Ishikawa Fumiyo

The purpose of this study was to identify the need for certified nurse specialists as felt by nurse administrators and further to gather basic data in preparation for a curriculum of CNS graduate programs. A postal questionnaire survey was conducted on a sample of 300 nurse administrators in the Kanto Region.185 out of 300 questionnaires were returned(return rate:61.7%). The questionnaire consisted of 26 items concerning 5 key functions identified as essentials of CNS such as"patient care", "consultation", "education", "research"and"co-ordination". The findings were as follows:46.5% of nurse administrators expressed thier strong wish-es to introduce CNS to their hospitals while 45.9% of them wanted to do so if possible. They had high expectations of the CNS as providers of such functions as"patient care", "education"and"research". The nurse administrators who wished to introduce CNS to their hospitals seemed to have greater considerations for"humanity", "knowledge and technique"and"leadership". The above findings provided enough evidence to justify the need for the development of a suitable curriculum related to CNS programs.

In recent years, bone marrow transplant has been widely deployed as a radical form of therapy against leukemia, a disease that had been considered to be fatal. This study was conducted on five female and two male bone marrow transplant patients that participated in a meeting of blood disease patients in order to obtain suggestions for methods of assistance with respect to "sex life" and "return to society", which were indicated as being problems that can occur at high frequency in a previous survey of QOL associated with bone marrow transplant. The subjects were interviewed regarding specific problems relating to "sex life" and "return to society" following their discharge from the hospital, the findings from which are reported below. 1. With respect to infertility and sex, a lack of accommodation by the practitioner before and after transplant had an effect on psychological problems encountered by bone marrow transplant patients following their discharge from the hospital. 2. Infertility was not limited to just being a somatic problem, but also had an effect on the desire and awareness of later feelings of love and affection on the part of the bone marrow transplant patient. 3. Somatic, psychological and social problems affected the amount of time required until the patient was able to return to society as well as the workload of the patient following that return.