SEARCH
Search Details
FUKUSHIGE HarunaGraduate School of Health Sciences / Faculty of Health SciencesAssistant Professor
Research activity information
■ Award■ Paper
- Dec. 2024, Journal of Nursing Science and Engineering, 12, 34 - 53, English[Refereed]Scientific journal
- This study aims to investigate the influence of age on the frequency of nurse call use in Japan, a country at the forefront of an ageing society. The analysis was conducted by examining the history of nurse call usage using data from approximately five million records accumulated over four and a half years at a university hospital. Results showed that people in their 30s used nurse calls the least. As age increased, the number of patients using the service increased. In patients aged 30 and older, the percentage of patients who use more than five nurse calls per day increased with age. Those aged 30 and below showed different trends, with particularly high usage among teenagers. When estimating future trends in requests to nurses, it is important to consider the impact of both ageing and declining birth rates.Jul. 2024, Studies in health technology and informatics, 315, 596 - 597, English, International magazine[Refereed]Scientific journal
- 2024, Health Communication Research, 15(2) (2), 18 - 35Messages Nurses Understand When Communicating with Mechanically Ventilated Patients in Critical Care: A Video-Based Descriptive Observational Study[Refereed]Scientific journal
- 少子高齢化に伴う看護師不足に直面している日本の多くの病院では,看護業務量や業務動線などの客観的なデータに基づいて業務効率を改善する必要がある.本稿では,低コストで長期的な調査が可能な,ビーコンとモバイル端末を用いた無人タイムスタディにおいて,ビーコンが発する電波の受信信号強度系列から病棟看護師の業務動線を推定し,動画として可視化するためのソフトウェアフレームワークを構築した.特に,多数の病棟を擁する大規模病院においても容易に遂行できるように,教師あり機械学習を用いることなく簡便に業務動線を推定する手法を提案する.さらに,Data-Driven Documents(D3)を用いて,推定された業務動線を動画として可視化するソフトウェアを開発した.大規模急性期病院の病棟で実施した無人タイムスタディを用いて本ソフトウェアフレームワークの動作デモを行い,病棟全体にわたる各看護師の業務動線の実態を詳細に把握できることを示す.(著者抄録)看護理工学会, 2024, 看護理工学会誌, 11, 147 - 167, Japanese[Refereed]
- Jan. 2024, Journal of Nursing Management[Refereed]Scientific journal
- Lead, Sep. 2022, 看護理工学会誌, 9(Supplement) (Supplement)Research society
- Background. Mechanically ventilated critically ill patients need the opportunity to communicate their physical and psychosocial concerns to nurses. However, these patients face the unique problem of lacking even the opportunity to communicate. Aims. The study aimed to describe the characteristics of communication opportunities for critically ill mechanically ventilated patients. Methods. The study was designed as a video-based descriptive observational study. Participants included seven mechanically ventilated critically ill patients at the intensive care unit, coronary care unit, or high care unit who were conscious and seven registered nurses (seven pairs). Videos were recorded continuously from 8 am to 4 pm, and the footage was then descriptively analyzed. Data collection took place between July 2019 and June 2020. Results. The total recording time was 668.0 minutes. Of these 668.0 minutes, nurses stayed in the Conversation Area of the Patient for 279.6 minutes, and of these 279.6 minutes, two-way face-to-face communication between nurse and patient occurred for 78.0 minutes. Of these 78.0 minutes, communications were started by nurses for 47.2 minutes (174 scenes) and by patients for 24.2 minutes (36 scenes). The patient-started two-way communication scenes included 37 instances of Patient-Intentional-Action that triggered