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To increase staff nurses' affective commitment to their hospital, we suggest that hospital administrators equip nurse managers with intellectual stimulation skills.

In this article we describe our study of assistance for family decisions and caregiving by Japanese home care nurses to families of elderly relatives at the end of life. The participants were 31 nurses who had been evaluated as providing good end-of-life care. We carried out semistructured interviews concerning the practice of family support in two cases (cancer and noncancer). We conducted a qualitative analysis using the constant comparative approach and derived several categories inductively. Home care nurses are responsible for (a) estimating the possibility of dying at home, (b) visualizing what is coming and what can be done, (c) proposing where and how the family can say goodbye, (d) building family consensus, (e) coordinating resources, and (f) offering psychological support for end-of-life care. End-of-life family care by home care nurses is a process in which multiple components of care are provided with changing content as death approaches.

This study aimed to explore sociodemographic factors related to evidencebased practice (EBP) competency in Japanese nurses in university hospitals. Methods: In March 2016, a survey was distributed to 843 clinical nurses who directly provide nursing care at two university hospitals in Japan. Multiple regression analyses were conducted on data received from 472 nurses using the Evidence-Based Practice Questionnaire (Japanese version). Results: Sociodemographic factors related to EBP competency were experience with conducting nursing research as a part of continuing education, education about EBP, advanced practice certification (certified nurse specialists/certified nurses),

Parentally bereaved adolescents reported higher grief reactions. [corrected]. Nurses should ensure bereaved adolescents receive appropriate support.

It is necessary to identify nurses' occupational stressors and consider age during job placement in order to support their health.

AimThe aim of this study was to explore the processes that nurse managers use to promote change in their wards.DesignQualitative research.MethodsA grounded theory approach was used. Participants were 23 nurse managers and 17 nurses in Japan. Interviews were conducted between March 2014 – December 2015. Mainly, nurse managers’ data was analysed.ResultsThe change process led by the nurse managers was depicted as a four‐phased process of “having beliefs and empathizing with staff nurses to achieve goals explored by self.” Four attributes of nurse managers, “having both micro and macro perspectives,” “respecting own beliefs and external standards,” “being proactive,” and “having empathy for staff nurses,” were identified as indispensable factors promoting change in their wards.Nursing administrators should support the cultivation of nurse managers’ attributes for successful change.

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