Department of Nursing

Fundamental Nursing

Name Title E-Mail address Research Area
Kiyoko Fukai, PhD, RN, PHN Professor scully(a) exploring the evidence of care technology, pain measurement and assesment, pain management nursing, peripheral neuropathic pain
Shinya Saito, MD,PhD Professor shinya(a) Healthcare policy and health economics, medical ethics, palliative care
Yoshimi Hyodo, RN, PHN, MW, PhD Professor hyodo(a) Nursing Safety Management, Nursing Social Psychology, Caregiver's support
Miho Ono, RN, PHN, PhD. Senior Assistant Professor onomiho(a) nursing education, Patient education
Yuki Hirami, RN, PHN Assistant Professor yhirami(a) nursing of itch, nursing of atopic dermatitis, and nursing education

Child and Developmental Health

Name Title E-Mail address Research Area
Ono Satomi Professor satomi-ono(a)
Mikiya Nakatsuka, MD, PhD. Professor mikiya(a) Reproductive medicine, Recurrent pregnancy loss, Support for pregnant women with social problems, Bioethics in Reproductive medicine, Gender incongruence, etc
Kiyoko Shirai, PhD. Professor kiyoko(a) Midwifery, Maternal Health Nursing
Nobuko Ohi, RN, MW, PhD. Associate Professor n_ohi_1(a) Maternal Nursing ,Midwifery,Women's Health Care , Childcare support of mothers with the high-risk infants, Support to mothers for breastfeeding ,Relationship between the baby and the mother, Study of remote support ,etc
Kumie Kataoka , MD, PhD. Senior Assistant Professor k-kataoka(a) Midwifery Maternal nursing Mental support of the recurrent pregnancy loss
Otsuka Motomi Assistant Professor motomi(a) Social support in delivery , Perinatal child care, U.K.'s midwifery care and education
Sonoe Yamaguchi, M.S. Research Associate sonoeyam(a) Pediatric Nursing Family Nursing
Sumiyo Yasukawa Assistant Professor yasuka-s(a)

Clinical Applied Nursing

Name Title E-Mail address Research Area
Matsuoka Jyunji Professor jmatsu(a)
Michiko Morimoto, RN, PhD Professor mmorimoto(a) Clinical research in chronic illness and conditions nursing, especially chronic respiratory disease patients. Research in nursing education.
Makiko Kondo, RN, PhD Associate Professor mkondo(a) Qualitative study, end of life care, family nursing, Hansen's disease and medical ethics
Mariko Ooura,RN,MSN Assistant Professor mariko-o(a) cancer nursing,palliative care,end of life care

Community Health Nursing

Name Title E-Mail address Research Area
Masumi Nishida, RN, PHN, PhD. Professor nisida(a) gerontological nursing, aging and the social sciences, nursing in long-term care facilities, and the scope of family caregiving
Shizuko Tanigaki, RN. PhD. Professor calm(a) Community & Home Health Care Nursing
Chiyori Haga, RN, PHN, PhD. Associate Professor chiyori(a) Areas related to Community Nursing, strategies for health promotion since childhood, and preventions especially for obesity and type 2 Diabetes Mellitus.
Yumi Okinaka, RN, PhD Associate Professor okky(a) Study of care to support for living the old age; quality of life among elderly people required care living at home or long-term care facilities, and home care for the elder with dementia and their family.
Aki Okamoto, RN, PHN, PhD Senior Assistant Professor aki(a) psychiatric mental health nursing, especially pchizophrenia, depressive disorder, obsessive-compulsive disorder
Yukari Ikuta,RN,MSN Assistant Professor y-ikuta(a) Extending the health of the elderly related support for family caregivers , epecially biological child (son and daughter)
Tomoko Arai, Master of Nursing Assistant Professor shimok-t(a) Psychiatric Nursing
Ishioka Yoko Assistant Professor ishioka-y(a)

Fundamental Nursing

Kiyoko Fukai, PhD, RN, PHN

Research Projects
  1. Physiological research in nursing contributing to Evidence-Based Nursing (EBN)
  2. Exploring educational methods to promote Evidence-Based Nursing (EBN)
  3. Research on mechanism and management of human pain: Pain mechanisms and management in human
  4. Study on assessment and management of dizziness assessment: Assesment and management of Vertigo
List of 5 publications in the field of expertise
  1. Ikeda, R. N., & Fukai, K. Evaluating Sleeping and Waking States of Infants: Consistency of Actigraph and Observational Data. Creative Education 2015; 6:536-539
  2. Toki K, Yamai T, Fukai K. Skin temperature changes during a footbath in patients who had had a stroke with consequent sensory impairment. Jpn J Nurs Sci. 2015; 12:276-86 doi: 10.1111/jjns.12066
  3. 棚崎由紀子,深井喜代子.冷え性高齢者に対するフットマッサージの冷え症状緩和効果.日本看護技術学会誌 2016; 15:124-134, 2016
  4. Okada J, Yamamizu Y, Fukai K. Effectiveness of hand hygiene depends on the patient's health condition and care environment. Jpn J Nurs Sci. 2016;13:413-423. doi: 10.1111/jjns.12122. Epub 2016 Feb 15.
  5. Tokunaga N, Fukai K.: Psychosomatic effects of blanketing in nursing care. Jpn J Nurs Sci. 2017 Apr;14(2):89-102. doi: 10.1111/jjns.12138. Epub 2016 Jul 11.
Individual website