the start of communication. Actions using the upper limbs were observed in 20 instances and represented the most frequently used body part. The head/face, lower limbs, or trunk were also used in some of the actions. Gestures were the most commonly used action type (14 instances). Other types included lip movement, grimace, leg flex/extension, and cough. Conclusions. We found that nurses tended to start communication more frequently than patients did and that patients demonstrated Patient-Intentional-Action with a variety of actions using various body parts. Communication opportunities for patients were created when nurses took the initiative to start communication or when they noticed and responded to the Patient-Intentional-Action. Our findings demonstrate that nurses need to recognize and always respond to Patient-Intentional-Action and to take the initiative in communicating rather than waiting for the patient to do so.Hindawi Limited, Jul. 2022, Nursing Research and Practice, 2022, 1 - 11[Refereed]Scientific journal
- Scientific Research Publishing, Inc., 2022, Health, 14(12) (12), 1244 - 1266[Refereed]Scientific journal
- AIM: To verify our hypothesis that 'there is periodicity in nurse call occurrence'. BACKGROUND: It is difficult to plan nursing management because nursing tasks can vary widely, seemingly at random. One of the most useful pieces of information for decision-making is periodicity. If periodicity is present, it should be possible to predict the occurrence of tasks and make preventive strategies. In this study, we focused on the nurse call, which plays an important role in nursing practice. METHOD: We used nurse call logs that accumulated automatically when patients pushed the button. Data were obtained from 1 January 2014 to 30 September 2017 (1,369 days) in a university hospital. The total number was 5,982,935. Periodicity was verified by the autocorrelation function. RESULTS: The value of the autocorrelation function increased regularly, which demonstrates there was periodicity in nurse call occurrence. CONCLUSION: Our hypothesis was accepted. The presence of periodicity indicates that nurse call occurrence is not a random event but has a pattern. IMPLICATIONS FOR NURSING MANAGEMENT: If we can identify patterns such as the time that nurse calls frequently occur, managers can implement two strategies: one, assigning more nurses and two, moving tasks other than nurse calls to another time.Jan. 2021, Journal of nursing management, 29(5) (5), 1199 - 1206, English, International magazine[Refereed]Scientific journal
- 本研究は、高度急性期医療機関で実施した倫理研修の事例の分析から、看護師がどのような場面でどのような倫理的悩みを感じ行動しているのかを明らかにし、新たな倫理研修プログラム考案のための基礎データとすることを目的とした。研究方法は、高度急性期医療機関の看護倫理研修で参加者から提示された事例の質的記述的分析である。事例コード・マトリックス表を作成し、意味内容のまとまりごとにサブカテゴリー、カテゴリー化した。その結果、高度急性期医療機関の看護師の倫理的悩みとして、【患者・看護師間の思いや考えの不一致】、【患者の苦痛よりも治療の優先】、【患者より家族の意向優先への危惧】、【生命倫理上の問題をめぐる看護師の価値観と葛藤】、【病状の変化に応じたインフォームド・コンセントの実施と共有が不十分】、【患者の安全安楽と病院・病棟管理の問題】、【専門職としての専心義務や忠誠義務が果たせない】、【公平が担保できないケア提供への疑問】の8つが明らかになった。倫理的問題場面で散見された看護師の行動としては、【場面に応じた看護ケアや関わりの実践】、【患者(家族)の気持ちに向き合う】、【医師とのやりとり】、【家族を巻き込んだケア】【院内の専門職・チームへの依頼】の5つが抽出された。これらの結果より、以下のような倫理研修の必要性についての示唆が得られた。新たな看護倫理研修では、患者の側に立って患者の苦痛の軽減に結びつくような【医師とのやりとり】や、【患者・看護師間の思いや考えの不一致】の解消を目指した、専門看護師のサポートを得た倫理カンファレンス開催等、倫理的看護実践力向上を目指したプログラムを考案したい。(著者抄録)神戸市看護大学, Mar. 2018, 神戸市看護大学紀要, 22, 45 - 52, Japanese[Refereed]
