instrumental, informational, emotional, and appraisal support was associated with workplace setting. Additional associations were observed with CLoCMiP Level III certification and the availability of postpartum outreach and day-care services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Midwives' perceived difficulty differed according to workplace setting and was associated with both individual and organizational factors. Strengthening organizational support systems and educational opportunities may help reduce perceived difficulty in supporting couples with older first-time mothers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146350","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":"Closing the Loop in Perinatal Mental Health Handoffs","authors":"Liu Yahsin,&nbsp;Lien-Chung Wei","doi":"10.1111/jjns.70077","DOIUrl":"10.1111/jjns.70077","url":null,"abstract":"","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117883","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":"Comparative Effectiveness of Rehabilitation Nursing Interventions in Patients With Post-Stroke Dysphagia: A Systematic Review and Network Meta-Analysis.","authors":"Rongrong Lai, Lingyun Jin, Shuoshuo Chen, Ruru Li, Miao Wang, Liqing Zhang","doi":"10.1111/jjns.70084","DOIUrl":"10.1111/jjns.70084","url":null,"abstract":"<p><strong>Aim: </strong>To compare the effectiveness of rehabilitation interventions integrated into nursing care on swallowing function and safety in patients with post-stroke dysphagia.</p><p><strong>Methods: </strong>We searched Web of Science, Scopus, Embase, ProQuest, CINAHL, PubMed, and the Cochrane Central Register of Controlled Trials to identify randomized controlled trials (RCTs) evaluating rehabilitation nursing interventions for patients with post-stroke dysphagia, from database inception to September 2025. The primary outcomes were the Functional Oral Intake Scale (FOIS) and the Penetration-Aspiration Scale (PAS), while secondary outcomes included the Videofluoroscopic Dysphagia Scale (VDS) and the Swallowing Quality of Life Scale (SWAL-QOL).</p><p><strong>Results: </strong>Seventeen RCTs were included. Rehabilitation nursing interventions were more effective than conventional care in improving FOIS, PAS, and VDS. For FOIS, kinesiology taping (KT) combined with neuromuscular electrical stimulation (NMES) (surface under the cumulative ranking curve [SUCRA] = 78.7%, mean rank = 2.7) and respiratory muscle training (RMT) (SUCRA = 78.1%, mean rank = 2.9) ranked highest. For PAS, KT combined with NMES (SUCRA = 95.9%, mean rank = 1.3) and KT (SUCRA = 84.1%, mean rank = 2.1) ranked highest.</p><p><strong>Conclusions: </strong>Rehabilitation nursing interventions may improve swallowing function and safety in patients with post-stroke dysphagia. RMT, KT, and KT + NMES showed potential benefits for different aspects of swallowing recovery. However, the superiority of KT + NMES requires confirmation in high-quality multicenter RCTs with head-to-head comparisons and long-term follow-up.</p><p><strong>Trial registration: </strong>PROSPERO ID: CRD420251155222.</p>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":"e70084"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224939","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":"Understanding Mothers' Experiences of Very Low Birth Weight Infants Across the Childbirth Trajectory in Japan: A Retrospective Analysis Using Natural Language Processing","authors":"Mitsuka Kojima,&nbsp;Tomoka Yamamoto,&nbsp;Atsuko Ishii,&nbsp;Tomoko Nishimura,&nbsp;Haruo Fujino","doi":"10.1111/jjns.70079","DOIUrl":"https://doi.org/10.1111/jjns.70079","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mothers of very low birth weight infants face various challenges during pregnancy and throughout the first postpartum year. This study aimed to describe the experiences of mothers of very low birth weight infants from gestation through their infants' first year of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective study using documents from a parent–child support class for very low birth weight infants (&lt; 1500 g) held between 2003 and 2018 in Japan. The textual data consisted of notebook records documenting the mothers' experiences during pregnancy, their initial meeting with their infants, the neonatal intensive care unit stay, and the first postpartum year. The data were analyzed using a Japanese morphological analyzer and structural topic modeling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 280 mothers (mean age, 34 years; 68.2% primiparous) met the inclusion criteria. Topic modeling identified five to seven topics across each period of the mother's experiences. The topics at first encounter with their babies and neonatal intensive care unit stay were characterized by terms that may reflect apologetic or self-blaming expressions. Conversely, between 6 and 12 months postpartum, the focus was on more routine concerns, such as everyday caregiving.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings provide a descriptive overview of mothers' narratives and may serve as a foundation for further qualitative and clinical research examining how mothers of very low birth weight infants experience pregnancy, neonatal intensive care unit hospitalization, and child-rearing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048263","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":"Nursing Competency Scale for Patients With Comorbid Cancer and Dementia in Acute Care Hospitals (NCS-CD): Development and Validation","authors":"Noriko Tsukagoshi,&nbsp;Mitsuko Ushikubo","doi":"10.1111/jjns.70081","DOIUrl":"https://doi.org/10.1111/jjns.