Shinya Saito, MD,PhD

Research Projects
Health utility measured with EQ-5D-5L in Japanese patients undergoing hemodialysis
We aimed to measure health utility by using the EuroQol five-dimensional five level questionnaire (EQ-5D-5L) in Japanese patients undergoing hemodialysis(HD) and to examine the relationship between the QOL scores obtained from EQ-5D-5L and Visual Analogue Scale (VAS).
216 patients on chronic HD in a single center of western Japan were asked to fill out the EQ-5D-5L questionnaire from January to February, 2015. Patients assessed their health status by using EQ-5D-5L and a VAS. The health utility was calculated by using the Japanese value set. Data were analyzed using the Pearson correlation coefficient between the EQ-5D score, the VAS score, and some patient characteristics.
Of the 216 questionnaires distributed to chronic HD patients, 195 (125 males and 70 females) were completed (response rate 91%). The average patient age was 67.9±11.9 years old and the mean HD duration was 9.2±9.5 years. The mean EQ-5D-5L and VAS scores were 0.76±0.22 and 0.70±0.19, respectively. The EQ-5D-5L score was quite similar to the other Japanese data using EQ-5D-3L (0.75± 0.18). There were significant differences in health utility among age groups (younger than 60 years old: 0.82, 60-69y:0.76, 70-79y:0.74, 80y:0.69). Among all patients, EQ-5D-5L scores were significantly correlated with VAS (r=0.69, p<0.01), age (r=0.21 p<0.01), and duration of HD (r=0.23, p<0.01).
The health utility of Japanese patients with HD was higher than in other countries reported. It was shown that elder patients recorded lower utility compared to younger patients, but maintained relatively high scores even over 80 years old. These results revealed that the quality of hemodialysis for patients with end-stage renal diseases in Japan was quite good from the standpoint of the health utility obtained with EQ-5D-L.
List of 5 publications in the field of expertise
  1. Yamamoto T, Kajikawa Y, Otani S, Yamada Y, Takemoto S, Hirota M, Ikeda M, Iwagakai H, Saito S, Fujiwara T : Protective Effect of Eicosapentaenoic Acid on Insulin Resistance in Hyperlipidemic Patients and on the Postoperative Course of Cardiac Surgery Patients: The Possible Involvement of adiponectin. Acta Medica Okayama 68(6)349-361, 2014
  2. Shiroiwa T, Fukuda T, Ikeda S, Igarashi A, Noto S, Saito S, Shimozuma K: Japanese population norms for preference-based measures: EQ-5D-3L, EQ-5D-5L, and SF-6D. Quality of Life Research. 25(3):707-19, 2016
  3. Shiroiwa T, Ikeda S, Noto S, Igarashi A, Fukuda T, Saito S, Shimozuma K: Comparison of Value Set Based on DCE and/or TTO Data: Scoring for EQ-5D-5L Health States in Japan. Value Health. 19(5):648-54, 2016
  4. Shiroiwa T, Saito S, Shimozuma K, Kodama S, Noto S, Fukuda T: Societal Preferences for Interventions with the Same Efficiency: Assessment and Application to Decision Making.Appl Health Econ Health Policy. 14(3):375-85, 2016
  5. Yoshikawa A, Saito S, Kondo M, Tsuyumu Y, Taira N, Shien T, Doihara H: The sexual lives of breast cancer patients: Coping with changes associated with treatment. Clinical Nursing Studies. 6(1):61-75, 2018

Yoshimi Hyodo, RN, PHN, MW, PhD

Research Projects
In order to carry out medical care safely, not only on-the-job education after graduation but also safety education prior to graduation are crucial. In addition to education for acquiring accurate skills and education on measures for preventing human error, actually increase medical safety. Newly recruited nurses have obscure medical accident concerns, and actually encounter medical incidents or near misses. Therefore, procedural education that makes them consider the risks and background factors in medical environments is essential. We suggest a gaming simulation to prevent human errors in medical practice. A gaming simulation (hereinafter abbreviated as a game) is defined as "simulation activity with gaming aspect" (Arai, 1998) We used this to simulate factors leading to medical accidents and to suggest countermeasures. The advantage of learning medical safety in the form of a game is that freshly recruited nurses feel less stressed and do not feel mental refusal, which makes more sense in real life due to the impact on cognition, behavior and emotion. In this learning experience, using the framework of psychological education, after experiencing an error, we will describe human nature as a background, the environmental factors, the linking of events, etc. and summarize this to prevent medical accidents. Some inexperienced nursing students point out that medical safety education is limited, and the gaming environment allowed them to pay more attention and had a real feeling of immersion. The game was introduced at The 2009 Symposium of The Medical Quality and Safety Association as a new educational method in medical safety and has received many reactions. We also measured the effects of the game on awareness of medical safety, and we aim to implement it in practical use and generalization for medical safety education. As a result, we clarified a change in "awareness of medical safety" through using the game, and positive feedback from users suggests the usefulness of the game to nursing students. Subsequent analysis has revealed that the game promotes motivation for countermeasures against medical accidents, acquiring knowledge of error prevention, and raising awareness for the possibility of causing errors. Currently, we are improving both the games that failed and those that were successful and smooth.
List of 5 publications in the field of expertise
  1. Emiko Yamamoto, Tomoko Tanaka, Yoshimi Hyodo , Kaori Hatanaka ,Examination of socialskills traning program related to transmitting and taking directions in basic nursing education, International Journal of Health and Life-Sciences, Vol.1 , 227-237,2015.
  2. HYODO Yoshimi ,TANAKA Tomoko, Psychologacal Reaction in Role Playing Games for Medical Safety, Japanese Journal of Applied Psychology,38:119-120,2012.
  3. HOSOKWA Kyoko, HYODO Yoshimi ,TANAKA Tomoko, Individual and Team Level Influence of KYT,the Risk Prospect Training for Medilcal Safety, Japanese Journal of Applied Psychology, 38:116-117.,2012.