- ＜文献概要＞本研究は、米国で開発された改訂倫理的悩み測定尺度を日本語版改訂倫理的悩み測定尺度(Japanese version of MDS-R; JMDS-R)として開発し、その信頼性、妥当性の検証を目的に行った。作成者より使用許可を得て翻訳、逆翻訳を行い、研究者らによる一致率で質問項目の妥当性を判断した。調査は、関西圏の300床以上の急性期病院看護師を対象に1,307部配布し、770部の回答を得た。経験年数、燃えつき尺度、離職意図との間に弱い正の相関を示し、看護師の労働環境(JNWI-R)との間では、弱い負の相関を示した。因子分析では、14項目3因子が抽出され、α信頼係数は、0.86であった。各因子のα信頼係数、因子間の相関係数により、JMDS-R 14項目の信頼性、妥当性が確認され、日本語版としての使用可能性が示された。日本看護倫理学会, Mar. 2018, 日本看護倫理学会誌, 10(1) (1), 60 - 66, Japanese[Refereed]
- INTRODUCTION: Basal insulin should be injected at the same time each day, but people with diabetes sometimes mistime their injections. It is not known whether irregular daily dose timing affects diabetes-related factors. We report here our evaluation of the effects of deviations from a regular dosing schedule on glycemic control and hypoglycemia on patients treated with long-acting insulin (insulin glargine U100). We also consider the effects of ultra-long-acting insulin (insulin degludec) in this context. METHODS: Nineteen individuals with type 1 diabetes and 58 with type 2 diabetes were enrolled. Demographic data on all participants were retrieved from their medical records. Variation in dose timing was determined as the difference between the time of the earliest mistimed dose and the time of the latest mistimed dose, for each participant, over a 2-week period. All participants completed the Summary of Diabetes Self-Care Activities questionnaire, Problem Areas in Diabetes scale and 5-Item World Health Organization Well-being Index. Glargine U100 was switched to degludec in those individuals with type 2 diabetes who achieved inadequate glycemic control or suffered from frequent hypoglycemic episodes or who required two injections per day, and changes in hemoglobin A1c level and frequency of hypoglycemic episodes during the 12-week period were compared. RESULTS: A greater difference in dose timing was related to a higher frequency of hypoglycemic episodes and overweight in persons with type 2 diabetes. Smoking, drinking and living alone were independently associated with a greater difference in dose timing. Insulin degludec decreased the frequency of hypoglycemia and improved glycemic control in participants whose dose mistiming was >120 min. CONCLUSION: Fixed dose timing should be employed for basal insulin, as a larger difference in dose timing worsens diabetes-related factors. Insulin degludec improved glycemic control and lowered the hypoglycemia rate in persons with more irregular dose timing.Apr. 2017, Diabetes therapy : research, treatment and education of diabetes and related disorders, 8(2) (2), 385 - 399, English, International magazine[Refereed]Scientific journal
- BACKGROUND: The purpose of the present study is to investigate effects of tryptophan intake and light exposure on melatonin secretion and sleep by modifying tryptophan ingestion at breakfast and light exposure during the daytime, and measuring sleep quality (by using actigraphy and the OSA sleep inventory) and melatonin secretion at night. METHODS: Thirty three male University students (mean ± SD age: 22 ± 3.1 years) completed the experiments lasting 5 days and 4 nights. The subjects were randomly divided into four groups: Poor*Dim (n = 10), meaning a tryptophan-poor breakfast (55 mg/meal) in the morning and dim light environment (<50 lx) during the daytime; Rich*Dim (n = 7), tryptophan-rich breakfast (476 mg/meal) and dim light environment; Poor*Bright (n = 9), tryptophan-poor breakfast and bright light environment (>5,000 lx); and Rich*Bright (n = 7), tryptophan-rich breakfast and bright light. RESULTS: Saliva melatonin concentrations on the fourth day were significantly lower than on the first day in the Poor*Dim group, whereas they were higher on the fourth day in the Rich*Bright group. Creatinine-adjusted melatonin in urine showed the same direction as saliva melatonin concentrations. These results indicate that the combination of a tryptophan-rich breakfast and bright light exposure during the daytime could promote melatonin secretion at night; further, the observations that the Rich*Bright group had higher melatonin concentrations than the Rich*Dim group, despite no significant differences being observed between the Poor*Dim and Rich*Dim groups nor the Poor*Bright and Rich*Bright groups, suggest that bright light exposure in the daytime is an important contributor to raised melatonin levels in the evening. CONCLUSIONS: This study is the first to report the quantitative effects of changed tryptophan intake at breakfast combined with daytime light exposure on melatonin secretion and sleep quality. Evening saliva melatonin secretion changed significantly and indicated that a tryptophan-rich breakfast and bright light exposure during the daytime promoted melatonin secretion at this time.Lead, Nov. 2014, Journal of physiological anthropology, 33, 33 - 33, English, International magazine[Refereed]Scientific journal
- 2024, 看護理工学会誌(Web), 11An estimation and visualization method for the movement lines of nurses in an unattended time and motion study with beacons and mobile devices
- 第12回看護理工学学会 学術委員会ワークショップ デジタルの躍動と看護実践の拡張, Nov. 2024ナースコールログデータ解析の可能性と課題 ～実践での活用をめざし、データ特性の理解を深める～[Invited]Invited oral presentation
- Nursing Informatics 2024, Jul. 2024, EnglishThe Influence of Age on Frequency of Nurse Calls: Insights from an Ageing JapanPoster presentation
- The 27TH East Asian Forum of Nursing Scholars Conference, EnglishWhat Skills Are Required for Handoffs between Nurses? A Scoping Review
- The 27TH East Asian Forum of Nursing Scholars Conference, EnglishNurses’ and nursing students’ cue recognition and utilization in clinical reasoning and judgment: A scoping review
- 第43回日本看護科学学会学術集会, Dec. 2023ナースコールの連打現象の特徴と患者背景要因
- 第16回ITヘルスケア学会, Sep. 2023在院期間が長期であった患者の病床占有率の検証
- 第27回日本看護管理学会学術集会, Aug. 2023無人タイムスタディによる看護業務動線の可視化とその活用Oral presentation
- 第11回看護理工学会学術集会, Jun. 2023「重症度, 医療・看護必要度」B項目でみる,日常生活動作への介助の要否とナースコール発報数の関連
- 第10回看護理工学会学術集会, Oct. 2022ナースコール発報数に影響を与える患者要因の検証 -年齢に着目して-Oral presentation
- 第10回看護理工学会学術集会, Oct. 2022ナースコール発報数に影響を与える患者要因の検証 -認知・認識力に着目して-Oral presentation
- 第10回看護理工学会学術集会, Oct. 2022ナースコール発報数に影響を与える患者要因の検証 -重症度に着目して-Oral presentation
- 第61回日本生体医工学会大会手術体位固定時の急角度頭低位における腓腹筋部の体圧変化の特徴Oral presentation
- The 49th Annual Meeting of the Japanese Society of Intensive Care MedicineCharacteristics of scenes in which mechanically ventilated critically ill patients actively communicate: Video-based descriptive observational studyOral presentation
- 日本生体医工学会大会プログラム・抄録集(Web), 2021Characteristics of body pressure changes at acute angles of head-down tilt in the lithotomy position
- 第48回日本集中治療医学会学術集会, 2021患者の訴えを聞く-ICUでの症状マネジメント, 意識下人工呼吸器装着患者の症状マネジメントのためのコミュニケーション方法.Nominated symposium
- 第188回医療情報システム研究会, 2021ナースコール履歴からみえる病棟毎のナースコールの特徴[Invited]Nominated symposium
- 第8回看護理工学学会, Oct. 2020看護師の勤務表作成支援のための勤務パターン分析
- 第8回看護理工学学会, Oct. 2020アンプルカット動作における指先軌道について.
- 第8回看護理工学学会, Oct. 2020ナースコール発報数が多い患者が病棟全体の発報規則に及ぼす影響の検証.