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to develop a Nursing Competency Scale for Patients with Comorbid Cancer and Dementia in Acute Care Hospitals (NCS-CD) and examine its reliability and validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted in two phases. In Phase 1, a preliminary scale was developed based on interviews with Japanese specialists in cancer and dementia nursing and a comprehensive literature review. The draft was refined through a questionnaire survey of 10 specialists and a consensus meeting with five experts. In Phase 2, the reliability and validity of the scale were evaluated using data from 305 nurses working in acute care hospitals. Exploratory and confirmatory factor analyses were conducted to assess construct validity. Criterion-related validity was examined using the Self-Assessment Scale of Nursing Practice for Elderly People with Cognitive Impairment (SSNP). Internal consistency and test–retest reliability were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The NCS-CD comprised 23 items across five factors. Confirmatory factor analysis demonstrated acceptable model fit (χ²/df = 1.953, goodness-of-fit index [GFI] = 0.894, adjusted goodness-of-fit index [AGFI] = 0.867, comparative fit index [CFI] = 0.919, Tucker-Lewis index [TLI] = 0.908, and root mean square error of approximation [RMSEA] = 0.056). The scale exhibited high internal consistency (Cronbach's alpha = 0.902) and good test–retest reliability (intraclass correlation coefficient = 0.746). Significant positive correlations were observed between the NCS-CD and SSNP (<i>r</i> = 0.714, <i>p</i> &lt; 0.001), supporting criterion-related validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The NCS-CD demonstrated preliminary reliability and validity for assessing nursing competencies in caring for patients with comorbid cancer and dementia in acute care hospitals. This scale can contribute to the improvement of nursing practice and educational programs for patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048262","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":"Institutional Support and Educator Workload in Global Nursing Education: A Cross-National Comparative Study","authors":"Congcong Wang,&nbsp;Akiko Kondo,&nbsp;Kazuko Naruse,&nbsp;Kosuke Niitsu,&nbsp;Dingyi Long","doi":"10.1111/jjns.70080","DOIUrl":"https://doi.org/10.1111/jjns.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine and compare global nursing education content, institutional support, and workload-related factors among nurse educators in Japan and China. “Global nursing education” refers to educational interventions that enable nursing students to develop the knowledge, skills, practical experience, and cultural competence needed to provide high-quality care across diverse cultural, social, and healthcare contexts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional international comparative study was conducted using an online survey between October and December 2023. Nurse educators from 587 universities in Japan and China were invited to participate. Data from 445 educators with experience in global nursing education were analyzed. Hierarchical linear regression analyses were performed to examine factors associated with workload in each country.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Educators in Japan delivered a broader range of global nursing education content, whereas Chinese universities provided greater institutional support for educators. Educators in Japan reported higher workloads; however, these differences were largely explained by non-native language use and proficiency, intercultural sensitivity, and institutional support. In Japan, higher intercultural sensitivity, broader global nursing content coverage, and greater perceived institutional support were associated with lower workload, with notable regional variations. In China, more frequent use of non-native languages and employment in western regions were associated with lower workload.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Determinants of workload in global nursing education differed across national contexts. Institutional support, intercultural sensitivity, and non-native language-related factors were associated with workload, although the specific patterns varied by country. These findings highlight the importance of considering national and regional contexts when supporting nurse educators involved in global nursing education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048234","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 National Survey of Nurses' Knowledge and Nursing Practices Regarding Cancer Therapy–Related Cardiac Dysfunction Among Patients With Breast Cancer in Japan","authors":"Hideaki Aoyagi,&nbsp;Yasumi Matsubara,&nbsp;Akiko Okada,&nbsp;Akiko Hayashi,&nbsp;Makiko Seto,&nbsp;Yuichiro Iida","doi":"10.1111/jjns.70078","DOIUrl":"10.1111/jjns.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Developing effective nursing support for cancer therapy–related cardiac dysfunction (CTRCD) in patients with breast cancer requires understanding nurses' knowledge and nursing practices regarding CTRCD. This study elucidated these aspects among Certified Nurse Specialists (CNSs) and Certified Nurses (CNs) in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A web-based survey was administered to 1490 nurses, including CNSs in cancer nursing and CNs in cancer chemotherapy, breast cancer, and heart failure. The survey assessed participants' characteristics, knowledge of CTRCD, nursing practices, consultation experiences, and interprofessional collaboration. We calculated descriptive statistics and conducted group comparisons between oncology nurses specializing in cancer nursing and cardiology nurses specializing in heart failure nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We obtained 261 responses, including 214 (82.0%) from oncology nurses and 47 (18.0%) from cardiology nurses. These two groups exhibited significant differences in their knowledge of CTRCD definitions, risk factors, and related agents (<i>p</i> &lt; 0.01). Among