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End-of-Life Care Training Program Intended to Address Nursing Care Disparities in Isolated Islands and Remote Areas

Research Project

Project/Area Number 19K10736
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58050:Fundamental of nursing-related
Research InstitutionKagoshima University

Principal Investigator

Yatsushiro Rika  鹿児島大学, 医歯学域医学系, 教授 (50305851)

Co-Investigator(Kenkyū-buntansha) 山口 さおり  鹿児島大学, 医歯学域医学系, 講師 (10404477)
Project Period (FY) 2019-04-01 – 2025-03-31
Project Status Completed (Fiscal Year 2024)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2023: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2022: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2021: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords離島・へき地 / 看護師 / 看取り / 継続教育支援 / 継続教育 / 人材育成 / 地域包括ケア / アドバンス・ケア・プランニング / 新型コロナウィルス感染症 / 看護 / 格差是正
Outline of Research at the Start

本研究の目的は、離島・へき地に暮らす住民のために看護師による看取りを可能にし、そこに暮らす住民の健康ニーズに寄与することである。段階的に以下の研究を行う: ①離島のへき地診療所における看護師に求められる看取りケア能力を明確にする、②離島・へき地で働く看護師への看取りに関する研修の実施と評価、③離島・へき地における看護師による看取りの実践適用、④看護師による看取りについての学習プログラムの作成。

Outline of Final Research Achievements

This study was aimed at developing a training program on end-of-life care for nurses working in remote clinics so as to enable residents of isolated islands and remote areas to remain in their familiar communities until their final days. We surveyed residents and nurses on isolated islands and established a support network for continuing education. Collaboration among government agencies, affiliated organizations, healthcare institutions, and educational institutions has enhanced the recruitment of nurses to remote clinics and the overall support system. This study highlights the importance of facilitating advance care planning for community residents and yields insights that are expected to contribute to the implementation of end-of-life care training programs for nurses in remote clinics.

Academic Significance and Societal Importance of the Research Achievements

看護の質向上を図ることは、離島・へき地に暮らす住民が住み慣れた地域で最期まで暮らせることに寄与でき、地域における看護格差の是正につながる。今回、へき地診療所に勤務する看護師を支援するための継続教育支援ネットワークを構築し、離島における看取りに関する課題を共有するためのサミットを開催した他、3つの調査を行い、へき地診療所看護師の看取り支援を検討する上で有意義な知見を得た。これらの結果は、看護師の研修プログラムの実践化につながり、離島・へき地の看護の質向上に貢献できると考える。

Report

(7 results)
  • 2024 Annual Research Report   Final Research Report ( PDF )
  • 2023 Research-status Report
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (32 results)

All 2025 2024 2023 2022 2021 2020 2019 Other

All Int'l Joint Research (2 results) Journal Article (11 results) (of which Peer Reviewed: 11 results,  Open Access: 11 results) Presentation (16 results) (of which Int'l Joint Research: 6 results) Book (2 results) Funded Workshop (1 results)

  • [Int'l Joint Research] 中央大学校赤十字看護大学(韓国)

    • Related Report
      2024 Annual Research Report
  • [Int'l Joint Research] ディポネゴロ大学(インドネシア)

    • Related Report
      2024 Annual Research Report
  • [Journal Article] 無医島における糖尿病看護の現状2025

    • Author(s)
      橋元久美子,八代利香
    • Journal Title

      鹿児島大学医学部保健学科紀要

      Volume: 35 Pages: 1-8

    • Related Report
      2024 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ethical issues experienced by operating room nurses during COVID-192024

    • Author(s)
      木下天翔,八代利香
    • Journal Title

      Journal of Japanese Nursing Ethics

      Volume: 16 Issue: 1 Pages: 56-62

    • DOI

      10.32275/jjne.20230830

    • ISSN
      2434-7361
    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Simulation-based education for regional nurses in Japanese university hospitals2023

    • Author(s)
      田中久美子,八代利香
    • Journal Title

      Japanese Journal of Nursing and Health Sciences

      Volume: 21 Issue: 0 Pages: 1-9

    • DOI

      10.20705/jjnhs.21.0_1

    • ISSN
      2424-0052
    • Related Report
      2023 Research-status Report 2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The revision of the code of ethics for Japanese nurses: A critique of the revision draft and process2022