Miho Ono, RN, PHN, PhD.

Research Projects
Development of expert-patient collaborative cancer peer supporter program
Peer support, and the integration of peer relationships into health care, is a concept of substantial significance to health scientists and practitioners. Peer support is an intervention that leverages shared experiences to foster trust, decrease stigma and create a sustainable forum for seeking help and sharing information about support resources and positive coping strategies. Hospital A in Japan commenced a peer support program. In this program, breast cancer survivors are trained as peer supporters. If a request is received for peer support, the nurse-coordinator matches the breast cancer patient with a peer supporter and arranges a meeting between them. After providing peer support, the peer supporter reports the content of the meeting to the nurse-coordinator. As a model case, "breast cancer peer support program" cooperated with medical experts and peer supporters were applied to 10 patients. As a result, many benefits for patients have been revealed. Patients can individually receive peer support suited to their needs, receive emotional support and informational support unique to peers, obtain a mental attitude to prepare for treatment, nurture a future image, Making decisions and moving forward. Furthermore, peer supporters stated that their experiences included the following 10 categories: ‘Relating their treatment experience’, ‘Talking about life experiences accompanying treatment’, ‘Just listening to the patient's words’, ‘Sympathizing with patients’, ‘Helping patients accept themselves’, ‘Feeling relieved by the patient's appearance of security’ , ‘A feeling of helping patients’, ‘Being a bridge between the patient and medical personnel’, ‘Finding worth in their own lives’ and ‘Recognizing their responsibilities as a peer supporter’. Based on the above results, this program seems to be beneficial for both patients and peer supporters. We are analyzing whether this program is also beneficial for medical experts. Now, one medical institution has implemented this program, but in the future, in order to make the outcome of this model case more widely applicable to society, we aim to develop the more generally applicable "peer support program that incorporates expertise and peer support". We will investigate the content and method of the peer support program and its spread in Japan and clarify the trend of the peer support program by clarifying the current situation and issues. Based on the results, we aim to develop a peer support program that can be used by many organizations by modifying the model program.
List of 5 publications in the field of expertise
  1. Miho Ono, Yuko Tsuyumu, Hiroko Ota, Reiko Okamoto:Subjective evaluation of a peer support program by women with breast cancer: a qualitative study. Japan Journal of Nursing Science, Jan;14(1), 38-48, 2017.
  2. Miho ONO, Yuko TSUYUMU, Hiroko OTA, Reiko OKAMOTO:Current Status of a Breast Cancer Peer Support Program which collaborate with Medical Professionals and Peer Supporters. International Nursing Care Research,14(3) , 23-32, 2015.
  3. Miho ONO, Tomoko Takayama, Emiko Kusano, Chieko Kawata; Peer Support among Patients and Its Relationship with Mental Health, Journal of Japan Academy of Nursing Science, 27(4), 23-33, 2007.
  4. Keiko Yukawa, Yuki Yonekura, Haruka Ueno, Minjeong Park, Yoshihiko Yamazaki, Akira Kitagawa, Miho Ono, Yasue Yamazumi, Fumiko Yasukata: Perceived Positive Changes in Attitude to Life in Participants in the Chronic Disease Self‒Management Program in Japan, Therapeutic Research, 38 (8), 813-818, 2017.
  5. M. J. Park, Joseph Green, Hirono Ishikawa, Yoshihiko Yamazaki, Akira Kitagawa, Miho Ono, Fumiko Yasukata, Takahiro Kiuchi :Decay of Impact after Self-Management Education for People with Chronic llnesses: Changes in Anxiety and Depression over One Year, PLOS ONE,8(6), 2013.

Yuki Hirami, RN, PHN

Research Projects
Pruritus is defined as “an unpleasant cutaneous sensation which provokes the desire to scratch”. Pruritus had long been regarded as a weak pain; that is a sensation which occurs when weak signals are transmitted on pain neurons. However it turned out that pain and pruritus are different sensations and research on pruritus is becoming more prevalent. A major symptom of atopic dermatitis is pruritus. Chronic intense pruritus associated with atopic dermatitis has a negative impact on the quality of life. In pruritic diseases, the itch-scratch cycle in which scratching exacerbates the itch, results in a cycle of itch and scratching. Preventing the itch-scratch cycle is necessary in treatment of pruritic diseases. Applying a cold compress is a traditional nursing tool. Cold compresses have many effects. One of the effect is to reduce pruritus. Cold compresses are relatively inexpensive, safe, and easy to implement. However, excessive cooling can have adverse effects such as pain and frostbite. Therefore, it is necessary to establish a method for implementing a cold compress which does not harm the patient while maximizing its effectiveness. In addition, atopic dermatitis patients can have many skin problems such as abnormal barrier function of epidermis, sensitive epidermis for scratching and respond to many pruritic substances. Therefore care must be taken when applying the cold compress on atopic dermatitis patients. It is important to compare the state of the skin during application of the cold compress between healthy subjects and those with atopic dermatitis. Physical characteristics that were measured include skin temperature, skin color, feeling of cold, core temperature, blood pressure and pulse rate, etc. This data was used to determine the optimal cold compress method to reduce itching on patients with atopic dermatitis.

Child and Developmental Health

Mikiya Nakatsuka, MD, PhD.