- 日本ヘルスコミュニケーション学会学術集会プログラム・抄録集, Sep. 2020, Japanese, 日本ヘルスコミュニケーション学会患者・家族とのコミュニケーション ICU人工呼吸器装着患者のコミュニケーション行動の特徴
- 第40回日本看護科学学会学術集会, 2020新人看護師が感じた仕事上の困難と看護基礎教育での支援の検討―予期的社会化促進の観点からー
- 日本看護管理学会学術集会抄録集, 2019ナースコール履歴からみえる病棟毎のナースコールの特徴
- 日本医療情報学会春季学術大会プログラム・抄録集, 2019大量情報を用いたナースコール発報数の周期性検証
- 第7回看護理工学学会学術集会, 2019ナースコール履歴からみる時間帯毎のナースコール発報数の特徴
- 日本看護科学学会学術集会講演集, Dec. 2017, Japanese, (公社)日本看護科学学会高度急性期医療機関に勤務する看護師の倫理的悩みの傾向と分析
- 日本看護科学学会学術集会講演集, Dec. 2017, Japanese, (公社)日本看護科学学会急性期病院に勤務する看護師の臨床経験年数の違いによる倫理的悩みの特徴
- 日本看護学教育学会誌, Jul. 2017, Japanese, (一社)日本看護学教育学会診療補助技術演習におけるリフレクティブジャーナル記述に関する学生の学習行動と認識
- 日本看護科学学会学術集会講演集, Nov. 2016, Japanese, (公社)日本看護科学学会基礎看護技術演習におけるリフレクティブジャーナル記述に関する学生の学習行動と認識
- 日本看護科学学会学術集会講演集, Nov. 2016, Japanese, (公社)日本看護科学学会急性期病院に勤務する看護師の倫理的悩みへの影響因子
- 日本看護科学学会学術集会講演集, Nov. 2016, Japanese, (公社)日本看護科学学会管理職に対する倫理研修が看護師の倫理的悩みに及ぼす影響
- 糖尿病, Apr. 2016, Japanese, (一社)日本糖尿病学会2型糖尿病患者の患者背景と注射製剤の特徴を考慮した注射導入
- 糖尿病, Apr. 2016, Japanese, (一社)日本糖尿病学会持効型インスリン自己注射時刻のずれと患者背景、低血糖および血糖コントロールとの関連
- 糖尿病, Apr. 2015, Japanese, (一社)日本糖尿病学会患者が理想とする自己注射療法の意識調査
- 第8回日本生理人類学会研究奨励発表会, 2013日常生活における受光履歴とトリプトファンの食事摂取が睡眠に及ぼす影響
- XIII Congress of the European Biological Rhythms Society, 2013Effects of tryptophan-rich breakfast intake and daytime light exposure on nocturnal saliva melatonin secretion and subjective sleep quality evaluation in healthy Japanese adults
- JNET: Journal of Neuroendovascular Therapy, Nov. 2010, Japanese, (NPO)日本脳神経血管内治療学会血管内治療後の安静度拡大と穿刺部の安静の関係について
- 日本看護管理学会May 2019 - Present
- 看護理工学会May 2019 - Present
- 日本医療情報学会Jan. 2019 - Present
- 日本看護科学学会May 2016 - Present
- 神戸看護学会Apr. 2016 - Present
- 日本生体医工学会Aug. 2019 - Mar. 2023
- 日本看護学教育学会Feb. 2017 - Mar. 2020
- 日本看護倫理学会Jul. 2017 - Mar. 2019
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 山口大学, 01 Apr. 2025 - 31 Mar. 2028新卒看護師の早期離職予防に向けた組織社会化促進の検討
- 日本学術振興会, 科学研究費助成事業, 若手研究, 神戸大学, 01 Apr. 2024 - 31 Mar. 2028本人が未認識な特性を含めた個人特性を活動量から自動抽出する試み
- 科学技術振興機構, ACT-X, Oct. 2022 - Mar. 2025, Principal investigator個人特性を考慮したナースコール発生予測モデルの作成
- 日本学術振興会, 科学研究費助成事業 研究活動スタート支援, 研究活動スタート支援, 神戸大学, Oct. 2021 - Mar. 2024, Principal investigatorナースコール発報数が多い患者の背景要因の検証圧倒的にナースコール発報数が多い患者が存在することが明らかになっている。しかし、どのような患者の発報数が多いのかは分かっていない。 本研究の目的は、病院に蓄積されている大量のデータを活用し、ナースコール発報数の多い患者の背景要因を明らかにすることである。 本研究では、ナースコールに関連があると思われる多数の電子カルテ項目を入手し、その関連性について分析を進めている。すでに複数の項目についてナースコール発報数との関連は明らかになっており、今年秋に開催される学術集会にて発表を予定している。 ナースコールが患者アウトカムや看護業務の遂行に与える影響は大きく、その対応方法の検討は看護体制にとって重要な要素である。本研究結果は、「発報数の多い患者」になる可能性を予測し、予めそのような患者の入院病棟配置を検討する等の「事前の対策」に活用されることで、看護管理への一助となると考える。
- 株式会社ケア環境研究所 共同研究, Dec. 2021 - Nov. 2022ナースコールログ他の施設保有情報を活用した看護業務量調査研究
- 日本生活支援工学会 生活支援工学に資する研究・実践への助成, Oct. 2021 - Sep. 2022連携研究・産学連携工程に関連する課題調査