oncology nurses, 88 (56.8%) provided patient education on CTRCD risk and 94 (63.9%) monitored CTRCD symptoms; thus, practice implementation remained around half. A higher proportion of cardiology nurses reported having received questions or consultations regarding CTRCD from patients or staff (<i>p</i> &lt; 0.05). Only 27 participants (10.3%) reported access to onco-cardiology educational opportunities at their respective institutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Differences in knowledge and practices regarding CTRCD were identified between oncology and cardiology nurses. Improving nursing practices, particularly patient education and symptom observation, is essential for early CTRCD detection and treatment. Furthermore, systematic educational programs and structured collaborative frameworks, including interprofessional collaboration, are needed at both the institutional and national levels.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013133","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":"Support for Disclosure of Hereditary Tumor Risk to Children and Adolescents: A Scoping Review","authors":"Kaito Sugima,&nbsp;Naoko Arimori,&nbsp;Mayumi Uchimura,&nbsp;Ai Miyauchi,&nbsp;Shigeko Horiuchi","doi":"10.1111/jjns.70074","DOIUrl":"10.1111/jjns.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to map evidence on disclosure support for communicating hereditary tumor-related information to children and adolescents and identify evidence gaps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This scoping review was conducted in accordance with the Joanna Briggs Institute methodology and reported in accordance with PRISMA-ScR. Guided by the Population–Concept–Context framework, we identified literature addressing support for disclosing hereditary tumor-related information to children aged ≤ 18 years. PubMed, MEDLINE, CINAHL, and the Cochrane Library were searched through April 2025, without language or study design restrictions. Data were charted and synthesized according to resource characteristics, support content, theoretical foundations, and evaluation approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten studies described eight resources, including booklets, picture books, decision-support tools, educational programs, and a multiple-family discussion group. Most resources focused on elementary school-aged children and emphasized parent-led disclosure. Common content included basic genetic concepts, disease and inherited risk information, and surveillance or preventive measures. In contrast, psychosocial elements were less consistently incorporated. Only three studies evaluated disclosure support (i.e., one randomized controlled trial, one pre–post study, and one qualitative study). Reported theoretical foundations included the Ottawa Decision Support Framework, health behavior change theories, bibliotherapy, and cognitive developmental theory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Only a small number of resources have been empirically evaluated, and psychosocial components were not consistently described or explicitly incorporated. Developmentally appropriate, theory-informed approaches—particularly decision-support and bibliotherapy-based resources—may help families engage in informed disclosure and build shared understanding. Future research should develop, implement, and rigorously evaluate structured interventions suitable for routine clinical practice, in collaboration with children, parents, and healthcare professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963940","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":"Relationship Between Perspective-Taking, Boundary-Crossing Experiences, and Collaborative Practice in Discharge Planning Among Nurses: A Cross-Sectional Study","authors":"Shingo Tanaka,&nbsp;Masatoshi Saiki,&nbsp;Yukie Takemura","doi":"10.1111/jjns.70075","DOIUrl":"10.1111/jjns.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Effective discharge planning requires ward nurses to understand the circumstances of receiving facilities. Perspective-taking—the active cognitive process of imagining another party's situation—may play a central role in promoting interfacility collaboration. This study examined a theoretical process model that positions perspective-taking, nurses' boundary-crossing experiences, and their collaborative practice in discharge planning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional online survey was conducted with acute care nurses in Japan in 2021. Perspective-taking and collaborative practice in discharge planning were measured using validated scales. Boundary-crossing experiences, encompassing other-facility experience and interaction opportunities with external professionals, were assessed using newly developed measures. Structural equation modeling was employed to evaluate the fit of the proposed theoretical model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from 416 respondents were analyzed. Perspective-taking was significantly associated with collaborative practice in discharge planning (<i>p</i> &lt; 0.05). Both other-facility experience and interaction opportunities were significantly associated with perspective-taking (<i>p</i> &lt; 0.05). The theoretical process model met the criteria for good fit (comparative fit index = 0.93; root mean square error of approximation = 0.07; standardized root mean square residual = 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results indicate that ward nurses' boundary-crossing experiences are positively associated with perspective-taking, and perspective-taking supports collaborative practice in discharge planning. Providing nurses with diverse facility experiences and external interactions could promote interfacility collaboration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914281","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}