Research Projects
Reproductive medicine, Recurrent pregnancy loss, Support for pregnant women with social problems, Bioethics in Reproductive medicine, Gender incongruence, etc.
Medical treatment and mental support for women with recurrent pregnancy loss
The outpatient clinic for couples with recurrent pregnancy loss in Okayama University Hospital is one of the largest clinics in Japan and provides various treatments and mental support. In addition, our staff includes counselors and medical doctors who work in consultation centers for infertility and pregnancy loss (URL: To generalize tender loving care (TLC) for couples with recurrent pregnancy loss, we provide movie streaming and leaflets on TLC in our AMED Website (URL:
Recurrent education program for midwives
There are insufficient midwives who support pregnant women in perinatal medical care units. We provide recurrent education programs for midwives to acquire the latest knowledge and ultrasonography techniques when collaborating with obstetricians. In “Repro-Café“, which is the space of learning, more than 300 midwives, midwifery students, midwifery teachers, nurses, public health nurses, and/or school nurses have attended this program (URL:
Prevention of child abuse from early pregnancy
We constructed a system in which we find pregnant women with social risks such as being single, teenagers, non-routine visits to clinics, and/or abuse from their intimate partner, etc. in Okayama. Public health nurses conduct home visits to these women and support them during pregnancy to prevent child abuse. We made brochures to prevent abuse from the intimate partner during pregnancy. In addition, our staff include midwives, counselors, and medical doctors who work in consultation centers for pregnant and child rearing women (URL:
Reproduction in women's life plan
It is necessary to choose from several alternatives in women’s life plan, such as marriage, pregnancy, and having children after acquiring secure sufficient knowledge on reproduction and women’s age. We made brochures and a comic books to provide knowledge on reproduction. We also stream movies on YouTube (URL:
Treatment and support of people with Gender incongruence, Gender Identity Disorders (GID)
Gender incongruence or Gender identity disorders (GID) is a condition in which physical sex is incongruent with gender identity. People with gender incongruence suffer from a gap in everyday life. I perform hormone therapy and sex reassignment surgery (SRS). We hold regular seminars on makeup and fashion for people with gender incongruence (URL: I work on medical, legal, social problems as the chief director of the Japanese Society of Gender Identity Disorder (URL: We hold seminars on diversity in schools and companies. I made brochures, booklets, and DVDs about sexual minority, LGBT, and SOGIE. A new book "Confined children, their voice in the heart: Faced with children with gender incongruence" is now on sale.
List of 5 publications in the field of expertise
Recurrent pregnancy loss
  1. Mikiya Nakatsuka: Vascular dysfunction in women with recurrent pregnancy loss. Recent Advances in Cardiovascular Risk Factors /Book 2, InTech - Open Access Publisher, Croatia, pp. 123-150, 2012.
  2. Kumie Kataoka, Yumi Tomiya, Ai Sakamoto, Yasuhiko Kamada, Yuji Hiramatsu and Mikiya Nakatsuka: Altered autonomic nervous system activity in women with unexplained recurrent pregnancy loss. J. Obstet. Gynaecol. Res. 41: 912-918, 2015.
Gender Identity Disorder (GID). Gender Incongruence, Transsexuals
  1. Mikiya Nakatsuka: Endocrine treatment of transsexuals: assessment of cardiovascular risk factors. Expert Rev. Endocrinol. Metab. 5: 319–322, 2010.
Polycystic Ovary Syndrome
  1. Sasaki A, Emi Y, Matsuda M, Sharula, Kamada Y, Chekir C, Hiramatsu Y, Nakatsuka M: Increased arterial stiffness in mildly-hypertensive women with polycystic ovary syndrome. J Obstet Gynaecol Res. J Obstet Gynaecol Res. 37:402-411, 2011.
  1. Ueda N, Kushi N, Nakatsuka M, Ogawa T, Nakanishi Y, Shishido K, Awaya T: Study of Views on Posthumous Reproduction, Focusing on its Relation with Views on Family and Religion in Modern Japan. Acta Medica Okayama 62: 285-296, 2008.
Japanese Society of Gender Identity Disorder

Kumie Kataoka , MD, PhD.

Research Projects
Recurrent pregnancy loss (RPL) is defined as the loss of two or more consecutive and clinically-recognized pregnancies. The causes of RPL are classified as genetic, anatomic, endocrinologic, immunologic, microbiologic, environmental, and others. It is, however, estimated that almost half of RPL cases remain unexplained. We have reported that women with unexplained RPL show elevated blood flow resistance in the uterine arteries and progressive stiffness in systemic arteries. Impaired uterine perfusion, which is caused by unspecified injurious factors, may be involved in pregnancy loss. Also, social influences, including divorce, have been discovered. Therefore we intend to examine and study the mental support necessary for women with RPL.
List of 5 publications in the field of expertise
  1. Altered autonomic nervous system activity in women with unexplained recurrent pregnancy loss,Kumie Kataoka,Yumi Tomiya, Ai Sakamoto,Yasuhiko Kamada, Yuji Hiramatsu, Mikiya Nakatsuka,The Journal of Obstetrics and Gynaecology Research.41(6)p912-p918.

Otsuka Motomi

Research Projects
Japanese women’s maternity care and childbirth experiences in the United Kingdom.
The purpose of this study was to investigate the maternity care and childbirth experiences for Japanese mothers in the United Kingdom. The implication arising from this study for caregivers is that it is necessary to culturally understand care that meets the individual needs of women in each transition. The maternity care and childbirth experiences in a foreign country was an opportunity for the women to influence their life.

