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IZUMI HisakoGraduate School of Health Sciences / Faculty of Health SciencesProfessor
Researcher basic information
■ Research Keyword- 地域看護学 公衆衛生看護学
- 地域の看護アセスメント
- マルトリートメント予防
- 子育て支援
- 壮年前期
- 行動変容
- 自己効力感
- ライフスタイル
- メタボリックシンドローム
- プリシード・プロシードモデル
- 尺度開発
- 行動科学
- 青壮年期
- 高脂血症予防
- 介入プログラム
■ Committee History
- Jun. 2022 - Present, 日本公衆衛生看護学会, 学術実践開発委員会 委員長
- 2019 - Present, 日本看護科学学会, 和文誌査読委員
- 2017 - Present, 日本公衆衛生看護学会, 理事
- 2015 - Present, 日本地域看護学会, 編集委員
- 2015 - Present, 日本公衆衛生看護学会, 代議員
- Jun. 2020 - May 2022, 日本公衆衛生看護学会, 倫理委員会 委員長
- 2015 - 2020, 日本公衆衛生学会, 編集委員
- 2014 - 2019, 日本看護科学学会, 和文誌編集委員
- 2012 - 2019, 日本公衆衛生看護学会, 編集委員
Research activity information
■ Paper- (一社)日本公衆衛生看護学会, Apr. 2024, 日本公衆衛生看護学会誌, 13(1) (1), 58 - 61, Japanese
- Nov. 2023, 日本産業看護学会誌, 10(2) (2), 34 - 45産業看護職による生活習慣病予防・改善を目的とした睡眠保健指導の実態[Refereed]
- Apr. 2023, 日本公衆衛生看護学会誌, 12(1) (1), 19 - 28[Refereed]
- Apr. 2023, 日本地域看護学会誌, 26(1) (1), 22 - 31[Refereed]
- Wiley, 2022, Public Health Nursing, 39(4) (4), 812 - 819[Refereed]Scientific journal
- 2021, 日本公衆衛生看護学会, 10(2) (2), 34 - 42地域在住高齢者の社会活動の関連要因;地域コミットメントを含めた活動別の検討[Refereed]
- 日本社会医学会事務局, Jan. 2017, 社会医学研究, 34(1) (1), 11 - 20, JapaneseConcerning the development of the Parent-Child Relationship Assessment Tool (PCRAT), which is used during medical checkups on 18 month old children : With a focus on the characteristics of parents and children who are in need of assistance[Refereed]Scientific journal
- Aim: The aim of the present study was to clarify that the effects of accumulated experience in end-of-life care and communication skill on the attitudes of care workers' toward end-of-life care. Methods: A study implemented 2012 to 2014. Two hundred and fifty-three questionnaires were returned (40.2%), and 170 were fully completed by care workers in special nursing homes. We sorted the responses into two groups by experience level: the experienced end-of-life care (EE) group and the inexperience end-of-life care (IE) group. Responses were also sorted by communication skill level: a high score communication (HSC) group and a low score communication (LSC) group. A two-way repeated measure analysis of variance was used for the statistical analysis. Results: The EE group was more likely to be younger (P = .04), to have a longer duration of employment (P < .001), and to have participated in an EOL care seminar in their facility (P = .02) than the IE group. Attitudes toward end-of-life care were significantly different between the EE and IE groups (df = 2, F = 3.35, P < .05). Attitudes toward end-of-life care were not significantly different when comparing the HSC and LSC groups (df = 2, F = 0.17, P = .85). The communication skill between the HSC and LSC groups differed significantly at 2012, 2013, and 2014. Conclusions: The accumulation of end-of-life care experience prompted a positive change in attitudes toward end-of-life care. Meanwhile, communication skill had no significant effect to change attitudes toward end-of-life care.札幌医科大学医学部, Dec. 2016, 札幌医学雑誌, 85(1) (1), 39 - 45, English[Refereed]
- Jul. 2016, JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 42(7) (7), 831 - 836, English[Refereed]Scientific journal
- Mar. 2016, 北海道公衆衛生学雑誌, 29(2) (2), 129 - 135行政機関に働く保健師の専門職遂行能力の変化‐2001年と2013年の比較‐[Refereed]
- 日本社会医学会事務局, 2016, 社会医学研究, 33(1) (1), 131 - 138, Japanese親子関係アセスメントツールの開発-項目の内容妥当性の検討-[Refereed]Scientific journal
- 2015, 日本公衆衛生看護学会誌, 4(2) (2), 121 - 129, Japanese[Refereed]Scientific journal
- Objectives: The purpose of this study was to clarify factors influencing care workers' attitudes toward end-of-life (EOL) care characteristics at special nursing homes (SNHs). Methods: A questionnaire was initially sent to 630 care workers at 19 SNHs in October 2012. Written informed consent was obtained from 253 of these workers (40.2%), who then completed and returned the questionnaires. Participants were asked to reply to questions covering demographic data, work environment, depression status, experiences/education concerning EOL, communication skills, and attitudes toward EOL care. The Japanese version of the Frommelt Attitude Toward Care of the Dying Scale, Form B (FATCOD-B-J) assessment instrument was used in the analysis of the data received. Using the median value of the FATCOD-B-J score, 130 subjects were allocated to the high score (HS) group (FATCOD-B-J?23) and 123 to the low score (LS) group (FATCOD-B-J<23). In the LS group, the odds ratios (ORs) and their 95% confidence intervals (95% CIs) of participants exhibiting relatively negative attitudes toward EOL care were calculated and adjusted for potential confounding factors using multivariate logistic regression model analysis. Results: Length of employment in the facilities of between 5 and 9 years (OR 0.37, 95% CI 0.16-0.87) as well as over 10 years (OR 0.39, 95% CI 0.16-0.96) was significantly associated with a decreased risk of placement in the LS group. Furthermore, moderate (OR 0.44, 95% CI 0.24-0.80) as well as high (OR 0.35, 95%CI 0.17-0.75) communication skills in accepting other opinions, were significantly associated with decreased risk of placement in the LS group. Conclusions: After adjustments for potential confounding variables, results indicated that extended experience as a care worker and higher communication skills in accepting other opinions were significantly associated with a reduced risk of negative attitudes toward EOL care.札幌医科大学医学部, 2015, Sapporo Medical Journal, 84(1) (1), 27 - 33, English[Refereed]Scientific journal
- Dec. 2014, Open Journal of Nursing, 4(13) (13), 962 - 970, EnglishThe Effectiveness of Hyperlipidemia Prevention Intervention Designed to Affect Behavior Change: Focus on Changes in Health Behavior[Refereed]Scientific journal
- 札幌医科大学医学部, Dec. 2014, Sapporo Medical Journal, 83(1-6) (1-6), 21 - 27, English[Refereed]Scientific journal
- Aug. 2014, Open Journal of Nursing, 4(9) (9), 669 - 675, EnglishPsychosocial Characteristics of Fathers Who Have Abused Their Children as Seen by Public Health Nurses[Refereed]Scientific journal
- (一社)日本公衆衛生看護学会, Mar. 2014, 日本公衆衛生看護学会誌, 2(1) (1), 2 - 11, Japanese[Refereed]
- Jan. 2013, Open Journal of Nursing, 3(1) (1), 8 - 15, EnglishFactors that Affect the Process of Professional Identity Formation in Public Health Nurses[Refereed]Scientific journal
- Apr. 2012, GERIATRICS & GERONTOLOGY INTERNATIONAL, 12(2) (2), 230 - 237, English[Refereed]Scientific journal
- Mar. 2012, Open Journal of Nursing, 2(3) (3), 246 - 253, EnglishEvaluation of the effects of a leader-training program on public health nurse leadership for staff in Japan[Refereed]Scientific journal
- (一社)日本子ども虐待防止学会, Aug. 2010, 子どもの虐待とネグレクト, 12(2) (2), 271 - 287, JapaneseReviews of domestic and international research papers on the characteristics of fathers regarding child abuse[Refereed]
- 札幌医科大学保健医療学部, Mar. 2010, 札幌医科大学保健医療学部紀要, (12) (12), 17 - 26, Japanese
- Background: Depression affecting caregivers is a risk factor for discontinuing at-home care. Objective: The present cross-sectional study was conducted to evaluate factors related to depression of family caregivers. Methods: A cross-sectional study was conducted in order to evaluate factors related to depression among family aregivers for the frail elderly with periodic nurse service in 2008, in 7 home-visiting nursing service stations in Sapporo, Japan. Caregivers were asked to answer a self-administered questionnaire about various factors that might affect their depression, and also to complete a Center for Epidemiologic Studies Depression Scale Evaluation (CES-D). We analyzed 71 pairs in total. Results: Factors related to poor health (OR=3.40, 95%CI: 1.13, 10.18) and a longer time spent physically caregiving (OR=3.08, 95%CI: 1.02, 9.35) were associated with being depressed. On the other hand, factors related to a good or fair economic position (OR=0.30, 95%CI: 0.10, 0.91), having a sister or brother who could help from the outside (OR=0.21, 95%CI: 0.05, 0.91), being able to relieve irritation caused by caregiving (OR=0.10, 95%CI: 0.03, 0.36), using the care service at home well (OR=0.24, 95%CI: 0.06, 0.98), and being able to pay more than 10,000 Japanese Yen by themselves as part of the total care service costs (OR=0.15, 95%CI: 0.04, 0.57) were associated with not being depressed. Conclusion: Caregivers should be supported not only informally but also by a new government funded system.札幌医科大学医学部, 2010, 札幌医学雑誌 = The Sapporo medical journal, 79(1) (1), 21 - 27, English[Refereed]