    • Author(s)
      高橋梢子,小野美喜,八尋道子,八代利香,小西恵美子
    • Journal Title

      Journal of Japanese Nursing Ethics

      Volume: 14 Issue: 1 Pages: 43-47

    • DOI

      10.32275/jjne.20210921

    • NAID

      130008114434

    • ISSN
      2434-7361
    • Year and Date
      2022-03-20
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] COVID-19クラスターが最初に発生した離島において保健師が捉えた住民の意識と行動の変化及び保健活動2022

    • Author(s)
      高田千春、水田明子、八代利香、田畑千穂子
    • Journal Title

      日本職業・災害医学会会誌

      Volume: 70 Pages: 222-227

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Current Conditions of Support Provision for Nurses at Hub Hospitals in Remote Areas2022

    • Author(s)
      楠元裕佳,八代利香
    • Journal Title

      JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE

      Volume: 70 Issue: 5 Pages: 460-473

    • DOI

      10.2185/jjrm.70.460

    • NAID

      130008161883

    • ISSN
      0468-2513, 1349-7421
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 手術室看護師が経験する倫理的問題ー文献的考察からー2022

    • Author(s)
      木下天翔,田中久美子,八代利香
    • Journal Title

      鹿児島大学医学部保健学科紀要

      Volume: 32 Pages: 73-79

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Trends of research on simulation-based education for nurses2020

    • Author(s)
      田中久美子,八代利香
    • Journal Title

      Japanese Journal of Nursing and Health Sciences

      Volume: 18 Issue: 1 Pages: 12-17

    • DOI

      10.20705/jjnhs.18.1_12

    • NAID

      130007872622

    • ISSN
      2424-0052
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] ケアマネジャーの基礎資格による訪問看護導入の判断要因の相違2020

    • Author(s)
      下吹越直子,兒玉慎平,八代利香
    • Journal Title

      日本職業・災害医学会誌

      Volume: 68 Pages: 283-290

    • NAID

      40022370261

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Development of an Assessment Scale for Commencing Home-Visit Nursing in Japan: Examining the Construct2019

    • Author(s)
      Shimohigoshi Naoko Yatsushiro Rika
    • Journal Title

      Home Health Care Management & Practice

      Volume: - Issue: 3 Pages: 186-192

    • DOI

      10.1177/1084822319839973

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Significance and potential of self-management research for HTLV-1 associated myelopathy: review of self-management for people with multiple sclerosis2019

    • Author(s)
      Saori Yamaguchi, Rika Yatsushiro
    • Journal Title

      Journal of Rural Medicine

      Volume: 14 Issue: 1 Pages: 7-25

    • DOI

      10.2185/jrm.2996

    • NAID

      130007655808

    • ISSN
      1880-487X, 1880-4888
    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 無医島での糖尿病看護における「島民とのかかわり」に関する看護職の困難感2024

    • Author(s)
      橋元久美子,八代利香
    • Organizer
      日本看護倫理学会第17回年次大会
    • Related Report
      2024 Annual Research Report
  • [Presentation] Assessing Transformational Learning Outcomes of a Collaborative Online International Learning Experience in Rural Healthcare2023

    • Author(s)
      Kennison, M., Yatsushiro, R., Yamaguchi, S., Baek, h., Tuner, L.
    • Organizer
      34th International Nursing Congress, Sigma Theta Tau International Honor Society of Nursing
    • Related Report
      2023 Research-status Report
    • Int'l Joint Research
  • [Presentation] Strategic Development of Basic and Advanced Radiological Nursing Education in Response to the Fukushima Nuclear Disaster2023

    • Author(s)
      Koji Yoshida, Yuko Ikuta, Yuka Noto, Takumi Yamaguchi, Rika Yatsushiro, Aya Gto, Katsumasa Ota, Emiko Konishi, Tomoko Kusama
    • Organizer
      ICRP 2023
    • Related Report
      2023 Research-status Report
    • Int'l Joint Research
  • [Presentation] 手術室看護師の倫理的問題に関する認識2023

    • Author(s)
      木下天翔,八代利香
    • Organizer
      第37回日本手術看護学会年次大会
    • Related Report
      2023 Research-status Report
  • [Presentation] 地域の病院におけるシミュレーション教育2022