Clinical Applied Nursing

Michiko Morimoto, RN, PhD

Research Projects
Morimoto's main themes of clinical research are as follows: (1) Enhancing quality of life for people with long-term conditions, (2) Self-management support for patients with chronic illness, (3) End of life care for non-malignant and malignant diseases. Past clinical research includes the development of the COPD activity rating scale, search on factors relevant to mental health, stress-buffering effects of coping strategies, etc. Current clinical research is a collaborative project on managing breathlessness in patients with chronic respiratory disease (Collaborators: Review meeting of pulmonary & respiratory nursing research, 2014~). A certified nurse specializing in chronic care is a member of this collaborative project. Breathlessness is a characteristic symptom of chronic respiratory disease. The greatest desire of patients with this disease is to “live without worrying about breathlessness” (Japanese white paper on home respiratory care, 2010). This collaborative research project implemented surveys on management strategies and support-needs for breathlessness, clustering of management strategies, development of a control perception scale for breathlessness, etc. An intervention study has been planned as a follow-up procedure. A second project involves research on quality of life for non-small-cell lung cancer patients with COPD. Nursing education research includes improving the educational program for nursing student's clinical judgment competency and the effect of simulation training education, etc.
List of 5 publications in the field of expertise
  1. Imado M, Takekawa Y, Morimoto M, et al. Management strategies for breathlessness in patients with chronic respiratory disease. J. Jp. Soc. Resp. Care Rehab. 27(2) in press (published in Japanese)
  2. Morimoto M, Yamada T. Learning outcomes and evaluation in a simulation exercise program based on an instructional design -Trial to promote the thinking process involved in clinical nursing-. J. Jpn. Acad. Nurs. Ed. 27(2):41-53, 2017. (published in Japanese)
  3. Yoshioka M, Morimoto M. Development of a physical activity self-management agency scale that includes self-management skills and investigation of its reliability and validity. Journal of Japan society of Nursing Research, 40(2):119-130, 2017. (published in Japanese)
  4. Okamoto A, Morimoto M. The effects of psychological nursing intervention for patients undergoing initial chemotherapy and/or radiotherapy for advanced non-small cell lung cancer. Japanese Society of Cancer Nursing, 29(2):33-42, 2015. (published in Japanese)
  5. Tanimura C, Morimoto M, et al. Difficulties in the daily life of patients with osteoarthritis of the knee: scale development and descriptive study. Journal of Clinical Nursing, 20(5-6):743-753, 2011.

Makiko Kondo, RN, PhD

Research Projects
1. Hansen's disease; Medical ethics and life review
Aged Hansen's disease survivors have a harsh life by past incorrect medical policy. I and sanatorium nurses are considering care strategies for facilitating survivor’s QOL in our research project. Achievements from the results of this research include a survivors' life review book, clarifying why they have repeated wounds and how they coped with them until they receive Promin treatment (see reference 5). This article was rewarded in the Journal of Japanese Society of Nursing Research.
2. Care for dying mothers with minor children
Through a phenomenological approach, dying mothers' experiences were categorized as follows: 1)confronting the need for life changes, 2) losing femininity in the spousal relationship, 3) becoming a family burden, 4) inability to maintain the role of mother, 5) feeling guilty for leaving aged parents, 6) longing for the love of family and God, 7) regretting that death will separate her from her children, 8) feeling overwhelming distress that is incomprehensible to her family, and 9) losing value as the lynchpin of the family. (Makiko KONDO, Reiko SATO: The sense of defeat felt by middle-aged dying mothers with cancer. Japanese Journal of clinical Thanatology, 13(1), 90-101, 2007 (Japanese). Her bereaved husbands' experiences were categorized 1) suffering the loss of an irreplaceable, precious loved one, 2) suffering the loss of their home, a symbol of the happiness the couple had built together, 3) suffering their wife's imminent death, 4) suffering the complexities of managing family life alone, 5) suffering the complexities of becoming a single parent, 6) suffering the feelings of isolation and helplessness, and 7) suffering the dependence on their wife after her death. (Makiko KONDO, Reiko SATO: Sufferings of middle-aged men with minor children who have lost their spouses to cancer. Journal of Chiba Academy of Nursing Science, 13(1), 94-101, 2007 (Japanese)
3. Nursing competency of end of life care
Using the grounded theory approach, developing nursing competency in care for dying was showed ‘Dealing with the dilemma of treating life and death with respect and continuing to care for several dying patients over a long period of time’, with the five stages being as follows; 1) being in a world in which the dilemma does not exist, 2) encountering the dilemma, 3) resolving the dilemma by selecting an alternative, 4) coming to terms with the dilemma by switching between alternatives depending on the situation, and overcoming the dilemma by managing both alternatives. (See Fig. 2 and reference 1)
4. Introduction of my laboratory
My laboratory has two courses; 1) research course for master and doctor students, 2) oncology certified nurses specialized for master students.
List of 5 publications in the field of expertise
  1. Makiko KONDO: Grieving process of nurses continuing to care for dying patients. Horizon Research Publishing, USA, 2017.
  2. Makiko KONDO (ed.): Empathy - An Evidence-based Interdisciplinary Perspective, InTech Open, 2017.
  3. Makiko KONDO, Hiroshi NAGATA: Nurses' Involvement in Patients' Dying and Death Scale Development and Validation, Omega: Journal of Death and Dying, 70(3), 278-300, 2015.
  4. Nakayama A, Ishikawa K, Kondo M: Clinical nursing competencies of caring for Hansen's disease survivors during the final career stage of nurses' development in Japan. Int J Nurs Clin Pract 2015, 2: 132.
  5. Mikako Yamaberi, Matsuko Kondo, Kazue Ishikawa, Yoshiko Amano, Makiko Kondo: Causes of and Coping Strategies for Repeated Wounds in Patients with Hansen's Disease until Promin Treatment. Journal of Japanese Society of Nursing Research. 38(1), 59-71, 2015. (Japanese)