- Purpose : This study examined job satisfaction in novice public health nurses (PHNs) employed by a local government, in relation to mentoring, individual factors and organizational factors. Method : The subjects were 756 PHNs with work experience of 2 to 5 years. A total of 312 (41.3%) questionnaires were collected, of which 226 (29.9%) provided valid responses. Self-administered questionnaires (unsigned) were used to collect the data by mail. The questionnaire consisted of 93 items, including 14 items on job satisfaction, 42 items on mentoring, 13 items on individual factors (individual attributes, job attributes, job background, self development, etc.), 24 items on organizational factors (working environment, availability of continuing education at the workplace, working conditions, availability of mentoring, etc.). The mean scores of job satisfaction were obtained as two separate items. The data were analyzed by using chi-square test, t-test and multivariate logistic regression analysis. Results : The significant relation were found between job satisfaction and "mentoring scale" (OR ; 4.57, 95% CI ; 2.38-8.76), "small amount of overtime" (OR ; 1.75, 95% CI ; 1.17-2.61), and "large number of PHNs in one's division" (OR ; 1.28, 95% CI ; 1.05-1.55). Discussion : This study showed that novice PHNs employed by a local government recognition of support from a mentor seems to be prerequisite of job satisfaction, and the importance of mentoring was reinforced.Japan Academy of Community Health Nursing, Mar. 2009, 日本地域看護学会誌, 11(2) (2), 15 - 24, Japanese[Refereed]
- Mar. 2009, 北海道公衆衛生学雑誌, 22(2) (2), 82 - 91, Japanese市町に勤務する新任保健師のメンタリングの受け止めとその関連要因の検討[Refereed]
- Effect of the Training Program for Public Health Nurse Leaders on the Self-evaluation of Their Leadership Skills本研究の目的は保健師指導者のリーダーシップ能力の自己評価の実態と保健指導者育成プログラムの効果を明らかにすることである。北海道と2県内の保健師指導者を対象にプログラム実施前後に自記式質問紙調査を実施し,プログラムに参加し回答のあった102名を分析対象とした。調査内容は対象者の属性と自作のリーダーシップ能力の自己評価に関する5項目である。開始前のリーダーシップ能力と属性との関連はt検定を用いて解析し,プログラムの効果は対応のあるt検定を用いて解析した。対象者のリーダーシップ能力の自己評価はほぼ4点であった(できる6点―できない1点)。リーダーシップ能力の自己評価は職位と人材育成・看護管理研修受講の有無と関連していた。実施後にリーダーシップ能力に対する自己評価が全般的に向上し,プログラムの効果があった。今後,保健師指導者のリーダーシップ能力を高めるような現任教育体制を整備していく必要がある。The aim of this study was to examine the self-evaluation of leadership skills of public health nurse leaders and evaluate the effect of the training program for public health nurse leaders. Self-administrative questionnaire surveys were conducted among public health nurse leaders in Hokkaido and 2 prefectures before and after the training program. The data of 102 subjects who participated in the training and completed the questionnaires were analyzed. The questionnaire comprised items concerning the characteristics and leadership skills of the subjects (the 5 items on leadership skills were developed by the authors of this study). The relation between self-evaluation of leadership skills and characteristics before the training was analyzed using t-test and the effect of the training was analyzed using paired t-test. The score of leadership skills of the subjects was about 4 point ("Yes, I can: 6 point" - "No, I can not: 1 point"). Self-evaluation of leadership skills were found to be related to position and participation/non-participation in human resources development and nursing management training programs. Self-evaluation of leadership skills of the subjects improved on the whole throughout the training period, proving the effectiveness of the program. It is necessary to develop an ongoing education system aimed at improving leadership skills of public health nurse leaders.看護総合科学研究会, Dec. 2007, 看護総合科学研究会誌, 10(3) (3), 13 - 24, Japanese[Refereed]
- Nov. 2007, 北海道公衆衛生学雑誌, 21(2) (2), 151 - 157地域保健従事者に求められる保健師指導者の能力の実態-保健師指導者育成プログラム研修参加者の自己評価-[Refereed]
- Sep. 2007, PUBLIC HEALTH NURSING, 24(5) (5), 449 - 457, English[Refereed]Scientific journal
- We assessed the relationship between participation in basic health check-ups and the cost of medical expenditure (CME) in the National Health Insurance (NHI) of Sapporo, Japan. The CME in fiscal year 2004, was calculated for each of the 115,966 participants in the basic health check-ups the same year, which as 37.2% of the citizens aged 40 years or over who were covered with the NHI. Moreover, the CME in fiscal year 2004 was also calculated for each of the 28,105 non-participants in the basic health check-ups of the same year who were randomly selected from the residual 62.8% of citizens aged 40 years or over covered with the NHI. Then, through record linkage using identification numbers of the NHI, the CME was calculated according to results of blood chemical tests or other measurements among the participants in the basic health check-up. An analysis of covariance was performed to compare age-adjusted means among the different groups by sex. As a result, the mean CME in the participant group was twice as high as that in the non-participant group. The proportion of experience in attending medical institutions as an outpatient and/or inpatient in the same year was significantly lowe札幌医科大学, Jun. 2007, 札幌医学雑誌, 76(1) (1), 13 - 18, Japanese[Refereed]
- 北海道公衆衛生学会, Mar. 2007, 北海道公衆衛生学雑誌, 20(2) (2), 78 - 84, Japanese保健師指導者の人材育成におけるスタッフへのマネジメントの実態と属性の関連[Refereed]
- Mar. 2007, 北海道公衆衛生学雑誌, 20(2) (2), 72 - 77, Japanese加速度センサー装置での身体活動量測定と身体活動と関連する要因の検討[Refereed]
- (一社)日本地域看護学会, Mar. 2007, 日本地域看護学会誌, 9(2) (2), 7 - 14, Japanese[Refereed]
- Sep. 2006, HEPATO-GASTROENTEROLOGY, 53(71) (71), 742 - 746, EnglishRelationship between hepatocellular carcinoma and impaired glucose tolerance among Japanese[Refereed]Scientific journal
- Jun. 2006, Sleep and Biological Rhythms, 4(2) (2), 111 - 120, English[Refereed]Scientific journal
- 北陸公衆衛生学会, Oct. 2005, 北陸公衆衛生学会誌, 32(1) (1), 31 - 37, JapanesePerspectives of Novice Public Health Nurses Working at Administrative Agencies on the Professionalism and the Process of Job Acceptance of Public Health Nursing[Refereed]
- Mar. 2005, 北海道公衆衛生学雑誌, 18(2) (2), 97 - 103, Japanese地域保健と職域保健の一元化した健康診査データの分析―自治体と一事業所の健康診査データから―[Refereed]
- Japan Geriatrics Society, 2005, Japanese Journal of Geriatrics, 42(4) (4), 411 - 416, Japanese[Refereed]Scientific journal
- Dec. 2004, International Medical Journal, 11(4) (4), 259 - 262, EnglishFactors related to hospitalization among the frail elderly with home-visiting nursing service in the winter monthsScientific journal
- ウェルネス・ヘルスケア学会, Dec. 2004, 金沢大学つるま保健学会誌, 28(1) (1), 143 - 150, English[Refereed]
- 北陸公衆衛生学会, Oct. 2004, 北陸公衆衛生学会誌, 31(1) (1), 18 - 23, JapaneseDevelopment of the Interpersonal Healthcare Competence of New Public Health Nurses Through the Introduction of a Continuing Education Program (Report 2)-Study on Developmental Characteristics by the Structuralization of Interpersonal Healthcare Competence[Refereed]
- Oct. 2004, 北陸公衆衛生学会誌, 31(1) (1), 11 - 17, JapaneseDevelopment of the Interpersonal Healthcare Competence of New Public Health Nurses Through the Introduction of a Continuing Education Program (Report 1)-Study by Means of Case-support Experience and Self-Evaluation of Skills-[Refereed]
- (一社)日本地域看護学会, Sep. 2004, 日本地域看護学会誌, 7(1) (1), 16 - 22, Japanese[Refereed]
- Mar. 2004, 北陸公衆衛生学会誌, 30(2) (2), 65 - 72, JapanesePerceptions of Continuing Education among Proficient Public Health Nurses Employed by a Local Government[Refereed]
- (一社)日本地域看護学会, 2003, 日本地域看護学会誌, 6(1) (1), 32 - 39, Japanese[Refereed]
- 2, 2003, Japanese Journal of Geriatrics, 40(2) (2), 147 - 155, Japanese[Refereed]Scientific journal
- 国立保健医療科学院, Sep. 2002, 保健医療科学, 51(3) (3), 154 - 167, JapaneseThe Burden felt by family caregivers of frail elderly before and after the introduction of public long term care insurance system in Keichiku District, Fukuoka Prefecture[Refereed]
- Objective: To compare perceptions and awareness regarding ethical issues in epidemiological studies among medical university students before and after a lecture on ethical issues in epidemiological studies. Methods: Medical university students responded to a self-administered questionnaire about ethical issues in epidemiological studies. Results: Perceptions and awareness regarding ethical issues in epidemiological studies among medical university students did not change after the lecture on ethical issues in epidemiological studies. Medical university students had fewer philosophical concerns about ethical issues in epidemiological studies than nursing college students.Conclusion: We should give more information about the ethical issues in epidemiological studies to medical students as well as young fellows.Sapporo Medical University, Aug. 2002, 札幌医学雑誌, 71(3-4) (3-4), 33 - 38, Japanese[Refereed]
- 訪問看護ステーションの指導者が、基礎教育課程の在宅看護実習をどう受けとめ、学生に何を学んで欲しいと思っているかを明らかにする為に、訪問看護ステーションの実習を担当している看護職員にフォーカス・グループ・インタビューを実施した。訪問看護ステーションが実習を引き受ける意義は、学生が在宅看護や継続看護を学ぶ機会であり、ステーション側にとっては訪問看護職員の自己啓発の機会、多くの看護職に在宅看護の重要性を広める機会と受けとめていた。また、在宅看護の教育者としてより良い学びをさせたいという責任を感じる反面、充分な指導体制が整備されていないための負担も感じていた。学生に学んで欲しいことは、療養者のその人らしい生活を実感するなどの対象理解と、対象を尊重した看護ケアのあり方、継続看護の重要性、そして広く看護に興味や関心をもつことであった。The purpose of this study was to identify home-care nursing(HCN)instructore's awareness regarding how they understood HCN students'practice, and what they want students to learn in home care.Participants of this focus group interview are HCN instructors who educates students of our university. The meaning that HCN instructors undertakes HCN students'practice are the students'opportunity to learn HCN and continuum of nursing care. Moreover it is the opportunity to enlighten selves for home-visit nursing staff and to popularize the importance of HCN in a lot of nurses. Also, the nurses as the educator of HCN notice the responsibility that they want those students to have the better learning, but on the other hand they feel the load that enough coach system is not provided. The HCN instructors hope the students to understand that the life of the patients is suitable for the person and the ideal ways of nursing care which respected the patient and their family, and the importance of continuum of nursing care. And then, they hoped the students to have an interest and an appeal in nursing widely.Sapporo Medical University, Mar. 2002, Bulletin of School of Health Sciences, Sapporo Medical University, (5) (5), 65 - 77, Japanese
