{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:44:34Z","timestamp":1791945874706,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":["22K10925"],"award-info":[{"award-number":["22K10925"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The number of children with medical complexity attending mainstream elementary schools in Japan has increased, highlighting the critical role of school nurses in supporting their care. We aimed to clarify the current status of school nursing practice and to explore factors associated with job satisfaction among school nurses supporting children with medical complexity in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an exploratory and descriptive cross\u2010sectional web\u2010based survey among school nurses working in elementary schools across nine prefectures in Japan with a high proportion of children having medical complexity (estimate of eligible nurses\u2009=\u2009768; valid responses\u2009=\u2009137). We measured job satisfaction levels using a visual analog scale and subsequently performed multiple regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Most school nurses were employed in non\u2010regular positions (93.7%); 65.6% worked as the sole nurse at their school. Advanced medical procedures were more frequently performed in schools with multiple school nurses. Job satisfaction was positively associated with collaborative achievement (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.539,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and consultations with school staff (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.214,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) and was negatively associated with developing individualized care manuals (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.184,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study suggests that effective interprofessional collaboration, appropriate staffing, and supportive working environments may be important for sustaining the school nursing workforce caring for children with medical complexity. These findings provide empirical evidence for considering working conditions and organizational support in developing a sustainable school nursing system in Japan.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jjns.70083","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T01:51:52Z","timestamp":1791942712000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["School Nursing Practice and Factors Associated With Job Satisfaction Among School Nurses Supporting Children With Medical Complexity in Japanese Elementary Schools"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6680-9308","authenticated-orcid":false,"given":"Mutsumi","family":"Seki","sequence":"first","affiliation":[{"name":"Division of Health Science Graduate School of Medical Sciences, Kanazawa University  Ishikawa Japan"},{"name":"Department of Nursing Faculty of Nursing, Niigata College of Nursing  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3106-9041","authenticated-orcid":false,"given":"Rie","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9777-0754","authenticated-orcid":false,"given":"Shizuko","family":"Omote","sequence":"additional","affiliation":[{"name":"Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4688-334X","authenticated-orcid":false,"given":"Satomi","family":"Ikeuchi","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing Graduate School of Medicine, Mie University  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2130-4121","authenticated-orcid":false,"given":"Yuko","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Department of Nursing Faculty of Nursing, Niigata College of Nursing  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8726-0661","authenticated-orcid":false,"given":"Yutaro","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.16.1987"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014\u20100318"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010\u20100910"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016\u20100852"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2010.05322.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/10598405040200020701"},{"key":"e_1_2_12_8_1","unstructured":"Japan Home\u2010Visit Nursing Foundation.2019.\u201cSchool Medical Care Implementation Response Manual for Nurses.\u201d(in Japanese).https:\/\/files.jvnf.or.jp\/files\/user\/kenkyu\/R1\/caremanual_nurse_all.pdf."},{"key":"e_1_2_12_9_1","unstructured":"Japan Home\u2010Visit Nursing Foundation.2021.\u201cSecuring Training Opportunities Related to Medical Care in Schools.\u201d(in Japanese).https:\/\/www.mext.go.jp\/content\/20211007\u2010mxt_tokubetu01\u2010000017950_1.pdf."},{"issue":"4","key":"e_1_2_12_10_1","first-page":"608","article-title":"Development of a Collaboration Achievement Scale for Personnel Involved in Medical Care at Special Needs Schools","volume":"73","author":"Kanayama M.","year":"2014","journal-title":"Journal of Child Health"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S93846"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840509349724"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010011\u20100751\u20107"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840514540940"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.11.009"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3912\/OJIN.Vol29No03PPT30a"},{"key":"e_1_2_12_17_1","unstructured":"Ministry of Education Culture Sports Science and Technology (Japan).2022a.\u201cResults of the Survey on Medical Care in Schools.\u201d(in Japanese).https:\/\/www.mext.go.jp\/content\/20220830\u2010mxt_tokubetu01\u2010000023938_1.pdf."},{"key":"e_1_2_12_18_1","unstructured":"Ministry of Education Culture Sports Science and Technology (Japan).2022b.\u201cSchool Basic Survey: Analytical Report on 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