Tsukasa Domoto recognises the importance of a successful patient discharge procedure, with regular follow-up to ensure the health of patients. In his project, 'Interview after discharge from discharge hospital support staff. Effect on follow-up by phone on patient's medical care life', he is exploring the need for effective systems to be implemented and looking at the impact of this on patients following their discharge from hospital. Domoto is based at the Japanese Red Cross Hiroshima College of Nursing and Sonoda Women's University in Japan. He has experience working as a discharge planning nurse, which is how he encountered first-hand the difficulties associated with the discharge process and was inspired to create a more favourable system as he explains: 'When I worked as a discharge planning nurse, I realised the lack of involvement of the ward nurses in the discharge process. I felt it was important to have a system that involves ward nurses and enables them to offer discharge support,' he says. 'I believe that cooperation between the staff inside and outside of the hospital is necessary and I am exploring how the system can be improved.' In one line of investigation, Domoto and the team performed a literature review on the existing system for the provision of continued nursing care in Japan. The purpose of this research was to determine the trends in and content of cooperative nursing care in Japanese literature, with a view to understanding the care provision systems for hospitalised patients. This involved perusing original papers from the Japan Medical Abstracts Society, searching for terms such as 'continued nursin'', 'nurse' and 'cooperation', and then examining cooperation for seamless nursing care, survey content and the effects of the studies. The researchers' keyword search highlighted 174 papers, which the team narrowed down to 15 papers for analysis on the basis of whether the studies dealt with the introduction of a system for continued nursing. The researchers found that cooperation with visiting nurses, facility nurses or care managers were the common topics covered in all of the papers. The main methods of cooperation were found to be patient referral documentation and conferences on admission or before discharge. The team also found there were some recent studies on the topic conducted via questionnaires and interview surveys. In addition, the researchers found that cooperation between nurses for post-discharge care and support was reported in three papers. They also found that all the examined studies used case reports to research the effects of cooperation.