- (一社)日本地域看護学会, 2002, 日本地域看護学会誌, 5(1) (1), 28 - 35, Japanese地域の看護アセスメントのための教育用モデルの開発[Refereed]
- 2002, 北海道公衆衛生学雑誌, 16(2) (2), 50 - 55, Japanese行政で働く保健師の職務満足と個人属性および職場内環境要因との関連[Refereed]
- 北陸公衆衛生学会, Mar. 2001, 北陸公衆衛生学会誌, 27(2) (2), 76 - 80, JapaneseProgram Evaluation of Caring Empowerment Education for Elderly.[Refereed]
- 学習の動機づけや学業評価に影響を及ぼすとされている自己効力と、学生にとって困難な学習課題とされている地域の看護アセスメントの演習に対する自己評価を明らかにし、その関連を検討することを目的とした。平成12年度の本学第4学年57名の地域の看護アセスメントの演習に対する自己効力は、視覚アナログ尺度(100㎜)で測定したところ、最大73㎜、最小0㎜、平均42.0±16.2㎜であった。演習に対する自己評価は4件法で測定したところ、14項目中13項目において「ほぼ理解している」と71.9?93.0%の学生が回答していた。地域の看護アセスメントの演習に対する自己効力と自己評価はほとんどの項目で関連が見られなかった。演習終了時において学生は、地域の看護アセスメントについて大枠理解できたと考える。演習に対する自己効力や自己評価が低かった学生に対して、今後の学習過程をとおして自己効力や自己評価を高めるかかわりが必要であると考える。The purpose of this study was to examine levels of student self?efficacy and student selfevaluation in the practice of community nursing assessment. The participants were 57 undergraduate nursing students in their senior year. Self?efficacy was measured with a 100 point visual analogue scale before the community assessment exercise. Fourteen items measured student self?evaluation after the assessment exercise. Students rated their ability as "understand," "somewhat understand," "did not understand very well," "did not understand." Seventy?one point nine percent to 93.0% of the students checked "somewhat understand" in 13 of 14 items. The self?efficacy score was mean 42.0 mm, the minimum 0 mm, the maximum 73 mm. The test results demonstrate that student self?efficacy is not related to student self?evaluation. The conclusion of the researcher was that although some students understood the principles of community nursing assessment there were many students with low scores in self?efficacy or selfevaluation. These results demonstrate that the nursing curriculum must take steps to increase student knowledge in this subject area and increase students' ability to evaluate their progress.Sapporo Medical University, Mar. 2001, Bulletin of School of Health Sciences, Sapporo Medical University, (4) (4), 45 - 51, Japanese
- 日本健康教育学会, Dec. 2000, 日本健康教育学会誌, 8(1/2) (1/2), 5 - 12, Japanese[Refereed]
- 2000, Journal of telemedicine and telecare, 6 Suppl 2[Refereed]Scientific journal
- 2000, Journal of telemedicine and telecare, 6 Suppl 2[Refereed]Scientific journal
- 4, 2000, Asian Pacific journal of cancer prevention : APJCP, 1, 269 - 276A Review of Cohort Studies on the Association Between History of Diabetes Mellitus and Occurrence of Cancer.[Refereed]
- Lead, Aug. 2023, 日本公衆衛生看護学会誌, 12(2) (2), 142 - 145, Japanese公衆衛生看護実践のためのガイドライン作成に向けてMeeting report
- 2023, 日本公衆衛生看護学会学術集会講演集, 12th中堅期行政保健師の健康課題の明確化における情報分析能力とその関連要因
- 2023, 日本公衆衛生看護学会学術集会講演集, 12th新興感染症発生時の看護提供体制の構築に関する研究 感染拡大地域の保健師管理者の体制整備に焦点を当てて
- 2023, 日本公衆衛生看護学会学術集会講演集, 12th保健所におけるCOVID-19届出症例の診断から積極的疫学調査までの期間の検討
- 2023, 日本公衆衛生看護学会学術集会講演集, 12th新興感染症発生時の看護提供体制の構築に関する研究-看護職による保健所支援活動の実態
- 2023, 日本公衆衛生看護学会学術集会講演集, 12th文系大学生の新型コロナウイルス感染症のワクチン接種の実態とその関連要因
- 2023, 日本公衆衛生看護学会学術集会講演集, 12thCOVID-19流行後における地域在住高齢者の社会的フレイルの実態とその関連要因
- 2023, 日本公衆衛生看護学会学術集会講演集, 12th3,4ヵ月児をもつ保護者の児のための地震への備えの実態
- Lead, 2022, 日本公衆衛生看護学会誌, 11(1) (1), 70 - 73コロナ禍でのICTを活用した研究における倫理を考える
- Apr. 2020, 日本公衆衛生看護学会誌, 9(1) (1), 59 - 61学会誌投稿推進セミナー:書いてみよう! 活動報告
- (一社)日本地域看護学会, Dec. 2019, 日本地域看護学会誌, 22(3) (3), 54 - 61, Japanese[Refereed]
- (一社)全国保健師教育機関協議会, May 2019, 保健師教育, 3(1) (1), 13 - 20, Japanese
- 日本公衆衛生看護学会, Apr. 2019, 日本公衆衛生看護学会誌, 8(1) (1), 69 - 72, Japanese論文作成のコツと査読のプロセスを理解しよう!Meeting report
- 日本公衆衛生看護学会, Apr. 2018, 日本公衆衛生看護学会誌, 7(1) (1), 49 - 51, Japanese学会誌投稿推進セミナー入門編:原稿の書き方を伝授します!Meeting report
- 日本保健師教育機関協議会誌, May 2017, 保健師教育, 1, 16 - 21, Japanese公衆衛生看護学を教授する教員のキャリアラダー 2016 年度版[Invited]Meeting report
- 一般社団法人 全国保健師教育機関協議会, 2017, 保健師教育, 1(1) (1), 52 - 52, Japanese
- 医学書院エムワイダブリュー, 2016, 日本地域看護学会誌, 19(1) (1), 80 - 83, Japanese地域看護に活用できるインデックス 自己効力感Introduction scientific journal
- 聖マリア学院大学, 2016, 聖マリア学院大学紀要, 7, 39 - 41, Japanese看護大学で公衆衛生学を教授する意義[Refereed]Report research institution
- 日本社会医学会, Jul. 2015, 社会医学研究, 32(2) (2), 79 - 88, English[Refereed]
- 2015, 北海道公衆衛生学雑誌, 29(2) (2), 139 - 145, Japanese行政機関に働く保健師の専門職務遂行能力の変化-2001年と2013年の比較-[Refereed]Report scientific journal
- Purpose : This study was conducted in order to clarify the concrete contents of the support provided to families with at-risk mothers and children in need of continuous help from public health nurses (PHNs). Method : Eight PHNs participated in the study as research participants. They were above mid-level and continuously implemented the supports and resolved the problem or completed them in the municipality of Z Prefecture. Semi-structured interviews were carried out based on an interview guide. The results were classified and arranged according to the meaning and content of the actual support, and categories were extracted. Results : The contents of PHNs providing support to families in need were classified into 11categories of "support to mother", 1 category of "support to child" and 3 categories of "support to family": 15 categories with 3 items in total. The actual support contents included childcare consultation, nursing care, instruction and advice, and introduction of social resources. Discussion : For the purpose of solution and improvement of subjects' health problems, PHNs are considered to have performed the support corresponding to each family's health problems, improving family relationships, and use of health and welfare services. The support was conducted through consultations, health guidance and coordination of social resources, and this improved the subject families' self-care ability. The contents of the clarified PHN support may contribute to the guideline assessments for the support given to families in need of continuous PHN assistance.Japan Academy of Community Health Nursing, 30 Nov. 2013, 日本地域看護学会誌, 16(2) (2), 55 - 62, Japanese[Refereed]
- 日本民族衛生学会, Jan. 2013, 民族衛生, 79(1) (1), 3 - 10, EnglishA demographic description of caregivers in Sapporo Japan : male caregivers are here to stay[Refereed]
- Purpose : The objective of this study was to describe how public health nurses (PHNs) support mothers, who have vague worries about bringing up children or feel somewhat isolated, by introducing them to peer support groups (Groups). Methods : The subjects were five PHNs. The data were collected from semi-structured interviews about support provided to mothers, and analyzed using summarized content analysis. Results : The supports were classified into five sequential phases and the findings indicated there are direct and indirect interventions when working with representatives or the Groups themselves. The first phase includes "providing detailed information that helps the mothers picture what the Groups are like," and "telling mothers about the advantages of participation." The second phase involves "keeping in touch with the mothers," and "requesting representatives to discuss the mothers' needs." The third phase includes "introducing the mothers to representatives," and "staying with the mothers to observe them." The fourth phase involves "asking about their impressions after the first meeting," and "sharing information about the mothers with representatives." The fifth phase includes "monitoring the physical and emotional state of the mothers and their children by continually being involved in regular health examinations," and "keeping in touch with representatives." Discussion : The supports from PHNs include: providing detailed information that motivates mothers to join the Groups; observing the mothers and evaluating their conditions, while still respecting the mothers' autonomy; and all the while trying to establish mutual trust. Ultimately, the aforementioned is to reduce the mothers' worries.Japan Academy of Community Health Nursing, 31 Aug. 2012, 日本地域看護学会誌, 15(1) (1), 119 - 125, Japanese
- 31 Mar. 2012, 北海道公衆衛生学雑誌, 25(2) (2), 95 - 100, Japanese発達課題のある子どもや育児不安を持つ母親を集団の場につなぐ保健師の活動[Refereed]