    • Author(s)
      田中久美子,八代利香
    • Organizer
      日本看護研究学会第48回学術集会
    • Related Report
      2022 Research-status Report
  • [Presentation] COVID-19禍に関する手術室看護師が抱える倫理的問題2022

    • Author(s)
      木下天翔,八代利香
    • Organizer
      日本看護倫理学会第15回年次大会
    • Related Report
      2022 Research-status Report
  • [Presentation] 在留外国人高齢者が介護を受けることを阻害している要因2022

    • Author(s)
      下吹越直子,八代利香
    • Organizer
      日本看護倫理学会第15回年次大会
    • Related Report
      2022 Research-status Report
  • [Presentation] Changes in Residents' Consciousness and Behavior due to the Occurrence of COVID-19 Clusters on a Remote Island2022

    • Author(s)
      Nao Horinouchi, Namiko Taira, NAtsumi Abe, Mao Sezaki, Moeka Makinosumi, Rika Yatsushiro, Chihoko Tabata, Akiko Mizuta
    • Organizer
      6th International Conference of Global Network of Public Health Nursing
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] Inter-Professional Health Assessment Education Through a Virtual Home Visit on a Remote Island2021

    • Author(s)
      Yatsushiro, Rika, Mizuta, Akiko, Yamamoto, Naoko, Tanaka, Kumiko, Nakao, Yuko
    • Organizer
      ICN Congress 2021
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] 手術室看護師が経験する倫理的問題の対処に関する実態調査2021

    • Author(s)
      木下天翔,八代利香
    • Organizer
      日本看護倫理学会第14回年次大会
    • Related Report
      2021 Research-status Report
  • [Presentation] Using Collaborative Online International Learning as effective pedagogy to teach rural nursing2020

    • Author(s)
      Kennison, M., Turner, L., Yatsushiro, R., Yamaguchi, S., Acdan, N., Tanaka, K., Baek, H.
    • Organizer
      Sigma International Research Congress
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] 手術室看護師が経験する倫理的問題の具体的内容2020

    • Author(s)
      木下天翔,八代利香
    • Organizer
      日本看護倫理学会第13回年次大会
    • Related Report
      2020 Research-status Report
  • [Presentation] 無医地区離島に暮らす住民の人生会議に参加しての思い2020

    • Author(s)
      田畑千穂子,八代利香
    • Organizer
      日本看護倫理学会第13回年次大会
    • Related Report
      2020 Research-status Report
  • [Presentation] 大学病院における地域の看護職を対象としたシミュレーション教育2020

    • Author(s)
      田中久美子,八代利香
    • Organizer
      日本看護研究学会第46回学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] Development of End-of-life Care Training Program for Nurses at Remote Clinics on Non-doctor Islands2019

    • Author(s)
      Chihoko Tabata, Rika Yatsushiro
    • Organizer
      International Council of Nurses Congress 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] A村における看護師人材育成のあり方に関する検討-行政保健師の立場から-2019

    • Author(s)
      本砥貴子,肥後あかね,上野陽子,田畑千穂子,八代利香
    • Organizer
      第14回日本ルーラルナーシング学会学術集会
    • Related Report
      2019 Research-status Report
  • [Book] チーム医療におけるルーラルヘルスケアー黒島を訪ねてー(動画教材)2022

    • Author(s)
      八代利香,水田明子,松田史代,井上和博,木山良二,山本直子,窪田正大,田中久美子,牧迫飛雄馬,中尾優子,赤崎安昭
    • Publisher
      東京サウンドプロダクション
    • ISBN
      9784600009052
    • Related Report
      2021 Research-status Report
  • [Book] 新型コロナウイルス ナースたちの現場レポート2021

    • Author(s)
      太田勝正,小野美喜,勝原裕美子,小西恵美子,八代利香
    • Total Pages
      6
    • Publisher
      日本看護協会出版会
    • ISBN
      9784818023253
    • Related Report
      2021 Research-status Report 2020 Research-status Report
  • [Funded Workshop] 鹿児島離島サミット2025

    • Related Report
      2024 Annual Research Report

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Published: 2019-04-18   Modified: 2026-01-16  

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