{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:59:45Z","timestamp":1790236785269,"version":"4.1.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"unspecified","delay-in-days":266,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326104352_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe nursing workforce arrangements, training exposure, educational needs, and support needs for nuclear emergency medical care among Nuclear Emergency Core Hospitals (NECHs) in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104352_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This facility-level cross-sectional survey targeted all 51 NECHs. Questionnaire items were developed and reviewed for content validity through internal consensus by 3 study-team nurses or public health nurses; no pilot testing or recruitment reminders were conducted. Facility proportions included exact Clopper-Pearson 95% confidence intervals, and free-text responses underwent qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104352_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-two facilities responded (43.1%; exact 95% CI, 29.3-57.8%). Emergency departments (19\/22, 86.4%) and DMAT membership (20\/22, 90.9%) were common, while certified nurse specialists in radiation nursing were reported by 5 facilities (22.7%). Radiation basics and PPE donning\/doffing practice were each selected by 21 facilities (95.5%). Free-text responses yielded 43 meaning units across 5 categories emphasizing recurrent training, workforce maintenance, organizational and financial support, and clearer staffing standards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104352_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among responding NECHs, nuclear emergency nursing preparedness relied heavily on emergency\/disaster nursing infrastructure, while radiation-specific advanced nursing expertise was reported less frequently. Sustainable preparedness may benefit from recurrent practical training, broader access to radiation nursing expertise, organizational support, and policy-level staffing discussion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10435","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:13:07Z","timestamp":1790233987000},"source":"Crossref","is-referenced-by-count":0,"title":["Nursing Workforce Preparedness for Nuclear Emergencies in Japan: A National Facility-Level Survey of Nuclear Emergency Core Hospitals"],"prefix":"10.1017","volume":"20","author":[{"given":"Manabu","family":"Takiguchi","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02dkdym27","id-type":"ROR","asserted-by":"publisher"}],"name":"Kagoshima University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2573-9314","authenticated-orcid":false,"given":"Takumi","family":"Yamaguchi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04zb31v77","id-type":"ROR","asserted-by":"publisher"}],"name":"Saitama Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Honami","family":"Matsuo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/053d3tv41","id-type":"ROR","asserted-by":"publisher"}],"name":"Fukuoka International University of Health and Welfare"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiko","family":"Oishi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02qv90y91","id-type":"ROR","asserted-by":"publisher"}],"name":"NHO Nagasaki Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Matsunari","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/053d3tv41","id-type":"ROR","asserted-by":"publisher"}],"name":"Fukuoka International University of Health and Welfare"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"S1935789326104352_r7","doi-asserted-by":"publisher","DOI":"10.2174\/0118744346272802231124053544"},{"key":"S1935789326104352_r14","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzg031"},{"key":"S1935789326104352_r17","unstructured":"17. World Health Organization. State of the World\u2019s Nursing 2025: Investing in Education, Jobs, Leadership and Service Delivery. World Health Organization; 12 May 2025. Accessed July 1, 2026. https:\/\/www.who.int\/publications\/i\/item\/9789240110236"},{"key":"S1935789326104352_r9","unstructured":"9. Japanese Nursing Association. Certified Nurse Specialist. Accessed May 13, 2026. https:\/\/www.nurse.or.jp\/nursing\/qualification\/vision\/cns\/index.html"},{"key":"S1935789326104352_r1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)61106-0"},{"key":"S1935789326104352_r11","doi-asserted-by":"publisher","DOI":"10.18295\/squmj.2016.16.01.004"},{"key":"S1935789326104352_r12","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12369"},{"key":"S1935789326104352_r5","unstructured":"5. Nuclear Regulation Authority. Roles and Designation Requirements for Nuclear Emergency Core Hospitals and Related Institutions. October 3, 2025. Accessed May 13, 2026. https:\/\/www.nra.go.jp\/data\/000480564.pdf"},{"key":"S1935789326104352_r19","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-01900-5"},{"key":"S1935789326104352_r15","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"S1935789326104352_r4","unstructured":"4. Nuclear Regulation Authority. Nuclear Emergency Medical Care System. Updated April 1, 2026. Accessed May 13, 2026. https:\/\/www.nra.go.jp\/activity\/bousai\/measure\/medicalsystem.html"},{"key":"S1935789326104352_r16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"S1935789326104352_r3","unstructured":"3. International Atomic Energy Agency. Preparedness and Response for a Nuclear or Radiological Emergency Combined With Other Incidents or Emergencies. EPR-Combined Emergencies 2020. International Atomic Energy Agency; 2020. Accessed May 13, 2026. https:\/\/www.iaea.org\/publications\/13631\/preparedness-and-response-for-a-nuclear-or-radiological-emergency-combined-with-other-incidents-or-emergencies"},{"key":"S1935789326104352_r8","first-page":"191","article-title":"An analysis of the current situations of the Nuclear Disaster Medical Assistance Teams in Japan","volume":"29","author":"Ochi","year":"2024","journal-title":"Jpn J Disaster Med."},{"key":"S1935789326104352_r13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040296"},{"key":"S1935789326104352_r18","unstructured":"18. International Council of Nurses. The Global Nursing Shortage and Nurse Retention. International Council of Nurses; 2021. Accessed July 1, 2026. https:\/\/www.icn.ch\/sites\/default\/files\/inline-files\/ICN%20Policy%20Brief_Nurse%20Shortage%20and%20Retention_0.pdf"},{"key":"S1935789326104352_r2","unstructured":"2. International Atomic Energy Agency. Preparedness and Response for a Nuclear or Radiological Emergency. IAEA Safety Standards Series No. GSR Part 7. International Atomic Energy Agency; 2015. Accessed May 13, 2026. https:\/\/www.iaea.org\/publications\/10905\/preparedness-and-response-for-a-nuclear-or-radiological-emergency"},{"key":"S1935789326104352_r10","unstructured":"10. Hirosaki University Graduate School of Health Sciences. Radiation Nursing Was Newly Designated as a Certified Nurse Specialist Field by the Japanese Nursing Association. Accessed May 13, 2026. https:\/\/ghs.hirosaki-u.ac.jp\/hibakupj\/supportcenter\/s_c"},{"key":"S1935789326104352_r6","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2021.348"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789326104352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:13:11Z","timestamp":1790233991000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789326104352\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":19,"alternative-id":["S1935789326104352"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2026.10435","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e157"}}