Mariko Ooura,RN,MSN

Research Projects
I am searching for the theme “ what is the support for surviving subjectively and appropriate for oneself till the end of life? “ From now on, I will research for the patient whom cancer metastasized to the bone. The pain and SRE(pathological fracture,spinal cord compression,hypercacalcemia of malignancy,surgery to bone,radiation to bone) which arise with bone metastasis bring about aggravation of a physical action and a mental function, and the falloff of the degree of autonomy in everyday life, and lead to the deterioration of QOL. The patient will having oneself-likeness threatened by the pain and activity restrictions by bone metastasis, "I cannot move so that it may consider. I cannot ." Research Question are "how do bone patients with metastatic cancer live in their home?", “What kind of assistance is necessity in a ward in order to live at a house appropriate for oneself?”,“What kind of assistance is necessity in a ward in order to live at a house appropriate for oneself?”.In the future, I would like to development of the support program for the bone metastatic cancer patient and patient's family with OCNS.
List of 5 publications in the field of expertise
  1. Makoto Kyougoku,Mutsumi Teraoka,Noriko Masuda,Mariko Ooura,Yasushi Abe.Development of the Assessment of Belief Conflict in Relationship-148ABCR-14), 2015,Aug 06 10(8):e20129349
  2. Emiko Kusano,Mariko Ooura, et all.Weaknesses Strengths and Future Issues for Medical and Welfare Facillities Affected by the Great East Japan Earthquake, Osaka Medical College journal of nursing research 2013,3:120-128
  3. Tomoko Utsumi,Yuri Hashida, Mariko Ooura, et all.Physical, Nutritional, and Self-rated Health Changes in Patients with Gastric Cancer who Underwent Gastrectomy “A Longitudinal Study before Surgery, at Discharge, and at the Initial and 3-month Outpatient Visits".Bulletin of Kagawa Prefectural College of Health Sciences 2011,2:31-38
  4. Akie Kobayashi,Mikiko Hori,Hiromi Miura, Mariko Ooura, et all.Clarification of the "object understanding" concept in nursing basic education,Japanese Nursing Society collected papers:Nursing education 2010,40:200-202
  5. Mariko Ooura , Terukazu Tanaka.Features of Self-Efficacy for Self-Care Behaviors of Patients with Chronic Renal Failure in the Conservative Phase,3Bulletin of Kagawa Prefectural College of Health Sciences 2006,3:127-136

Community Health Nursing

Masumi Nishida, RN, PHN, PhD.

Research Projects
1) Physical signs of impending dehydration among elderly people in nursing homes
Dehydration is a common condition and frequent cause of hospitalization in older people, despite the caregiver’s best efforts to avoid its occurrence. The aim of the present study was to examine the association between impending dehydration among elderly people in nursing homes and physical signs, including the axillary skin temperature, humidity, intraoral moisture content, and salivary components.
2) Nursing in long-term care facilities
This study aimed to classify important evaluation criteria for active care perceived by nurses and caregivers at long-term care insurance facilities. A two-dimensional structure and four clusters that could not be understood based on conventional activity care classifications were identified, thereby clarifying future directions for evaluation criteria. The subjective importance of evaluation criteria focused on the complexity of behavior and individual openness. Versatility, comprising visual comprehension and measurability were used as a reference.
3) Indicators of Activity Care for Elderly with Dementia
This study aims to clarify care-giver and nurse recognition on content and evaluation indicators of activity care for elderly with dementia. A group interview was conducted with 5 nurses and 6 caregivers working in a special nursing home and a health facility for the elderly. Theme analysis revealed that (a) activity care should “support the activities of elderly dementia patients that reflect their personality despite their restricted cognitive ability and environment” and “provide an environment reflecting the individual’s personality based on his/her own perspective of the world, which is different from the actual world”; and (b) for evaluation, indicators should be used that “capture the changes in users” and “assure caregivers that users trust them.” Activity care should support the life activities of elderly dementia patients by grasping and reflecting the behaviors associated with their life history and by recognizing their true personality.
4) Creating a community where people are able to continue living in familiar settings with ease
The cooperation with registered dietitians broadened staff knowledge regarding menus, which was reflected in meals prepared for the elderly people in the community. Furthermore, their development as cooks created a sense of community empowerment. We suggest that this creates a support structure for community-dwelling elderly people that can provide healthy menus and enable initiatives related to preventive care and dietary improvements.
List of 5 publications in the field of expertise
  1. Nishida M. Caregiving Burden and Positive Appraisal of Family Caregivers. Journal of Japan Academy of Community Health Nursing 19(1), 88-91, 2016.
  2. Okuyama M, Nishida M. The physical signs of impending dehydration among elderly people in nursing homes: The association with axillary skin temperature, humidity, intraoral moisture content, and salivary components. Japanese Journal of Geriatrics. 53(4), 379-386, 2016
  3. Inoue U, Nishida M. Impact of organizational and career commitment on the intent to stay among care workers in group living for the elderly with dementia. Journal of Japanese Society for Dementia Care. 15(3), 613-623, 2016.
  4. Okamoto R, Iwamoto S, Nishida M, et al. Emergency Operations and Feelings as Described by Municipal Employees Six Months after the Great East Japan Earthquake: Body Recovery and Management Work. Japan Academy of Public Health Nursing. 5(1), 47-56, 2016.
  5. Aoyagi A, Nishida M. Classification of nurse and caregiver evaluation criteria for activity care in elderly people with dementia. Japanese Journal of Geriatrics. 51(3), 264-270, 2014.

Shizuko Tanigaki, RN. PhD.