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe City College of Nursing, 01 Apr. 2017 - 31 Mar. 2021Evaluation of an ethics education program to enhance nurses'moral efficacy in an acute health care facility.Aim: To evaluate an ethics education program developed to increase moral efficacy among nurses in an acute health care facility. Methods:An ethics education program consisting of a three-mastery phase introduced methods to increase self-efficacy inaccordance with Bandura’s social cognitive theory.The study and data collection periods were initially planned from 2017 to 2019 and all conversations and discussions regarding the ethics consultation were recorded on IC recorders and analyzed qualitatively. Results: Four core categories:Convinced of taking an active role in ethical issues, Progressed in nursing practice as ethical agency, Experienceprofessional transformation, and Empowered by the presence of colleagues-emerged as outcomes of the ethics education program related to moral efficacy.Conclusions: The four core outcome categories suggested that the participants had gained confidence after ethical trials.
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research Grant-in-Aid for Young Scientists (B), Grant-in-Aid for Young Scientists (B), Kyoto University, 01 Apr. 2015 - 31 Mar. 2018Flash glucose monitoring (FGM) has the advantage that patients can see glucose fluctuation in real time. Due to the very large amount of information, it is necessary to re-consider self-management education. People with type 1 (T1DM) and 2 diabetes (T2DM) were subjected to FGM for 14 days and evaluated self-management performance, psychological well-being, diabetes treatment satisfaction, HbA1c level and other metabolic parameters. During wearing FGM, it may help improve HbA1c levels and reduce hypoglycemia in T1DM, and improve psychological well-being in T2DM. On the other hand, diet therapy tends to be worse; the increase in lipid intake in T1DM and the decrease in intake of vegetable in T2DM. There was no change in exercise therapy, blood pressure, serum lipid levels. When using FGM, it is important for healthcare professionals to provide the patients with comprehensive care guidance, and to support self-care behavior improvement.
- 神戸市看護大学, 平成28年度神戸市看護大学共同研究費, Apr. 2016 - Mar. 2017基礎看護技術演習におけるリフレクティブジャーナル記述に関する学生の学習行動と認識
- 公益財団法人京都大学教育研究振興財団, 若手研究者在外研究支援 国際研究集会発表助成, Aug. 2013Effects of tryptophan-rich breakfast intake and daytime light exposure on nocturnal saliva melatonin secretion and subjective sleep quality evaluation in healthy Japanese adults
■ Academic Contribution Activities