{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:48:19Z","timestamp":1792043299334,"version":"4.4.0"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP22K11230"],"award-info":[{"award-number":["JP22K11230"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This exploratory study aimed to identify factors associated with care workers' perceived difficulty in collaborating with nurses regarding bowel care in dementia group homes (GHs) in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a nationwide cross\u2010sectional survey from July to October 2025. Using stratified random sampling, questionnaires were mailed to 2000 of 14,202 GHs listed in national open data. Of 437 responses (21.9%), 423 from care workers were included. Perceived difficulty was rated on a 0\u201310 numeric rating scale and dichotomized as difficulty (scores 6\u201310) or no difficulty (scores 0\u20135). Group comparisons and multivariable binary logistic regression were performed. Missing covariates were multiply imputed. A sensitivity analysis treated perceived difficulty as a continuous outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 417 respondents with valid outcome data, 182 (43.6%) reported difficulty. Four factors were significantly associated with perceived difficulty. Older age (adjusted odds ratio [aOR]\u2009=\u20091.044, 95% confidence interval [CI]: 1.020\u20131.069), a stronger belief in the importance of abdominal warming (aOR\u2009=\u20091.222, 95% CI: 1.077\u20131.386), and greater uncertainty about when to report bowel\u2010related concerns to nurses (aOR\u2009=\u20091.282, 95% CI: 1.175\u20131.398) were associated with higher odds of perceived difficulty. Longer caregiving experience (aOR\u2009=\u20090.939, 95% CI: 0.906\u20130.973) was associated with lower odds. Sensitivity analysis produced similar results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher perceived difficulty was associated with older age, shorter caregiving experience, and uncertainty regarding the appropriate timing of consultation with nurses. Clarifying when care workers should seek nursing input may support more effective collaboration in bowel care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgf2.70189","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:22:08Z","timestamp":1792041728000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Care Workers' Perceived Difficulty in Collaborating With Nurses on Bowel Care in Dementia Group Homes: A Nationwide Survey in Japan"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5000-1752","authenticated-orcid":false,"given":"Yumi","family":"Fukuyama","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Nursing St. Mary's College  Kurume Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3707-9097","authenticated-orcid":false,"given":"Chie","family":"Furushima","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Health Sciences at Fukuoka International University of Health and Welfare  Okawa Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6623-5716","authenticated-orcid":false,"given":"Syoko","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Social Work Studies, Faculty of Health Sciences Josai International University  Togane Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0351-3859","authenticated-orcid":false,"given":"Akiko","family":"Akiyama","sequence":"additional","affiliation":[{"name":"School of Nursing, Graduate School of Nursing Nagoya City University  Nagoya Aichi 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Tokyo \u201d(2023) [Cited 2026 Jul 31] https:\/\/www.jans.or.jp\/jans\/assets\/file\/committee\/Clinical%20En2023.pdf."},{"issue":"2","key":"e_1_2_14_32_1","first-page":"15","article-title":"Intervention to Construct a System for Defecation Care in Long\u2010Term Care Health Facilities for the Elderly","volume":"35","author":"Sakakibara C.","year":"2011","journal-title":"Journal of the Tsuruma Health Science Society"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.24691\/resja.36.4_211"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.32158\/jsscr.39.3_125"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.18892\/jsnas.9.3_4"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.5630\/jans1981.17.1_32"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.12.028"},{"key":"e_1_2_14_38_1","unstructured":"Brandeis University \u201cRelational Coordination Research Collaborative Measuring Relational Coordination \u201d[Cited 2025 May 26] https:\/\/heller.brandeis.edu\/relational\u2010coordination\/."},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.11236\/jph.61.9_565"},{"issue":"6","key":"e_1_2_14_40_1","first-page":"1","article-title":"Development of a Multidisciplinary Collaboration Behavior Scale for Home Care","volume":"62","author":"Fujita J.","year":"2015","journal-title":"Journal of Health and Welfare Statistics"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.2185\/jrm.2927"},{"issue":"1","key":"e_1_2_14_42_1","first-page":"62","article-title":"Evidence\u2010Based Clinical Guidelines for Chronic Constipation 2023","volume":"106","author":"Ihara E.","year":"2025","journal-title":"Digestion"}],"container-title":["Journal of General and Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.70189","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jgf2.70189","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.70189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:22:18Z","timestamp":1792041738000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgf2.70189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,14]]},"references-count":41,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/jgf2.70189"],"URL":"https:\/\/doi.org\/10.1002\/jgf2.70189","archive":["Portico"],"relation":{},"ISSN":["2189-7948","2189-7948"],"issn-type":[{"value":"2189-7948","type":"print"},{"value":"2189-7948","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,14]]},"assertion":[{"value":"2026-08-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70189"}}