KAMEI Tomoko

Faculty & Position:Gerontological Nursing   professor
Contact:kamei[at]slcn.ac.jp convert [at] to @
Last Updated: Aug. 22, 2019 at 05:04

Researcher Profile & Settings


  • PhD


    Gerontological Nursing, PHN, RN,

Academic & Professional Experience

  • Apr. 2008- TodayProfessor, St. Luke's International University
  • Apr. 2015Mar. 2018Director, WHO Collaborating Center for Primary Care/ People-Centered Care, St. Luke’s International University, Tokyo
  • Apr. 2015Mar. 2018Director, Department of People-Centered Care, St. Luke’s International University Research Center, Tokyo
  • Apr. 1997Mar. 1999Assistant Professor, Tokyo Medical and Dental University, School of Allied Health Sciences, Course of Nursing, Tokyo
  • Apr. 19911997Junior Assistant Professor, Tokyo Medical and Dental University, School of Allied Health Sciences, Course of Nursing, Tokyo

Association Memberships

    , Mixed Methods International Research Association(MMIRA)


  • 看護学修士
  • 医学博士

Research Activities

Research Areas

  • Nursing / Gerontological nursing
  • Nursing / Community health/Gerontological nursing

Research Interests

    Mixed Mehods Research , Home Health Care , Gerontological Nursing

Published Papers

  • Detection of early-stage changes in people with chronic disease: A telehome monitoring-based telenursing feasibility study
    KAMEI Tomoko
    Nursing and Health Sciences DOI:10.1111/nhs.12563 1-10 Jul. 2018 [Refereed]
  • Publication of Japan Academy of Home Care Statements on Improvement and Promotion of Home Care Practice
    KAMEI Tomoko
     21(2) 5-7 Mar. 2018
  • Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: A randomized controlled trial.
    Tomoko Kamei, Fumiko Kajii, Yuko Yamamoto, Yukako Irie, Rumi Kozakai, Tomoko Sugimoto, Ayako Chigira,Naoakira Niino
    Japan Journal of Nursing Science Sep. 2014
  • Information and communication technology for home care in the future
    Tomoko Kamei
    Japan Journal of Nursing Science 10(2) 151-161 Dec. 2013
  • Systematic review and meta-analysis of studies involving telehome monitoring-based telenursing for patients with chronic obstructive pulmonary disease
    Tomoko Kamei, Yuko Yamamoto, Fumiko Kajii, Yuki Nakayama, Chiharu Kawakami
    Japan Journal of Nursing Science 180-192 Oct. 2013
  • Six month outcomes of an innovative weekly intergenerational day program with older adults and school-aged children in a Japanese urban community
    Tomoko Kamei,Waka Itoi, Fumiko Kajii, Chiharu Kawakami, Masumi Hasegawa, and Tomoko Sugimoto
    Japan Journal of Nursing Science 8(1) 95-107 Jun. 2011
  • Development and Cost Effectiveness of a Telenursing System for Homr Oxygen Therapy Patients and an educational Program for Telenurses
    Tomoko Kamei, Nobuaki Kamei, Sumio Murase
    Journal of eHealth Technology and Application,5(3). 5(3) 304-308 Sep. 2007
  • Development and Cost Effectiveness of a Telenursing System for Home Oxygen Therapy Patients and an Educational Program for Telenuerses
    Tomoko Kamei, Nobuaki Kamei,Sumio Murase
    Journal of eHealth Technology and Application 5(3) 304-308 Sep. 2007
  • Comparative research on needs model of e-learning in continuing nursing education based on needs survey by web and mailing methods.
    (32) 1-10 Mar. 2006
    In order to establish the causal model structure for e-learning needs, we investigated the needs ofnurses for e-learning by a web and a mailing method, and subsequently compared the results by employingcovariance structural analysis. We investigated the e-learning method by placing a series of questionnaires on our college websitefrom May to October2003(web group). For the mailing group, we sent the same questionnaire to a random stratified sample of nurses in Japan, from February to April 2003. Included in the survey were public health nurses, midwives, and nurses working in health, medical, welfare and educational institutions, and companies. We excluded nurses working in clinics, public health centers, and unspecifiedinstitutions. We assumed a response rate of 30% and performed stratification random sampling with a 0.4% rate of extraction. This left us with 810 institutions with 3,466 nurses from the total number of 1,103,760 nurses, for the mailing.The results were as follows: 1) We obtained 460 responses from the web group, and 1,270 responses from the mailing group (36.6% of valid response rates from the mailing group). The response indicat
  • Development of telenursing system to monitor of daily life and symptoms for home oxygen therapy clients.
    (29) 1-11 Mar. 2003
    To meet their long-term care needs and improve QOL of patients who have chronic respiratoryfailure and use home oxygen therapy (HOT), I have developed a telenursing supportsystem. Computerized communications are used for daily monitoring and healthmanagement. focused on early signs symptoms of acute exacerbations.The system consists of interactive communications between the server computer at thetelenursing center and a terminal unit set in the homes of clients. 21 questions referringto symptoms of acute exacerbations and daily life and mental information are dispatchedfrom the server once or twice a day. Clients respond by selecting one answer choice foreach question and pressing it on the touch panel. Responses are forwarded automaticallyto the server; data are processed and analyzed simultaneously. Literature-based algorithmsanalyze client responses and trigger individualized messages; an alarm is produced for serioussigns. Messages include specific directions about therapy, exercise and getting physiciancare immediately. To make operation of the terminal easier for elderly persons a voiceresponse unit is included.Two trials have been conducted. The first, with healthy men
  • Development of Framework for Assessing and Evaluating Usage of 'Smart Home' Monitoring Systems for the Elderly with Dementia Residing at Home Alone -Integrating a Literature Review and Interventional Studies-
    (39) 10-19
    We examined assessment and evaluation frameworks of‘ Smart home’ monitoring systems for the elderlywith dementia living alone at their residences, which encouraging monitoring of their safety life and life’squality in the residence. We demonstrated the assessment and evaluation framework through integrationwith Meta-synthesis of the literature and elderly who introduced to the Smart home systems. They were examined through the following perspectives:(1)elderly and family’s back ground,(2)adequate home monitoring methods,(3)details of monitoring and(4)outcome of living in the Smart home. The results suggested that it is possible to set up frameworks to evaluate and assess the following: needsof the elderly, safe and independent single living, usage of the lavatory or kitchen, sleeping and activitytimes/spaces, impact on quality of life(QOL)and health-related QOL, these were the elements of ‘healthylife rhythms’ and avoidance of hospitalization or institutionalization. Regarding the family living separately,problem resolution and satisfaction of them. Regarding the residence environment, whether the Smart hometechnology was adeq
  • Developing a St.Luke's Intergenerational Exchanges and Relations Observation (SIERO) Inventory and Analysis of the Reliability and Validity.
     17(1) 9-18
    Purpose:Development of a SIERO Inventory to collect the intergenerational exchanges between elders andschool age children in the community and analysis of its reliability and validity.Method:Intergenerational day programs“B”which were held weekly in the A-ward in Tokyo was choose, and aprovisional SIERO inventory was created through participant observation over the two years since it began. Mainsurvey was performed for the selection of appropriate items. The subjects were 15 elderly (mean age of 79.3 (SD7.8) years) and 14 school age children (mean age of 9.1 (SD 2.6) years), who continued to participate in the B programfor over a month. The 14 categories were extracted from 87 items of intergenerational exchanges over thetwo years (a total of 80) sessions, and a provisional SIERO inventory was created (33 items) include seven items ofthe circumstances during participation, and questions from one to five in 14 categories. Using a provisional SIEROinventory, three researchers observed intergenerational exchanges occurring during program B over a period ofone and a half years (a total of 55 sessions), and documented the participants of e