Research Projects
  • Research in home care nursing
  • Development of nursing Quality indicators for home care nursing
List of 5 publications in the field of expertise
  1. Fumie Uchida, Shizuko Tanigaki. Visiting Nurses’ Support for the Acceptance of Cancer Patients Receiving Home Care. Journal of Japan Society of Nursing Research. 2017;40(1):35-43
  2. Shizuko Tanigaki, Chie Norikoshi, Hiroko Nagae, et al. Organizationnal ducation provided by magnet visiting nursing station managers. Japan Primary Care Association. 2016;39(2):111-115
  3. Yuko Nishina, Shizuko Tanigaki. Factors Related to Intention to Remain Employed among Visiting Nurses : Focusing on Job Satisfaction and Interpersonal Relations. Journal of Japan Academy of Home Care. 2015;18(2):28-36
  4. Hiroko Nagae, Shisuko Tanigaki, Chie Norikoshi, et al. Identifying structure and aspects that ‘continuing nursing care’ used in discharge support from hospital to home care in Japan. IJN. 2013;(19 (Suppl. 2): 50-58
  5. Mariah Snyder and Ruth Lindquist. Complementary alternative Therapies in nursing. Massage Mariah Snyder and Shizuko Tanigaki.2009;37-348, Springer Pub Co; 6 New版

Chiyori Haga, RN, PHN, PhD.

Research Projects
1) Using artificial intelligence (AI) to Develop Body Mass Trajectories used for estimating future body size and risk of non-communicable Diseases (NCDs)
One health issue in Japan is prevention of NCDs. Our government started a strategy of health examination and guidance focused on Metabolic Syndrome during adulthood. However, it may be too late to start the strategy for the duration as the theory of 'Developmental Origin of Health and Diseases (DOHaD) that suggests a relationship between nutrition during childhood and NCDs (ex. myocardial infarction). Previous studies have shown the differences of patterns depending on race, ethnicity, life style, and so on (Figure 1). However, there are some limitations of small sample sizes and collecting over a short duration. This make accuracy and reliability in short supply. Our team worked to clarify the Japanese specific trajectories from infancy to adulthood and which pattern will be at risk of NCD through analyses of longitudinal big data by AI.
2) Establishing a supporting system for children with developmental disorder through screening and educational/therapeutic intervention during early childhood
The number of children with developmental disorders has been increasing recently. The children may suffer from unsuitable care (ex. touching, talking, teaching, and restricting based on common methods of child care). Unfortunately, there are many children with the disorder suffering second disabilities which are caused by such unsuitable care or discrimination So, we conducted a team for establishing some systems and giving the opportunities to improve previous systems and knowledge especially for nursing, mainly including Midwiferies and Public Health Nurses. We performed some training sessions and research on conditions of nursing practices.
List of 5 publications in the field of expertise
  1. Chiyori Haga, Naoki Kondo, and Reiko Okamoto: Factors associated with changes in body mass trajectories during infancy: A longitudinal analysis in Japan, Health, 8(14), 1506-1518, 2016.
  2. Chiyori Haga, Masao Aihara: The prevalence of obesity among Japanese children with intellectual disabilities, International Journal of Nursing & Clinical Practices, 2, 149-153, 2015.
  3. Chiyori Haga, Naoki Kondo, Hiroshi Yokomichi, et al.: Exploring Patterns of Body Mass Trajectory in Japanese Children, the 142nd Annual Meeting and Exposition on American Public Health Association handbook, 213, 2014.
  4. Chiyori Haga, Sizuyo Takagi, and Satoko Nakagomi:Child Care Providers’ Perceptions of Children’s Lifestyles and Risk Factors for Obesity: A Focus Group Study, Health, 6(8), 738-747, 2013.
  5. Chiyori Haga, Naoki Kondo, Kohta Suzuki, et al. : Developmental trajectories of body mass index among Japanese children and impact of maternal factors during pregnancy, PLoS ONE,7(12), 2012.
Individual website

Yumi Okinaka, RN, PhD

Research Projects
Appropriate intervention by a caregiver is necessary to maintain the quality of life (QOL) of elderly requiring long-term support and care. How do elderly people in need of long-term care mean about their own age and physical disability? Therefore, I have continued to study care and support for the elderly. My research involves both qualitative descriptive analysis of interview surveys and statistical analysis of questionnaires. I will introduce some of this research. In Japan, the number of elderly people living alone and home care of elderly couples has been increasing. I focused on the hope of elderly people requiring long-term care and analyzed the related factors. The results showed that scores correlated significantly with positive aging cognition, mental health, roles in the community, social networks, and home-help services among frail elderly living alone. In elderly couples, factors relating to maintaining the will to live were depression for both husband and wife and wellbeing of the husband among the wife-as-caregiver couples. Among the husband-as-care giver couples, the factors were age and physical pain of husband and depression for the wife. I will continue to research care and support for elderly people. I welcome master's course students in graduate school and co-researchers who can use Japanese.
List of 5 publications in the field of expertise
  1. Yumi Okinaka. Hope and related factors among of the frail elderly living at home alone. J. Jpn. Acad. Nurs. Sci., 2017; 37: 76–85.
  2. Yumi Okinaka. Aging experience of the elderly residing alone requiring support or long-term care. Japan Society of Nursing Research. 2017; 40(4): 649-656.
  3. Yumi Okinaka & Masumi Nishida. Factors relating to ‘Hope to live’ among elderly couples who provide care to the spouse: An analysis of cases of wife as caregiver and husband as caregiver. Japan Society of Nursing Research. 2014; 37(4): 45-53.
  4. Yumi Okinaka. Depression in the elderly living alone at home with mild degree of care needs and related factors. TNMC & WANS International Nursing Research Conference 2017. 2017; pp.251.
  5. Yumi Okinaka. Life satisfaction of senior citizens with dementia living alone and their relation with the support that they receive and their social involvement. The 32nd International Conference of Alzheimer’s Disease International. 2017; pp.482.
  6. Yumi Okinaka & Masumi Nishida. Health-related QOL among elderly married couples caring for a spouse at home. 9th International Nursing Conference & 3rd World Academy of Nursing Science. 2013; pp.55.

