Saki Uchida

Home-visiting nurses require supportive work environments. This study examined factors associated with home-visiting nurses’ intention to remain at their current home-visit nursing agency during the child-rearing stage. A cross-sectional online survey was conducted among Japanese home-visiting nurses with children younger than 13 years. Between July and August 2024, 4104 home-visit nursing agencies were faxed questionnaires. The survey assessed personal and family factors, workplace factors, the work–family interface, and intention to remain in the workplace. Responses were obtained from 347 participants, with 268 included in the analysis. In total, 184 participants (68.7%) intended to remain at their workplace. Univariate analysis compared groups based on intention to remain, followed by binary logistic regression analysis. Significant factors associated with intention to remain included part-time employment status (odds ratio [OR]: 0.370), duration of childcare leave of 1 year or more (OR: 0.218), managerial leadership (OR: 1.150), educational and career support for nursing quality (OR: 1.097), work–family negative spillover (OR: 0.906), and family–work negative spillover (OR: 0.805). The findings suggest the importance of supportive measures such as flexible work arrangements, support for nurses returning from extended parental leave, improved work–life balance, leadership development for managers, and enhanced educational and career support.

Objective: Pregnant women in their third trimester require adequate nutritional intake for a healthy delivery. However, nutritional intake status during this period remains poorly understood. This study aimed to clarify the nutritional intake of pregnant women during the third trimester of pregnancy and identify related factors.Materials and Methods: This study examined the dietary status of 291 women who gave birth in the Tohoku region of Japan in the third trimester of pregnancy.Results: The study found that compared to the Japanese Dietary Intake Standards (2020), 99.7% of pregnant women consumed excessive amounts of salt, 82.5% consumed saturated fat and 89.0% did not consume enough iron. It was also found that pregnant women with higher education levels and a normal pre‐pregnancy body mass index (BMI) tend to have ideal eating habits. A negative correlation was observed between pre‐pregnancy BMI and weight gain during pregnancy (partial r = −0.336, p < 0.001), indicating that the necessary nutrients are insufficient to suppress excessive weight gain.Conclusion: This study shows that pregnant women in their third trimester require personalized and appropriate nutritional support to ensure both weight gain control and adequate nutritional intake.