Faculty & Position:General Education  associate professor
Contact:tsuruwaka[at]slcn.ac.jp convert [at] to @
Last Updated: Sep. 01, 2020 at 05:09

Researcher Profile & Settings


  • Waseda University Graduate School of Human Sciences

Academic & Professional Experience

  • Apr. 2010School of Nursing, St. Luke's International University

Association Memberships



  • 博士( 人間科学)

Research Activities

Published Papers

  • Barriers to Promoting Advance Care Planning for Residents Living in a Sanatorium for Hansen’s Disease: A Qualitative Study of Residents and Staff in Japan
    Asian Bioethics Review Aug. 2018 [Refereed]
  • Narrative writing as a strategy for nursing ethics education in Japan
    International Journal of Medical Education 9 198-205 Jul. 2018 [Refereed]
  • Educational challenges in teaching nursing ethics: perspectives of educators in Japan
    Journal of nursing education and practice 8(10) 152-164 Jun. 2018 [Refereed]
  • Consulted ethical problems of clinical nursing practice: perspective of faculty members in Japan
    BMC Nursing 16(23) 1-9 May 2017 [Refereed]
  • Research concering nursing care for Hansen's desease patients in Japan-Based on the narratives of former Hansen's disease sanatorium patients-
    Japanse Journal of Clinical Thanatology 21(1) 25-34 Sep. 2016 [Refereed]
  • Analysis of trends in the content of abstracts of academic reports by the Japanese Society for clinical Thanatology(1995-2013)
    Japanse Journal of Clinical Thanatology 21(1) 12-24 Sep. 2016 [Refereed]
  • Advance care planning processes and specific assistance: through analysis of the timing of the confirmation of the intentions of care recipients by visiting nurses
    Journal of Japan Association for Bioethics 26(1) 90-99 Sep. 2016 [Refereed]
  • Crucial ethical problem for Japanese nursing students
    Journal of Nursing Education and Practice 5(12) 17-24 Sep. 2015 [Refereed]
  • [Communication with important others regarding their preferences for end-of-life care].
    Chiho Shimada, Kazuhiro Nakazato, Kazuko Arai, Kaoruko Aita, Tetsuro Shimizu, Mari Tsuruwaka, Tatsuro Ishizaki, Ryutaro Takahashi
    Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics 52(1) 79-85 2015 [Refereed]
    AIM: Our aim in this study was to explore individual factors that make it likely for Japanese older adults to engage in communication with important other persons regarding their preferences for end-of-life care. METHODS: We conducted a questionnaire survey of outpatients at Tokyo Metropolitan Geriatric Hospital in the last six days of March 2012. Nine-hundred and sixty-eight outpatients consented in writing to participate in this survey. Two items on the questionnaire concerned the participants' attempts to communicate their preferences regarding end-of-life care; that is, whether they had discussed this issue with their significant others and whether they had written notes indicating how they want to be cared for in the final days of their lives. RESULTS: The participants who had designated a surrogate decision-maker were more likely to report answers of both than only discussion (OR=2.52) and less likely to reports answers of no communication than only discussion (OR=0.37). In addition, (a) those who did not wish to rely on artificial nutrition or hydration (OR=0.68) and (b) those who often thought about their death were more likely to be in the only discussion group than in the no communication group, although these factors were not significantly associated with whether the participants were likely to be in the both or only discussion groups. CONCLUSIONS: Our findings indicate that individuals often attempt to clarify their preferences in order to make it easier for their significant others to make end-of-life care decision on their behalf, so that they may receive their desired care.

Conference Activities & Talks

  • Analysis of Advance care planning in Japan
    Ikeguchi yoshiko, TSURUWAKA Mari
    Japanse Journal of Clinical Thanatology Nov. 2016
  • Analysis of Advance care planning in Engrand, Canada, and Australia
    TSURUWAKA Mari, Ikeguchi yoshiko
    Japanse Journal of Clinical Thanatology Nov. 2016
  • Consulted ethical problems of clinical nursing practice: perspective of faculty members in Japan
    Japan Association for Bioethics Nov. 2015
  • Research concering nursing care for Hansen's desease patients in Japan-Based on the narratives of former Hansen's disease sanatorium patients-
    TSURUWAKA Mari, Yokose rieko
    Japanse Journal of Clinical Thanatology Nov. 2015


  • FY2015 Curriculum Revision for St.Luke's International University College of Nursing
    OKUBO Nobuko
    Bulletin of St.Luke's International University(2) 88-93 Mar. 2016
  • A Study on the Development of Computer Based Testing(CBT) for a Common Achievement Test for Nursing Colleges in Order to Maintain Students’ Competency for Practical Nursing - With Emphasis on Item Creation and Statistical Analysis of Pilot Testing -
    (38) 1-9 Mar. 2012
    〔Abstract〕 With the rapid increase of the number of nursing universities in Japan, the importance of evaluating thelevel of practical nursing ability required by graduation is increasing. Therefore, it is of urgent importance to develop a common achievement test available to nursinguniversities throughout Japan to evaluate the level of competency and knowledge required for a nursingstudent to begin clinical practice in hospitals or health facilities. For the purpose of developing such a test, 1,120 multiple choice items were made from the 18 nursingdomains, which are divided into the three areas: basic medicine, basic nursing and clinical nursing. Then pilot testing was conducted in both paper-based and computer-based forms with the 730 students and220 students respectively. The total of the alpha reliability of the three areas turned out to be high. Therefore the usefulness of the computer-based examination was confirmed in comparison with the paperbasedtest.
  • Student Affairs Section FY2010 Activity Report: The Third Year Approach for Suitable Learning Environment.
    (37) 47-52 Mar. 2011
    In 2008,the Student Affiirs Division of St. Luke's College of Nursing launched an initiativefor acquiring appropriate communication skills and basic manners so that students caneffectively fulfill this institution's educational objectives and benefit from awell-rounded campus life. It is three years since students started the activitiesunder the slogan of “Establishing a suitable learning environment“. In 2010,they continued to carry on these activities, making a valuation of what they did forthese three years. The actual activities in this year were: promotion of exchangegreetings, implementation of public relations at the school festival,campaign for collecting plastic bottle caps. The feedback on the aboveactivities from their peers and teachers showed the expansion of good manner awareness.However, some bad manners were still pointed out, and the activities to promotegood manners needed to be continued. In order to further promote and appreciatethese activities, faculty staff could show support for such studentinitiatives, cooperating closely with other relating committee members.
  • Student Affairs Section FY2009 Activity Report: The Second Year Approach for a Suitable Learning Environment.
    (36) 32-37 Mar. 2010
  • Student Affairs Section FY2008 Activity Report: Striving for a Suitable Learning Environment.
    (35) 110-117 Mar. 2009

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