- Objective : This study aimed to develop guidelines in public health nursing practice for the promotion of preventive long-term care systems, and to investigate the validity and reliability of the guidelines. Method : In this study, we surveyed 1612 public health nurses at municipal and Community General Support Centers nationwide, and from that group we resurveyed 141 public health nurses after obtaining consent for the resurvey. The contents of the survey included items on basic attributes, the "proposed guidelines for public health nursing practice in the promotion of preventive long-term care systems" , and an evaluation scale for collaborative activities. Results : Valid responses came from 509 public health nurses and responses to the resurvey from 91 public health nurses. They were analyzed based on the factor analysis results of the original 42 guideline items. We developed 29 guideline items for public health nursing practice for the promotion of preventive long-term care systems, into 4 factors: (1) "laying the foundations for proactive involvement of citizens" ; (2) "strengthening preventive care activities through the evaluation and provision of information" ; (3) "understanding the needs for preventive care using various methods", and (4) "sharing the challenges and objectives of preventive long-term care." The cumulative proportion was 51.9 %, confirming the content validity. The Cronbach's alpha of all items in the guidelines developed was 0.95, and the Cronbach's alpha for each factor ranged from 0.80 to 0.90, indicating internal consistency. The interclass correlation coefficient was 0.83, indicating reliability. Conclusion : We confirmed the validity and reliability of the developed guidelines, consisting of 4 factors, and 29 items for public health nursing practice in the promotion of preventive long-term care systems. These guidelines examine the activities of public health nurses from the standpoint of system promotion and are expected to become indices for the development of targeted activities. The guidelines function as indices comprising specific features to promote preventive long-term care systems.Japan Academy of Community Health Nursing, 31 Mar. 2012, 日本地域看護学会誌, 14(2) (2), 5 - 13, Japanese
- 札幌医科大学, Dec. 2011, 札幌医学雑誌, 80(1) (1), 15 - 22, EnglishAssociation between salivary alpha-amylase activity and stress-related characteristics
- 日本社会医学会事務局, 31 Mar. 2011, 社会医学研究, 28(1) (1), 65 - 73, JapanesePublic health nursing practice in the promotion of long-term care prevention systems with a focus on collaboration between community residents and public health nurses
- 日本老年社会科学会, 20 Jan. 2011, 老年社会科学, 32(4) (4), 443 - 452, JapaneseIdentification of items for the guidelines of public health nursing practice in the promotion of long-term care prevention systems
- The present study was conducted to identify the risk factors which could lead to hospitalization or institutionalization among the frail elderly receiving in-home care in Japan. The follow up study was conducted in 7 nursing home stations in Sapporo, Japan. Informed consent was received from 86 pairs of caregivers and disabled elderly in October 2008. We excluded 15 patients aged 64 years or younger and their caregivers. Thus, in total we analyzed 71 pairs. Among the 71 pairs, 2 died at home. Dying at home is regarded as successful in-home care and therefore those 2 cases were included for the analysis in the present study. The follow-up period of the present study was defined as 6 months. We confirmed the current home health care situation by mail for family caregivers. Frail female elderly were revealed to be at a significant low risk of institutionalization or hospitalization (HR=0.17, 95%CI=(0.04, 0.80)). The present cohort study is now being produced, and we intend to continue to report on it in the future.The Society of Japanese Women Scientists, 2010, Journal of The Society of Japanese Women Scientists, 11(1) (1), 65 - 68
- 日本公衆衛生学会, Oct. 2009, 日本公衆衛生学会総会抄録集, 68回, 414 - 414, Japanese行動変容を目的とした高脂血症予防のための介入プログラムの効果
- 日本公衆衛生学会, 15 Apr. 2009, 日本公衆衛生雑誌, 56(4) (4), 242 - 250, Japanese
- (一社)日本地域看護学会, 31 Mar. 2009, 日本地域看護学会誌, 11(2) (2), 52 - 58, Japanese
- Feb. 2009, 医科学応用研究財団研究報告, 26, 66 - 75, Japanese唾液中アミラーゼ測定器と身体活動記録機を活用したアジア2カ国(中国,日本)におけるストレスや身体活動と精神的健康度との関連性の研究
- 31 Mar. 2008, 北海道公衆衛生学雑誌, 21(2) (2), 141 - 150, Japanese1歳6か月児健康診査で保健師が「不適切な養育」と捉えた母親の状況―調査票開発に向けた項目作成のプロセス―
- 2008, 保健師指導者の育成プログラムの開発 平成17-19年度 総合研究報告書, 29 - 39, Japanese保健師指導者の育成プログラムの開発 保健師指導者育成プログラム I:ファーストレベル
- 2008, 保健師指導者の育成プログラムの開発 平成19年度 総括・分担研究報告書, 19 - 29, Japanese保健師指導者の育成プログラムの開発 保健師指導者育成プログラム I:ファーストレベル
- 2008, 保健師指導者の育成プログラムの開発 平成19年度 総括・分担研究報告書, 11 - 17, Japanese保健師指導者の育成プログラムの開発 保健師のキャリアラダーと保健師指導者の人材育成プログラム
- 2008, 保健師指導者の育成プログラムの開発 平成17-19年度 総合研究報告書, 11 - 17, Japanese保健師指導者の育成プログラムの開発 保健師のキャリアラダーと保健師指導者の人材育成プログラム
- 2008, 保健師指導者の育成プログラムの開発 平成17-19年度 総合研究報告書, 19 - 28, Japanese保健師指導者の育成プログラムの開発 アクションリサーチを用いた保健師指導者の育成
- Purpose : The purpose of this study was to investigate diffidence in proficient public health nurses who conduct self-evaluations of community-focused nursing. Methods : Subjects were seven public health nurses with 6-10 years of experience at prefectural health care centers and were also experienced in developing community-focused nursing for those suffering from mental disorders based on individual support. The data were collected using semi-structured interviews. Diffidence is defined as "a feeling mainly occurring due to self-consciousness and insecurity wherein one does not trust or respect their own judgment, competence, and skill, leading to low self-esteem." In addition, qualitative, inductive analyses were conducted. Results : Based on the data, even the proficient public health nurses working at health care centers and building networks and organizations for mental disorder patients were found to be diffident. Diffidence included "worry and anxiety about collaborating with health care, medical and welfare workers," "difficulty in building a network among health care, medical and welfare workers," "difficulty in maintaining organization for those concerned about patients with mental disorders," "strain and anxiety of developing mental health nursing in the community" and "pain and anxiety in smoothly supporting individual cases." Discussion : We consider that the diffidence of the proficient public health nurses was self-questioning about their judgments and actions from the perspective of ideal competence and proficiency. Moreover, the diffidence of these proficient public health nurses appeared to be a self-evaluation of their judgments and actions with reflection about how to provide better support. It was suggested that it is important that the proficient public health nurses evaluate their own competence adequately, and that the support organization of chief nurses and colleagues should provide guidance and advice to these proficient but diffident nurses.Japan Academy of Community Health Nursing, 10 Oct. 2007, 日本地域看護学会誌, 10(1) (1), 66 - 71, Japanese
- 31 Mar. 2007, 北海道公衆衛生学雑誌, 20(2) (2), 105 - 111, JapaneseA市の50人未満の小規模事業場における健康管理に関する実態調査
- 2007, 保健師指導者の育成プログラムの開発 平成18年度 総括・分担研究報告書, 137 - 143, Japanese保健師指導者の育成プログラムの開発 保健師指導者の人材育成におけるスタッフへのマネジメントの実態
- 2007, 保健師指導者の育成プログラムの開発 平成18年度 総括・分担研究報告書, 67 - 80, Japanese保健師指導者の育成プログラムの開発 Off‐JT,OJTでの指導力育成教育プログラムの開発―北海道(空知)プロジェクトの実施・評価―
- 2007, 保健師指導者の育成プログラムの開発 平成18年度 総括・分担研究報告書, 1 - 6, Japanese保健師指導者の育成プログラムの開発
- (公社)日本看護科学学会, Nov. 2006, 日本看護科学学会学術集会講演集, 26回, 379 - 379, Japanese
- 日本公衆衛生学会, Oct. 2006, 日本公衆衛生学会総会抄録集, 65回, 372 - 372, Japanese加速度センサーでの身体活動量測定と身体活動と関連する要因の検討
- 札幌医科大学, Jun. 2006, 札幌医学雑誌, 75(1) (1), T11 - 19, Japanese壮年前期の高脂血症予防のための保健行動に対する自己効力感尺度の開発
- 北海道公衆衛生学会, 31 Mar. 2006, 北海道公衆衛生学雑誌, 19(1/2) (1/2), 118 - 125, Japanese壮年前期の高脂血症予防のための保健行動―尺度開発に向けた項目作成過程―
- 医学書院, 25 Feb. 2006, 看護教育, 47(2) (2), 184 - 187, Japanese
- 2006, 保健師指導者の育成プログラムの開発 平成17年度 総括・分担研究報告書, 52 - 63, Japanese保健師指導者の育成プログラムの開発 保健師指導者の業務推進や後輩育成のためのリーダーシップ育成プログラムの開発
- 2006, 保健師指導者の育成プログラムの開発 平成17年度 総括・分担研究報告書, 45 - 51, Japanese保健師指導者の育成プログラムの開発 保健師指導者の育成プログラムの開発―アクションリサーチによる取り組み―
- 本研究は、入院児の保護者がとる喫煙行動と喫煙態度について明らかにすること、子どもへの受動喫煙防止パンフレットに対する喫煙習慣のある保護者の評価を明らかにすること、以上2点を目的に質問紙調査を行った。対象は、研究への参加を文書で同意した、入院児の喫煙する保護者50名(母親22名、父親28名)であった。そのうちの15名より作成したパンフレットに対する評価を得た。結果は統計的に分析した。保護者の受動喫煙防止の行動では、「完全分煙」9名(18%)、「同室分煙」35名(70%)、「分煙なし」6名(12%)であった。喫煙態度では、無関心期19名(38.8%)、関心期22名(44.9%)、準備期8名(16.3%)、不明1名であった。子どもの入院中に保護者が医師からの禁煙助言を希望する者は14名(28%)で、看護師からは11名(22%)であった。パンフレットの評価では、多くの者が文章は分かりやすく、興味が持てたと回答した。半数以上が新たに学ぶことがあったと回答し、具体的には「空気清浄器や換気扇の使用では受動喫煙を免れられないこと」等の内容があげられた。本パンフレットは対象者の興味を引き、喫煙保護者に使用可能な教材であることが示唆された。The purpose of this study was to explore(1)parental smoking behavior and attitudes,(2)their evaluations of brochure to reduce passive smoking for children. The subjects were 50 smoking parents(22 mothers and 28 fathers)of patients admitted to the child inpatient units of general hospitals in Sapporo. Fifteen of the 50 parents evaluated the brochure prepared by researchers. The data were analyzed statistically.Regarding restriction of the passive smoking status, 9 parents(18%)had a complete ban on smoking at home, 35 parents(70%)had a limited smoking ban at home and 6 parents(12%)had no smoking ban at home. Regarding readiness to quit, 19 (38.8%), 22(44.9%)and 8(16.3%)of parents were in the precontemplation, contemplation and preparation stages, respectively. Only 11 parents(22%)showed interest in smoking cessation intervention by nurses during their child's admission, and 14 parents(28%)showed interest in that by physicians. In relation to the brochure, most parents agreed with the item"this brochure is easy for me to understand"and "this brochure interested me."More than half of them said that this brochure brought them new information such as that using a fan or filter could not stop passive smoking exposure of their children. This brochure may interest smoking parents and could be useful for them as a practical teaching material.Sapporo Medical University, Dec. 2005, 札幌医科大学保健医療学部紀要, (8) (8), 51 - 57, Japanese
- 大道学館出版部, 20 Aug. 2005, 月刊臨床と研究, 82(8) (8), 1366 - 1370, JapaneseNursing burden and depression of the nursing person after introduction of the nursing care on sickness insurance. Investigation for visiting care service user after 5 years and before introduction.