Aki Okamoto, RN, PHN, PhD

Research Projects
“We find that our personal limitations are the ground from which spring our own unique possibilities.” “Your life and your dreams may have been shattered – but from such ruins you can build a new life full of value and purpose.” (Deegan, 1993). The person to whom this quote is attributed has battled with mental disabilities since her teenage years. Recovery from mental illness involves much more than recovery from the illness itself. It involves an effort to persist in coping with the symptoms and functional restrictions of a mental illness while carving out a meaningful life and valued sense of integrity (Liberman, 2008). My research looks at the switch from a medical model to a recovery oriented nursing model. Medical staff use a medical model in psychiatric hospitals, applying involuntary hospitalization and pharmacotherapy-focused treatments to patients as well as observe and alleviating symptoms. This makes understanding the recovery process difficult for both the medical staff and patients. I am trying to build a new psychiatric nursing model for people’s recovery. In the last three years, I have been evaluating and implementing an experience-based program to proliferate the concept of recovery among hospital nurses. Presently, I am improving that program through collaboration with Assertive Community Treatment. ACT practices can support people with severe mental illness at their home and in the community, who avoid hospitalization. My research methods use an evaluation study model.
List of 5 publications in the field of expertise
  1. Aki Okamoto, Shizuko Tanigaki. Evaluation of an experience-based program to understand the concept of recovery among hospital-based psychiatric nurses. Journal of Human Behavior in the Social Environment Published online: 11 Oct 2017.
  2. Changes in the mindset of family members with regard to mentally ill individuals living at home under ACT program. Journal of Japan society of nursing research 37(2), 39-48, 2014

Yukari Ikuta,RN,MSN

Research Projects
In the previous study, sports trainers provided muscle training for 3 months to 70 elderly persons in an elderly care facility. Data on the physical strength and QOL (assessed using SF36) of the elderly participants were collected and analyzed before and after training. It was found that those who continued the training showed improvement to both physical strength and mental function, suggesting that training may reduce their need for assistance. We summarized the results in a report titled "Muscle strength training: A project to improve physical and mental function of the elderly" and submitted it to the relevant authorities in Okayama Prefecture. Thereafter, the purpose of the subsequent study was to investigate the issues involving family- caregiver’s ‘aggression’ to the body and mind and noninterference in latent ‘elder abuse’ and identify the causes for the caregiver’s aggressive behavior. Survey were implemented by mail. 215 (a response rate of 55.69%) of the family-caregiver faculty responded, and 206(a response rate of 53.37%) of the valid dates were analyzed statistically. The results of the study showed that ‘Determinants of physical aggression among family caregivers of the elderly’ were patient’s ADL, the elderly patient’s problematic behavior and human relations. ‘Determinants of psychological aggression among family caregivers of the elderly’ were patient’s ADL, arrangements for caregiving and human relations, and the elderly patient’s problematic behavior and human relations. ‘Determinants of noninterference behavior among family caregivers of elderly’ were patient’s ADL, affirmative feeling for caring, arrangements for caregiving, and human relations. The ‘human relations’ related to ‘the Burden of caregivers’, ‘the feelings of affirmation from the caregivers’, family relationships, the elderly patient’s ADL, the elderly patient’s problematic behavior and service information. It is possible to estimate the attention to secondary feelings, arrangements for caregiving, and determinants.(master thesis). Next, the purpose of this study is to clearly identify the decisions made by a man living with a woman suffering from dementia, in order to provide continuous in-home caregiving. A semi-structured interview was carried out on five male caregivers. The contents were recorded verbatim, and data was coded, categorized, and sub-categorized by qualitative analysis. Factors which led to choosing continuous caregiving were searched. As a result, five categories, namely “creating an outlook to bear the caregiving situation,” “changes to lifestyle which focuses on caregiving,” “acquiring skills for continuous caregiving,” “feelings of an uncertain reality” and “having affection as a caregiver” were extracted. From these categories we created the following constructs; “decision to handle caregiving responsibly” and “emotions that influence the decision”. The points that a man makes the decision to create an outlook to start providing care, changes his lifestyle to one which focuses on caregiving, acquires the skills needed for caregiving, and eventually continues to live with the person under the influence of his emotions, could be identified. This time, we are planning to conduct a survey of family caregivers, especially the sons and daughters of elderly people, to identify the supports required by caregivers and methods for improving the health in the lifespan of elderly people.
List of 5 publications in the field of expertise
  1. Emergency Operations and Feelings as Described by Municipal Employees Six Months after the Great East Japan Earthquake; Body Recovery and Management Work (joint work). Japanese Journal of Public Health Nursing .5 (1),1-10,2016.
  2. Circumstances Related to Physical and Psychological Health of Local Government Employees after the Great East Japan Earthquake [in Japanese] (joint work) Japanese Journal of Public Health Nursing 4(1), 21-31, 2015.
  3. Decisions made by a man living with a woman suffering from dementia, in order to provide continuous caregiving : Presentation: Japanese Journal of Gerontology,2014.6.8
  4. Elderly abuse : The knack of care for the elderly,CreatesKamogawa,196-199,2010.
  5. Evidence of the Nursing, Nakayama Shoten.Vol.10.67-69, 83-85, 2010.
  6. Determinants of aggressive behavior among family caregivers of elderly, Master's thesis, Graduate School of Health Sciences, Okayama University, 2006.
  7. Report: Weight training :Promotion of preventive exercise as a part of preventive care , Okayama Prefecture,2005