Today, the patient's needs for medical care and services have become diversified and medical information spreads widely and swiftly at that. In these circumstances, nurses are strongly expected to further develop their faculties of nursing and appropriately responding to the patient's emotional state. To nurture capable nurses, it is neccessary to establish an adequate training and performance evaluation system.
 In 2002, we had a chance to participate in the planning of “the Mie prefectural enterprise for continuous nurse education and appropriate nursing staff arrangement”. Based on this experience, we made a guideline for continuous nurse education, practice manual and an appraisal table for each rank.
 Meanwhile, The Mie Prefectural Federation of Agricultural Cooperatives for Health and Welfare, was studying a faculty appraisal system for all staffs. We started our nurse education program incorporating this system.
 Our nurse education program is made up of five ability-areas, that is, (1) nursing practice, (2) education to the lower class nurse and research, (3) human-relationship achievement, (4) nursing team management and (5) risk management.
 The outcome of this program was examined by the appraisal committee according to the improvement level in nursing abilities (including both skills and sensibility).

Today, the patient's needs for medical care and services have become diversified and medical information spreads widely and swiftly at that. In these circumstances, nurses are strongly expected to further develop their faculties of nursing and appropriately responding to the patient's emotional state. To nurture capable nurses, it is neccessary to establish an adequate training and performance evaluation system.In 2002, we had a chance to participate in the planning of “the Mie prefectural enterprise for continuous nurse education and appropriate nursing staff arrangement”. Based on this experience, we made a guideline for continuous nurse education, practice manual and an appraisal table for each rank.Meanwhile, The Mie Prefectural Federation of Agricultural Cooperatives for Health and Welfare, was studying a faculty appraisal system for all staffs. We started our nurse education program incorporating this system.Our nurse education program is made up of five ability-areas, that is, (1) nursing practice, (2) education to the lower class nurse and research, (3) human-relationship achievement, (4) nursing team management and (5) risk management.The outcome of this program was examined by the appraisal committee according to the improvement level in nursing abilities (including both skills and sensibility).
Nurses ; nursing therapy ; educational ; Career Development ; seconds

10 male and 8 female skillful tester on physical fitness measurements were attended. They were measured one another the body girth and blood pressure of themselves. The result obtained on the same person by the different tester were not always coincident. The following issues were obtained.
(1) Mean value of individual error finding on the systolic pressure was about 4mmHg, on the diastolic pressure was about 6mmHg. Mean value of the difference between the maximum and minimum value of the systolic pressure reported on the same person was 15.4mmHg in male group. That of the diastolic value was 21.4mmHg in male group. For the female group, that of the systolic pressure was 17.0mmHg, that of the diastolic pressure was 23.0mmHg.
(2) Mean value of individual error (as under, be showed by“error”) obtained on the chest girth was 1.43cm in male group, 1.05cm in female group. Mean value of the difference between the maximum and minimum value (as under, be showed by“breadth”) was 5.99cm in male, 4.08cm in female.
(3) “Error”observed on the overarm extended girth was 0.73cm in male, 0.79 cm in female, “breadth”was 2.96cm in male, 2.99cm in female.
(4) “Error”finding on the overarm flexed girth was 0.60cm for both sex, “breadth”was 2.81cm in male, 2.43cm in female.
(5) For the forearm girth, “Error”was 0.40cm in male. 0.24cm in female, “breadth”was 1.81cm in male, was 1.35cm in female.
(6) For the thigh girth, “Error”was 0.90cm in male, 0.69cm in female, “breadth”was 3.91cm in male, 2.93cm in female.
(7) On the calf girth measurement, in male and female group, “Error”was 0.44 and 0.40cm, “breadth”was 1.51 and 1.48cm respectively.
From above mentioned findings, we considered that“Error”is possible to regard as unavoidable error, “breadth”might be probable error.

PURPOSE: This retrospective cohort study was conducted to demonstrate how allocation of nurses specialized in HIV care influences clinical outcomes of antiretroviral therapy (ART) for people living with HIV (PLWH). METHODS: The medical records of 116 PLWH who started ART between January 2002 and December 2004 were analyzed. Occurrence of viral suppression and viral relapse after suppression achievement and their time from baseline were observed as clinical outcomes related to ART. Clinical outcomes were obtained from medical records between January 2002 and December 2006. PLWH were classified into two groups according to allocation (n = 95, nurse allocated group) or nonallocation (n = 21, nurse nonallocated group) of nurses specialized in HIV. RESULTS: Survival analysis showed that HIV viral load was suppressed more rapidly and continuously in nurse allocated group than nonallocated group (p < .0001). Viral relapse after suppression achievement occurred easily in nurse nonallocated group than allocated group (p = .003). CONCLUSIONS: The present findings demonstrated that the role of specialized nurses is critically important from the viewpoint of clinical outcome.
Achievement ; Antiretroviral Therapy, Highly Active ; Cohort Studies ; HIV ; HIV Infections ; Japan ; Medical Records ; Nursing Service, Hospital ; Recurrence ; Retrospective Studies ; Viral Load