- 日本公衆衛生学会, Aug. 2005, 日本公衆衛生学会総会抄録集, 64回, 418 - 418, Japanese壮年前期の高脂血症予防のための保健行動に対する自己効力感尺度作成の試み
- 日本公衆衛生学会, Aug. 2005, 日本公衆衛生学会総会抄録集, 64回, 470 - 470, Japanese市町村および保健所の新任保健師の現任教育体制構築に関する実践評価
- 日本公衆衛生学会, Aug. 2005, 日本公衆衛生学会総会抄録集, 64回, 686 - 686, Japanese中学生の保護者の「飲酒に対する禁止態度」に関する実態調査
- 北海道公衆衛生学会, 31 Mar. 2005, 北海道公衆衛生学雑誌, 18(2) (2), 142 - 148, Japanese中堅指導者の新任者教育に関する継続教育プログラムの評価(第2報)―継続教育プログラムに参加した中堅指導者の認識から―
- 北海道公衆衛生学会, 31 Mar. 2005, 北海道公衆衛生学雑誌, 18(2) (2), 135 - 141, Japanese中堅指導者の新任者教育に関する継続教育プログラムの評価(第1報)―プリセプター役割機能に焦点をあてて―
- 2005, インフルエンザ予防接種のEBMに基づく政策評価に関する研究 平成16年度 総括・分担研究報告書, 24 - 27, JapaneseEvidence-based evaluation of policies for influenza vaccination. Influenza vaccine to homebound elderly receiving visiting care.
- Japan Geriatrics Society, 2005, Japanese Journal of Geriatrics, 42(4) (4), 411 - 416, Japanese
- Kanazawa University, 27 Dec. 2004, Journal of the Tsuruma Health Science Society, 28(1) (1), 113 - 120, EnglishPractical competence of public health nurses working for local goverment : Comparison-1996 and 2001
- 本報告は、平成15年度、札幌医科大学保健医療学部看護学科と札幌医科大学医学部附属病院看護部が、看護学生の臨地実習における同意書のあり方に関して検討を行った経過を報告するものである。検討の経過において、同意書の導入には、責任体制や事故時の対応といった実習の指導体制の確立、看護技術項目と水準の明確化が必要であることが確認された。同意書のあり方に関しての検討は、書面を用いるか否かだけの検討ではなく、安全な実習を保障することの大切さを確認する機会となった。実習施設や対象者の特性に応じた同意のあり方に関して検討することは不可欠と思われ、実習施設と教育機関が共に検討しそのプロセスを共有することが重要である。1年に亘り検討を行った結果、同意に関するガイドラインとして「臨地実習における同意に関する取り扱い」を作成するに至り、平成16年度の実習において同意書を導入することとなった。今後、同意書を実際に導入した際の課題について検討を進めていく予定である。This report presented the process of discussion about the informed consent form of clinical practice in undergraduate nursing education. The discussion was held in the Committee of the Department of Nursing, Sapporo Medical University and Division of Nursing, University Hospital from April in 2003 to March in 2004. Though the process of discussion, it was confirmed that establishment of guidance and support for nursing students and delimitation of standard of nursing techniques were necessary in clinical practice. In other words, it was important not only to discuss how informed consent should be done but to discuss how the safety of clinical practice should be ensured. Therefore it is essential that educational facilities and clinical institutions discuss about informed consent suited for characteristic of institutions and subjects. As a result of the discussion, the guide for informed consent was redacted to introduce the informed consent form of clinical practice in September, 2004. In future, the actual problems on introduction of the informed consent form should be explored and reviewed.Sapporo Medical University, Mar. 2004, 札幌医科大学保健医療学部紀要, (7) (7), 115 - 121, Japanese
- 2004, 新任保健師の遠隔継続教育プログラムの開発 平成15年度 総括・分担研究報告書, 120 - 125, JapaneseDevelopment of distance continuing education program for newly appointed health worker - Implementation and evaluation of regional projects: Implementation and evaluation of Hokkaido project.
- 2004, 新任保健師の遠隔継続教育プログラムの開発 平成15年度 総括・分担研究報告書, 50 - 86, JapaneseDevelopment of distance continuing education program for newly appointed health worker - Implementation and evaluation of educational program for personal assistance capability training of newly appointed personnel: In-service education program for middle
- 15 Dec. 2003, 公衆衛生情報, 33(12) (12), 45 - 47, Japaneseテレビ会議システムを用いたコンサルテーション 札幌医科大学の保健師に対する継続教育支援
- 医学書院, Jul. 2003, 訪問看護と介護, 8(7) (7), 581 - 584, Japanese高齢者のケアとMRSA
- 2003, 北海道公衆衛生学雑誌, 17(2) (2), 74 - 78, Japanese地域・職域健康管理の連携のための健康診査データベースの構築
- (一社)日本看護学教育学会, Jul. 2002, 日本看護学教育学会誌, 12(学術集会講演集) (学術集会講演集), 131 - 131, Japanese在宅看護実習の問訪対象者に対する指導者の配慮 実習指導者を対象としたフォーカスグループインタビューの結果から
- 01 Jan. 2002, Journal of epidemiology, 12(1) (1), 78 - 78, Japanese健康指標と主観的健康状態との関連性 : 「札幌市健康づくり基本計画に関する市民意識調査」から
- 01 Jan. 2002, Journal of epidemiology, 12(1) (1), 173 - 173, Japanese介護保険施行後の在宅療養者のサービス利用と家族の介護負担感との関連
- 地域の看護アセスメントに関して効果的な実習を行うため、現場の指導者が認識している指導上の困難を明らかにすることを目的とした。実習指導者46名に質問紙による調査を行い、44名の回答があった。質問紙の内容は、地域を対象とする看護アセスメントの指導についての難易、学習方法についてであった。指導者にとって指導の難易度では、「地域のサブシステムのアセスメント」、「健康課題の抽出」、「健康課題の構造化」の3項目が非常に困難な実習指導上の課題となっていた。また、指導の困難性では、教育指導上の課題、実習フィールドとしての課題、大学と実習地の教育上の協働に関する課題があげられた。これらのことから、学習方法としての課題提示と実習方法の改善課題、指導者に対する指導方法の研修の必要性が示唆された。The purpose of this study was to identify and describe aspects of "community health assessment" that nurse educators find difficult to impart to undergraduate nursing students. Forty?six public health nurses were invited to respond to a semi?structured questioner. Fortyfour responded. Data was analyzed using qualitative methods. Regarding the community assessment process, respondents felt that it was difficult to instruct "assessment of community subsystem", "selection of health issues" and "structuring of health issues". They described other difficulties: educative support to students; some problem as educational field; and collaboration between the university and the community. These results indicate ways to modify the community practice program for students that will increase their ability to learn community assessment, as an important aspect of public health nursing.Sapporo Medical University, Mar. 2001, Bulletin of School of Health Sciences, Sapporo Medical University, 0(4) (4), 37 - 44, Japanese
- (一社)日本地域看護学会, 01 Mar. 2001, 日本地域看護学会誌, 3(1) (1), 142 - 149, Japanese保健活動における地域の看護アセスメントの課題 保健婦の認識をとおして
- 脳血管性痴呆とアルツハイマー型痴呆高齢者の受療における介護者の認識Purpose : The purpose of this study was to find the caregivers' cognitions when the elderly with dementia receive medical treatment, and to discuss the different and common cognitions of caregivers of the elderly with Alzheimer-type dementia (ATD) and vascular dementia (VD). Methods : The subjects were 8 caregivers who currently attend medical institutions. They were interviewed using semi-structured questionnaire. All interviews were transcribed, and analyzed using the qualitative method Results : Nine phases were found in the cognitions of caregivers of the elderly with ATD and with VD. 1) Difficulty in having the cared received medical treatment. 2) Purposes to receive medical treatment. 3) Medical plans made by the doctors. 4) Accompanying to hospitals. 5) Evaluation of experiences in hospitalization. 6) Dealing with acute symptoms. 7) Doctors' attitudes toward the family. 8) The families' questions and needs to doctors. 9) Significance of consulting Centers for Senile Dementia. Of these 9 phases, some different and common characteristics between caregivers of ATD and VD were found. The major differences were firstly in the difficulty in attending hospitals. The ATD caregivers had recognized difficulty in dealing with the cared at medical institutions, while VD caregivers had recognized difficulty in preparing at home before receiving medical treatment Secondly, ATD caregivers had recognized the consultation to find out the degrees of progress of the dementia and to keep contacts with medical institutions. VD caregivers had recognized as to treat and control basal diseases. Thirdly, in evaluating how hospitalization influenced the cared, ATD caregivers recognized lowered cognitive ability, and VD caregivers recognized lowered physical ability. Fourthly, in doctors' attitudes, ATD caregivers had recognized doctors' considerate attitudes toward them ; VD caregivers had received instructions for medical treatment. Thus ATD caregivers needed doctors to explain the treatment more and to understand their life as well as to have a better attitude to the cared. VD caregivers needed more information on demential diseases. Common cognitions were in difficulty with hospitalization and dealing with acute symptoms These 9 cognitions highlighted 3 issues to consider medical treatment to the elderly with dementia : 1) to understand the caregivers difficulty and needs related to medical treatment. 2) to organize better conditions for consultations with doctor and 3) to deal with acute symptoms ; which will be important to ensure continual medical treatment and to support continual home life.Japan Academy of Community Health Nursing, 01 Mar. 2001, 日本地域看護学会誌, 3(1) (1), 108 - 114, Japanese
- 2001, コミュニティヘルスナーシングハンドブック 地域看護におけるディメンションモデル「ヘルスプロモーション」「人口集団」「感染症」「慢性の健康問題」
- 2000, 北海道公衆衛生学雑誌, 14(1) (1), 31, Japanese30・40歳代女性の健康に関する意識と保健行動
- 日本老年社会科学会, 2000, 老年社会科学, 22(3) (3), 375 - 384, Japanese高齢者の介護に対する認識--介護のエンパワーメント教室参加後の質的データ分析から
- 2000, 北海道公衆衛生学雑誌, 14(2) (2), 158 - 164, Japanese学士課程の地域看護学実習における「地域の看護アセスメント」の学習課題の必要性に関する実習指導者の認識
- (公社)日本看護科学学会, Nov. 1999, 日本看護科学学会学術集会講演集, 19回, 548 - 549, Japaneseテレビ会議システムを活用した遠隔教育 看護婦を対象とした呼吸リハビリテーション技術に関する教育活動
- (公社)日本看護科学学会, Nov. 1999, 日本看護科学学会学術集会講演集, 19回, 552 - 553, Japaneseテレビ会議システムを活用した遠隔研修会 保健センタースタッフへの継続教育
- (公社)日本看護科学学会, Nov. 1999, 日本看護科学学会学術集会講演集, 19回, 466 - 467, Japaneseアルツハイマー型痴呆性疾患の夫を介護する妻の夫に対する認識
- 1999, 北海道公衆衛生学雑誌, 13, 74, Japanese女子高校生の骨密度の実態
- 1999, 北海道公衆衛生学雑誌, 13(2) (2), 184 - 189, Japanese「地域の看護アセスメント」に関する教育 演習における学生の理解と遠隔通信システムを活用した教育方法の試み
- 1998, 北海道公衆衛生学雑誌, 12(2) (2), 176 - 184, JapaneseNursing burden sensation of families with home old people needing nursing and factors associating nursing burden sensation : Focusing relationship of main nursing persons.
- 日本公衆衛生学会, Oct. 1997, 日本公衆衛生学会総会抄録集, 56回, 923 - 923, Japanese高齢者の介護に対する関心とその関連要因 高齢者の介護教室を考えるにあたって
- 25 Mar. 1997, 思春期学, 15(1) (1), 77 - 79, JapaneseAdolescent Class in Five years Activie report
- 1997, 北海道公衆衛生学雑誌, 11, 171 - 177介護教室における高齢者の介護への態度形成に於いての事前の関心の重要性
- Feb. 1996, 保健婦雑誌, 52(2) (2), 137 - 141, Japanese
- 医学書院, Apr. 2024, Japanese, ISBN: 97842600538602025年版 保健師国家試験問題集
- 第2章執筆, クオリティケア, Aug. 2023, Japanese, ISBN: 9784911097007地域・在宅看護学
- 医学書院, Apr. 2023, Japanese, ISBN: 97842600524122024年版 保健師国家試験問題集
- Joint work, 医学書院, Apr. 2022, Japanese, ISBN: 97842600481012023年版 保健師国家試験問題集
- Joint work, 第4章地域アセスメントの基本と活用, 医歯薬出版, Jan. 2022, Japanese, ISBN: 9784263238059公衆衛生看護学テキスト2 公衆衛生看護の方法と技術 第2版
- Joint work, 医学書院, Apr. 20212022年版 保健師国家試験問題
- Joint work, 医学書院, Apr. 20202021年版 保健師国家試験問題
- Joint work, 医学書院, Apr. 2019, Japanese2020年版 保健師国家試験問題Others
- Joint work, 医歯薬出版株式会社, Oct. 2018, Japanese地域看護アセスメントガイド 第2版Textbook
- Joint work, 医学書院, Apr. 2018, Japanese2019年版 保健師国家試験問題Others
- Joint work, 医学書院, Apr. 2017, Japanese2018年版 保健師国家試験問題Others
- Joint work, 医学書院, Apr. 2016, Japanese2017年版 保健師国家試験問題Others
- Contributor, 第2章地域アセスメント, 医歯薬出版株式会社, 2014公衆衛生看護テキスト 第2巻 公衆衛生看護技術
- Contributor, 第7章対象者への生活支援, クオリティケア, 2010在宅看護学
- Contributor, 44-47、62-73頁, 医歯薬出版株式会社, 2007地域看護アセスメントガイド
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- The 7th International Conference on Community Health Nursing Research 2022年6月Viewpoints on Postpartum Depression Risk Assessment among Japanese Community Health Nurses
- 6th International Conference of Global Network of Public Health Nursing 2022年1月Defining features and issues of mothers and 18-month-old children who make intervention of public health nurses challenging during medical checkups
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- 第10回日本公衆衛生看護学会学術集会, Jan. 2022コロナ禍でのICTを活用した研究における倫理を考える
- 6th International Conference of Global Network of Public Health Nursing, Jan. 2022Duties and autonomy of nurses working in elderly daycare services facilities
- 6th International Conference of Global Network of Public Health Nursing, Jan. 2022The relationship between the adult behavior of undergoing medical examination, self-rated health, health consciousness, and health practices
- 第80回日本公衆衛生学会総会, Dec. 2021デイサービスに勤務する看護職の自律性に 関連する要因
- 24th East Asian Forum of Nursing Scholars Virtual Conference, Apr. 2021Viewpoint on postpartum depression risk assessment for cases of postpartum of the Edinburgh Postnatal Depression Scale of less than 9
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- 日本公衆衛生看護学会学術集会講演集 2020年12月 (一社)日本公衆衛生看護学会, Dec. 2020小規模多機能型居宅介護事業所における災害対策の実態
- 日本看護科学学会学術集会講演集, Dec. 2020, Japanese, (公社)日本看護科学学会産後うつ病の母親への退院後の支援のための視点 文献の内容分析から
- 日本公衆衛生看護学会学術集会講演集, Dec. 2020, Japanese, (一社)日本公衆衛生看護学会小学校養護教諭による保護者へのがんについての情報発信の現状と課題
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- The 6th International Nursing Research Conference of World Academy of Nursing Science, EnglishA Literature Review of Postpartum Depression Screening
- 日本公衆衛生看護学会学術集会講演集, Jan. 2020, Japanese, (一社)日本公衆衛生看護学会青壮年期のメタボリックシンドローム予防の保健行動に対する自己効力感尺度の開発
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- 日本公衆衛生学会総会抄録集, Oct. 2019, Japanese, 日本公衆衛生学会放課後等デイサービス施設における防災行動の実態と課題
- 日本公衆衛生学会総会抄録集, Oct. 2019, Japanese, 日本公衆衛生学会中学校の保健主事によるがん教育の実施状況とその課題
- 日本公衆衛生学会総会抄録集, Oct. 2019, Japanese, 日本公衆衛生学会3、4ヵ月児をもつ父親の育児に対する自己効力感と親性、ソーシャルサポートの実態
- 第7回日本公衆衛生看護学会学術集会, Jan. 2019, Japanese, 宇部市, Domestic conference地域在住高齢者の防災行動に関連する要因の検討-災害への認識および地域への愛着に焦点を当てて-Oral presentation
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- 第7回日本公衆衛生看護学会学術集会, Jan. 2019, Japanese, 宇部市, Domestic conference高齢者の身近な地域における社会活動の実態とその関連要因の検討Oral presentation
- 第7回日本公衆衛生看護学会学術集会, Jan. 2019, Japanese, 宇部市, Domestic conference1歳6か月児の母親の睡眠の実態および睡眠の質の関連要因の検討Oral presentation
- 第6回日本公衆衛生看護学会学術集会, Jan. 2018, Japanese, 大阪, Domestic conference修士課程における実践能力の強化を目指した保健師教育―公衆衛生看護学実習(行政)の展開と工夫―Oral presentation
- 日本公衆衛生学会総会抄録集, Oct. 2017, Japanese, 日本公衆衛生学会親子関係アセスメントツール(PCRAT)の事例適用状況の検討
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- 日本老年医学会雑誌, Oct. 2016, Japanese, (一社)日本老年医学会介護職の看取りに対する態度と勤務継続の関連性の検討 縦断調査による介護職継続群と脱落群の比較検討より
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- 日本公衆衛生学会総会抄録集, Oct. 2011, Japanese北海道における在宅要介護高齢者を介護する家族の抑うつ:追跡1年後の結果より
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- 日本公衆衛生学会総会抄録集, Oct. 2009, Japanese福祉分野の専門職がとらえた親のマルトリートメント(不適切な関わり)
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- 日本看護科学学会学術集会講演集, Nov. 2007, Japaneseリーダーシップ能力の変化からみた保健師指導者現任教育の効果
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- 北海道公衆衛生学雑誌, Nov. 2007, Japanese在宅で男性介護者が要介護者に対して行っている食事に関する行動の実態と妻への思い
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- 日本公衆衛生学会総会抄録集, Oct. 2007, Japanese保健師指導者の人材育成プログラムの評価(第2報)―指導者の自己効力感に焦点を当てて―
- 日本公衆衛生学会総会抄録集, Oct. 2007, Japanese保健師指導者の人材育成プログラムの評価(第1報)―職場組織の育成に焦点を当てて―
- 日本公衆衛生学会総会抄録集, Oct. 2007, Japanese1歳6か月児健康診査で保健師が捉えた不適切な養育行動の実態
- 日本看護科学学会学術集会講演集, Nov. 2006, Japanese地域保健の変革期における保健師指導者が捉えた現任教育推進上の課題
- 日本公衆衛生学会総会抄録集, Oct. 2006, Japanese加速度センサーでの身体活動量測定と身体活動と関連する要因の検討
- 日本小児保健学会講演集, Sep. 2006, Japanese母子入院中の保護者へ行う健康と禁煙支援活動‐母親の喫煙状況からみた活動評価‐
- 北海道公衆衛生学雑誌, Aug. 2006, JapaneseA市内の小規模事業場の健康管理の現状と課題
- 日本小児保健学会講演集, Oct. 2005, Japanese母子入院の保護者に対する健康と禁煙支援活動―病棟と大学の協働による取り組み―
- 日本公衆衛生学会総会抄録集, Aug. 2005, Japanese中学生の保護者の「飲酒に対する禁止態度」に関する実態調査
- 日本公衆衛生学会総会抄録集, Aug. 2005, Japanese壮年前期の高脂血症予防のための保健行動に対する自己効力感尺度作成の試み
- 日本公衆衛生学会総会抄録集, Aug. 2005, Japanese市町村および保健所の新任保健師の現任教育体制構築に関する実践評価
- 日本看護管理学会年次大会講演抄録集, Aug. 2005, Japanese継続教育における保健師管理者の課題―新任保健師の対人支援能力育成プログラムを実践して―
- 北海道公衆衛生学雑誌, Nov. 2004, Japanese地域保健と職域保健の一元化した健康診査データの分析―高脂血症と危険因子との関連についての検討―
- 北海道公衆衛生学雑誌, Nov. 2004, Japanese岩見沢保健所管内における神経難病患者ケアマネジメントの構造評価とその関連要因
- 日本健康教育学会誌, May 2004, Japanese地域住民の循環器系疾患発症の危険因子の検討
- 日本公衆衛生学会総会抄録集, Oct. 2003, Japanese行政機関に勤務する中堅保健師の継続教育に対する認識
- 日本公衆衛生学会総会抄録集, Oct. 2003, Japanese介護保険利用者の家族の介護負担感とその関連要因
- 日本公衆衛生学会総会抄録集, Oct. 2002, Japanese要介護高齢者の主介護者の介護負担 Zaritの介護負担尺度を用いて
- 日本公衆衛生学会総会抄録集, Oct. 2002, Japanese睡眠補助品使用と生活習慣との関連性 「札幌市健康づくり基本計画」市民意識調査の結果から
- 日本公衆衛生学会総会抄録集, Oct. 2002, Japanese行政機関に勤務する保健師のキャリア発達 (2) 職務満足と関連要因
- 日本公衆衛生学会総会抄録集, Oct. 2002, Japanese行政機関に勤務する保健師のキャリア発達 (1) 専門職務能力と関連要因
- 日本看護学教育学会学術集会講演集, Jul. 2002, Japanese在宅看護実習の訪問対象者に対する指導者の配慮‐実習指導者を対象としたフォーカスグループインタビューの結果から
- 札幌医科大学保健医療学部紀要, Mar. 2002, Japanese看護学生の在宅看護実習に対する訪問看護ステーション指導者の受けとめ‐フォーカス・グループ・インタビューの手法を用いて
- 日本看護科学学会学術集会講演集, Dec. 2001, Japanese30歳代女性に対する行動変容を目的とした高脂血症予防教育の評価
- 日本公衆衛生学会総会抄録集, Oct. 2001, Japanese地域住民の虚血性心疾患発症の危険因子に関する検討
- 日本公衆衛生学会総会抄録集, Oct. 2001, Japanese健康行動と総死亡リスクとの関連性 北海道第一次産業地域コホート研究の15年間の追跡結果から
- 日本公衆衛生学会総会抄録集, Oct. 2000, Japanese痴呆性高齢者の医療機関継続受診に関わる介護者のニーズと困難性
- 日本公衆衛生学会総会抄録集, Oct. 2000, Japanese地域の看護アセスメント演習に対する学生の自己効力と自己評価の関連
- 日本公衆衛生学会総会抄録集, Oct. 2000, Japanese地域の看護アセスメントについての保健婦の認識
- 北海道公衆衛生学雑誌, 2000, Japanese30・40歳代女性の健康に関する意識と保健行動
- 日本看護科学学会学術集会講演集, Nov. 1999, Japaneseテレビ会議システムを活用した遠隔研修会 保健センタースタッフへの継続教育
- 日本看護科学学会学術集会講演集, Nov. 1999, Japaneseテレビ会議システムを活用した遠隔教育 看護婦を対象とした呼吸リハビリテーション技術に関する教育活動
- 日本看護科学学会学術集会講演集, Nov. 1999, Japaneseアルツハイマー型痴呆性疾患の夫を介護する妻の夫に対する認識
- 日本公衆衛生学会総会抄録集, Oct. 1999, Japanese痴呆性老人のディケア・ディサービス利用についての配偶者の認識
- 日本公衆衛生学会総会抄録集, Oct. 1999, Japanese地域看護の授業への実践現場からの参加 テレビ会議システムを活用して
- 日本公衆衛生学会総会抄録集, Oct. 1999, Japanese現任教育を通して臨床と大学との協働についての一考察
- 日本公衆衛生学会総会抄録集, Oct. 1999, Japanese30歳代女性の健康に対する意識とライフスタイルと血清脂質との関連
- 北海道公衆衛生学雑誌, 1999, Japanese女子高校生の骨密度の実態
- 日本公衆衛生学会総会抄録集, Oct. 1998, Japanese大学教育における地域の看護アセスメント (第2報) 教育科目の活用状況
- 日本公衆衛生学会総会抄録集, Oct. 1998, Japanese大学教育における地域の看護アセスメント (第1報) 演習後・実習後の理解度の比較
- 日本公衆衛生学会総会抄録集, Oct. 1997, JapaneseInterest for the nursing of aged people and its related factors. Considering the nursing classroom of aged people.
- 北海道公衆衛生学雑誌, 1997, JapaneseUtilization of community as partner models to community assessment in fundamental education.
■ Research Themes
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (B), Osaka University, 01 Apr. 2023 - 31 Mar. 2027Development of type 3 evidence assessment indicators and application models to promote public health nursing research and practice
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 新見公立大学, 01 Apr. 2023 - 31 Mar. 2027産後うつ予備群のうつ発症を予防するための支援ガイド作成と検証
- 日本学術振興会, 科学研究費助成事業 基盤研究(B), 基盤研究(B), 大阪大学, Apr. 2023 - Mar. 2027公衆衛生看護研究・実践を推進するタイプ3エビデンス評価指標と適用モデルの開発
- 日本学術振興会, 科学研究費助成事業 基盤研究(C), 基盤研究(C), 神戸大学, 01 Apr. 2020 - 31 Mar. 2023ミネソタモデルに基づく公衆衛生看護介入のための教育用モデルの開発本研究は、保健師の基礎教育課程において地域アセスメントに基づく健康課題への介入方法を教授するために、ミネソタモデルに基づく公衆衛生看護介入のための教育用モデルを開発し、その有用性を検討することを目的に、3段階からの研究から成る。 2021年度はCOVID-19感染症の影響で遅れていた第1段階の保健師を対象にフォーカスグループインタビューを行い、介入の具体的内容を明確化し、教育モデル原案の項目作成を目指していた。 ミネソタモデルの17の活動方法(アドボカシー、ソーシャルマーケティング、施策化と施行、サーベイランス、疾病と健康調査、アウトリーチ、スクリーニング、ケースの発見、照会とフォローアップ、ケースマネジメント、委託された職務の遂行、健康教育、カウンセリング、コンサルテーション、協働、連携づくり、住民の組織づくり)の中で、公衆衛生看護学教育モデル・コア・カリキュラム(2017)に示されていない、ソーシャルマーケティング、照会とフォローアップ、委託された職務の遂行、コンサルテーションの内容の検討を行った。具体的な公衆衛生看護介入の内容において委託された職務の遂行に関しては、COVID-19感染症への対応において委託される状況よりも、保健師以外の専門職や専門職以外にアウトソーシングせざるを得ない状況が生じている現状から、内容の明確化に課題が明らかとなった。 公衆衛生看護介入の具体的容を明確化するために近畿および北海道において協力依頼をし、同意得られた経験年数10年以上の年の保健師(6~8名)の4グループを対象にミネソタモデルの17の活動方法に関して、我が国における具体的容についてフォーカスグループインタビューを行う予定であった。しかし、COVID-19の感染への対応で保健師業務が逼迫しており、協力依頼およびインタビューは2021年度も延期することとなった。
- 日本学術振興会, 科学研究費助成事業 基盤研究(C), 基盤研究(C), 北海道科学大学, 01 Apr. 2018 - 31 Mar. 20221歳半健診で気になる親子の把握と親支援のための保健師のスキルアップ教材の開発1歳6か月児健康診査(以下、健診とする)で、①保健師が介入困難な事例、②保健師の健診での関わり方の課題、③健診に必要なスキルアップ教材のニーズについて明らかにすることを目的に、健診に従事経験のある保健師5人を対象にグループインタビューを実施した。 ①保健師が介入困難な事例:母親が孤立している、コミュニケーションを行う上で反応が鈍い・ずれている・かみ合わない、子どもの様子を把握していない、子どもへの関わり方が希薄で子どもに合った関わりができていないなどが示された。また、子どもは視線が合わない、言葉を発しない/少ない、積み木が積めない、落ち着きがない、指示が理解できないなど、発達上の課題やコミュニケーションの取りづらい子どもの様子が示された。 ②保健師の関わり方の課題:子どもの発達が緩やかで積み木積み、指差し、有意語などの課題を確認できないと、「母親が子どもにうまく関われていない」ことを保健師が突き詰めることにつながり、母親は保健師に対して拒否的な態度を示す例が散見された。また、健診のフォロー率は、以前は50~60%で、基準を見直して40%後半に低下したが高い状況にある。したがって、問診を取る上で、発達の見方を学習すると共に、母親とのコミュニケーション方法について、コーチングや動機づけ面接を用いて関係づくりに焦点化した面接技術を構築していく必要性が示唆された。 ③健診に必要なスキルアップ教材のニーズ:有用な教材として、自分の意志でオンライン学習する場合は、特定日を設けてアクセスする方法で、興味ある内容(例えば、具体的な問診のやり取り、子どもの発達について、良い例と悪い例を比較して示すなど)で、45分から1時間程度のオンデマンドなどだと眠くならずに学習できる。また、実際の生活ではラインは使うが、スカイプなどのネット電話やZoomなどの活用は経験がないことが示された。
- 日本学術振興会, 科学研究費助成事業 基盤研究(C), 基盤研究(C), 岡山県立大学, 01 Apr. 2018 - 31 Mar. 2021地域母子保健における産後うつ予備群への予防的支援のためのアセスメントツールの開発我が国ではスクリーニング法の一つとして「日本語版エジンバラ産後うつ病質問票(以下、EPDS)」を実施している。本研究では、EPDS 9点未満の継続支援の判断基準が明らかになっていないことに着目し、地域母子保健に従事する看護職が同様の視点で査定できるようなアセスメントツールの開発が必要と考えた。 本年度は研究1「地域母子保健に従事する看護職のEPDS 9点未満のケースに対する継続支援の実態調査」として、「EPDS」9点未満ではあるが、地域母子保健に従事する看護職が継続支援を必要と判断しているケースの実態を明らかにすることを目的に、国内の全市町村に調査を依頼し、承諾の得られた157市町村、545人の看護職に配布、317人(回収率58.2%)回収した。また研究2「産後うつ病予備軍に対しての看護職の視点」として、EPDS9点未満の産後うつ病予備群に対して看護職はどのような視点で予防的支援のためのアセスメントしていたのかを明らかにすることを目的に、フォーカス・グループ・インタビュー法を用いた質的研究を進めている。予定では3か所の市町村保健センターでの実施予定であるが、現在2か所、計12人の看護職の協力のもとインタビューが実施された。 研究成果については、The 6th International Nursing Research Conference of World Academy of Nursing ScienceでReviewを発表した。 次年度は研究1の分析や研究2の残り1か所のインタビューの実施とそれらの結果を内容分析し、研究1・2の結果をもとに地域母子保健に従事する看護職の視点に着目した産後うつ病予備群の予防的支援のためのアセスメントツールを作成する予定である。
- 文部科学省, 学術研究助成基金助成金(基盤研究(C)), 2014 - 2016, Principal investigatorCompetitive research funding
- 文部科学省, 学術研究基金助成金(基盤研究(C)), 2013 - 2015NICU入院児の在宅移行を推進する訪問看護師の活動に関する研究Competitive research funding
- 文部科学省, 学術研究助成基金助成金(基盤研究(C)), 2012 - 2014Competitive research funding
- 文部科学省, 科学研究費補助金(基盤研究(B)), 2010 - 2013, Principal investigatorCompetitive research funding
- Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(C)), Grant-in-Aid for Scientific Research (C), Sapporo Medical University, 2009 - 2012We analyzed data from cases as told to us through a semi-structured interview with public health nurses who had been in charge of services for child abuse, and review of domestic and international research papers on the characteristics of fathers regarding child abuse and cases report meeting of infants abuse.From the all these data, the characteristics of fathers who commit child abuse werethe difficulty to build relationships with others includes emotional family relationship, and to express emotion and characteristics of selfish behaviors. The findings suggest the necessity for expert public health nurses to understand fathers, to be aware of the difficulty of building a supportive relationship with fathers, and to improve skills to help fathers form a good relationship with family members.Competitive research funding
- Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(C)), Grant-in-Aid for Scientific Research (C), Sapporo Medical University, 2008 - 2011The objectives of this study are to obtain criteria to assess child maltreatment;inadequate parenting(MT) from interviews with specialists who deal with MT, and to evaluate a child-rearing program in which coaching was provided for mothers who committed MT. As a result, the criteria to assess MT, which the specialists perceived, consist of the mother and child relationship, the mother's characteristics, the mother's self-care abilities, and family issues. Some significant elements of the mother and child relationship in the MT criteria are that "interaction unsuitable for their children's development","weak interaction","excessive expectations","mothers' inabilities to regard their children as a different person" and so on. and "identification of the mother and child" and so on. Criteria related to the mother's some characteristics include diagnostic criteria of adult developmental disorders. Therefore, the necessity to investigate these characteristics as underlying factor contributing to MT has been suggested. Also, we conducted and evaluated our experimental child-rearing support program which provides coaching for mothers in an MT high-risk group. The findings showed that the program provided mothers with opportunities where they can take a second look at their child-rearing by self-reflection, and we observed changes in the relationship between the mothers and children and their communication with others.Competitive research funding
- Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(B)), Grant-in-Aid for Scientific Research (B), Sapporo Medical University, 2006 - 2008, Principal investigator自己効力感を高めることを基盤として、セルフモニタリング、スモールステップ法を取り入れた個別面接を中心とした3週間の介入プログラムを、高脂血症有所見者あるいは高脂血症既往歴者に実施した。介入の前後等の比較の結果、日常生活での健康行動は望ましいとされる方向に変容し、生活習慣の改善が見られた。また、個々人の実践可能な目標設定と、目標の実行状況から生活習慣の改善が見られた。Competitive research funding
- Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(C)), Grant-in-Aid for Scientific Research (C), Sapporo Medical University, 2003 - 2006This study was carried out (1) to explore parental smoking status at a child inpatient unit and (2) to evaluate nursing activities from the point of view of the nurse and the parents taking their child's hospitalization as an opportunity to stop smoking. 1.Report of parental smoking status at home We administered a questionnaire to smoking parents with children admitted to the child inpatient unit. Fifty of the 118 parents (42.4%) responded. Most patients were exposed to passive smoking by their parents at home. Parents acquired pertinent knowledge about smoking cessation or separate smoking from an original brochure. Parents who were less concerned about smoking cessation tended to see smoking as a kind of stress relief. In contrast, parents concerned about smoking cessation tended to be anxious about family members' health. They cared about smoking cessation intervention by professionals while their children were in the hospital. 2.Nursing activities and evaluation of the program for "supporting parental smoking cessation and health" in the maternal-child unit Parents with admitted disabled children were recruited in the program "supporting parental smoking cessation and health" in 2005-2006. Of them, 61 participated. Their knowledge about smoking improved significantly. However, there were no changes in the number of cigarettes they smoked or the stage of readiness to quit smoking. Nurses also improved their smoking knowledge significantly. They had to make efforts as experts to raise unconcerned smokers' awareness. It also confronted them with their reluctance to discuss cessation of smoking with vulnerable parents. The unit produced a cessation-oriented atmosphere.Competitive research funding
- Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(C)), Grant-in-Aid for Scientific Research (C), Sapporo Medical University, 2002 - 2004, Principal investigatorThe purposes of this study were to develop a self efficacy scale and an intervention program for prevention of hyperlipidemia in adults in their 30s and 40s. 1. The development of a self-efficacy scale for prevention of hyperlipidemia for adults in their 30s and 40s. The development of the self efficacy scale development consisted of 3 stages. The 1st stage defined health behavior for prevention of hyperlipidemia based on interviews and the creation of an original scale. In the 2nd stage, seven experts examined the original scale. As a result, the self efficacy scale was modified to 40 items. In the 3rd stage, we asked local government officials in their 30s and 40s to answer a questionnaire. The questionnaire included health behavior and the 40 self efficacy items for prevention of hyperlipidemia. As a result of factor analysis, the self efficacy scale for prevention of hyperlipidemia for adults in their 30s and 40s was finalized at 16-items. The internal consistency of the self efficacy scale indicated by Cronbach's standardized alpha was 0.855. The self efficacy scale was significantly related to the health behavior. 2. The development of an intervention program for prevention of hyperlipidemia. We devised an intervention program to increase self efficacy for prevention of hyperlipidemia in adults in their 30s and 40s. The program was composed of a small group approach and individual health education. The intervention program focused on diet, physical activity, weight maintenance, smoking cessation, stress management and self-control. The contents of the intervention program were self monitoring, peer learning and small step methods. In the future, we need to establish a method for the monitoring by cellular phone mail and fax to execute and evaluate the intervention program.Competitive research funding
- Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(C)), Grant-in-Aid for Scientific Research (C), Sapporo Medical University, 1999 - 2000The educational model for community nursing assessment was experimented and evaluated, so revised. 1. The educational model concepts Basically, the main concept were a) to apply community as partner model because, in this model, students could use nursing process, b) to apply nursing diagnosis to clarify community nursing, c) to understand the concept of whole community, d) to engage in health promotion oriented practice. The model was structured assessment items and judgment : community elements (8 subsystem and population), population's health condition and lifestyle, and structuralizing community health issues and related factors. 2. The experimental model was made and used in lecture, practice and community practice during 1999 and 2000. 3. Evaluation of experimental model Thirty public health nurses who instructed students in community health nursing practice evaluated that the model was useful and appropriate for students. One hundred fifteen students' evaluation for intelligibility and usefulness ranged wide. They evaluated that the model supported their learning process. Four community health nursing teachers concluded that the model had validity with regard to structure and outline, but pointed out unintelligibility in structuralizing community health issues and related factors. 4. Educational model for community nursing assessment (S2000) Experimental model was revised and new model was developed.Competitive research funding
- Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(C)), Grant-in-Aid for Scientific Research (C), Sapporo Medical University School of Medicine, 1998 - 19991) How caregivers become aware: The period before they actually consult doctors was quite different depending on the types of the disease. We tried to clarify the caregivers' cognitions toward their spouses with dementia and the support they need through analyzing the cognitions of caregivers, especially the spouse of the elderly with early stages of dementia. With the ethical regard we had semi-structured questionnaires with 8 wives and 3 husbands, 11 persons in total, who consented to cooperate with the study, and qualitatively analyzed the contents as data. Results and Consideration: 2) Spouses' congnitions about the fact that their husbands/wives got the disease: The caregivers have been cognized it as some unpredictable fate, etc., and that it made them feel anxious. 3) Cognitions of dementia: They cognized it as "a disgusting disease," "a disease with wandering," and "an incomprehensible disease," etc. 4) The cognitions toward their spouses with dementia: The caregivers think their husbands/wives are the existence that gives them mental pain, and the existence that gives them mental pain, and the existence that they want to continue living together. 5) Cognitions as caregivers: Reevaluating their life together as coupes, they have tried to be ready care caring. They tended to accept it as on of spouses' tasks. 6) How caregivers cope with the care: After medical examinations, caregivers themselves try to collect information and "cure" the patients. Some were trying to give attentive care with intimacies for their spouses. They do not expect support from their children and relatives but have received various homecare services, and have had contacts with public health nurses and carers. 7) Cognitions about using daytime services: They have sought for some outside stimuli not to make their life unsociable. They consider the services helpful not only for reducing the burdens of care but also for their spouses with dementia to give them some positive effects. Conclusion: This study has been suggested that in the initial support for families of the elderly with dementia, we need to aim to make the psychological support substantial, with sufficiency considering the characteristics of the caregivers and the cognitions they have.Competitive research funding
- 文部科学省, 科学研究費補助金(奨励研究(A)), 1998 - 1999, Principal investigatorCompetitive research funding
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C), Grant-in-Aid for Scientific Research (C), Sapporo Medical University, 1996 - 1998Empowering care competence of male elderly by group approaches in communityThis study aimed to explore an intervention program for home care to male elderly and its evaluation method. Caring competence was defined as recognition of own aging, knowledge and skill regarding physical care and house keeping, and using social support resources. 1) Outcome : knowledge, skill and attitude regarding home care By quantitative evaluation, elderly persons gained significantly more knowledge about social support resources than before the program. But there were no significant difference in self-efficacy on caring skills and attitude about home care Therefore by quality data analysis, they were found to have more concern regarding home care and to learn much so that they recognized the issues of home care as sever problem for themselves. Elderly understood home care from two view points ; receiving care and giving care. They identified the condition for giving good home care. In addition, they thought about the necessity of learning to be a good carereceiver, their aging lives, socialization of elderly caring, and the importance of health self-control. 2) Feature of caring competence of male elderly There was no statistical difference between male and female in self-efficacy on caring skills, knowledge of social resources and attitude toward home care. But they had different concerns about home care. Males thought about it from a political stand point and females thought about it in terms of family relationships and daily caring behaviors. 3) Evaluation of group approach for elderly As they participated in group works positively way, it proved that a group approach which was an aggressive learning style was a useful method for the elderly.
- Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(C)), 1995 - 1998Competitive research funding