Books etc

  • 2017 Annual Report, St. Luke's International University, Research Center Devision of People-Centered Care Development WHO Collaborating Center for Nursing Develpoment in Primary Health Care
    KAMEI Tomoko
    St. Luke's International University  Jun. 2018

Conference Activities & Talks

  • Influencing health policy for mainstreaming telemonitoring in Japan
    Danish-Japanese Welfare Technology Workshop: New Horizonz for Telehealth, Telerehabilitation & Welfare Technologies Jun. 2019
  • Influencing health policy for mainstreaming Telemonitoringin Japan: A success story
    KAMEI Tomoko
    University of Queensland, Center for Online Health Invited Lecture Oct. 2018 [Invited]
  • Implementation of the Hospital Elder Life Program in St. Luke’s (HELP in SL) to promote clinical practice education: volunteer nursing students’ perceptions
    KAMEI Tomoko
     Aug. 2018
  • Telehome monitoring of older adults with chronic diseases living at home and issues in promoting medical care guidance: Evaluation of participants’ experiences in telenursing practice seminars
    Yamamoto Y, Kamei T, Kanamori T, Nakayama Y
    Health Informatics Australia Jul. 2018
  • Assessment Scale for People-Centered Care in the community: Developmental Process and Face Validity
    12th Biennial Conference and Meetings of the Global Network of WHO CC for Nursing and Midwifery Jul. 2018
  • People-Centered Care in the Super-Aged Society
    KAMEI Tomoko
    Faculty's Lecture for Tai Khon Kaen University Jun. 2018 [Invited]
  • Home monitoring and telenursing for people with chronic disease: A practice and evidence
    KAMEI Tomoko
    Denmark and Japan STI Event Let's Discuss Telemedicine Jun. 2018 [Invited]
  • Home self-monitoring equipment management time taken by older adults with non-communicable disease: support needs for initial introduction
    Success and Failures in Telehealth-17, 8th Annual Meeting of the Australasian Telehealth Society Oct. 2017
  • Evaluation of the initial 30 days of a telenursing system for patients with CHF, DM, and COPD
    Success and Failures in Telehealth-17, 8th Annual Meeting of the Australasian Telehealth Society Oct. 2017
  • overview of Nursing Education System in Japan
    KAMEI Tomoko
    JICA Seminar of Improvement of Maternal Health including Remote Medical Care for Maternal and Child and human resource development Oct. 2017 [Invited]
  • Development and prevalence of evidence-based guidelines for telenursing practice for severe COPD patients in a Japanese setting
    Tomoko Kamei, Yuko Yamamoto, Fumiko Kajii, Yuki Nakayama, Nobuaki Kamei
    18th International Society for Telemedicine and eHealth (ISfTeH)International Conference in Japan Oct. 2013
  • Study of telenursing system that promotes self-care of patient with chronic obstructive pulmonary disease- Nursing instruction for COPD patients
    Yuko Yamamoto, Tomoko Kamei, Fumiko Kajii, Tyki Nakayama
    18th International Society for Telemedicine and eHealth(ISfTeH) International Conference in Japan Oct. 2013
  • In-home sensor devices and the elderly: the possibilities for meeting the needs and expectations of social workers.
    Kumiko Nonaka, Takashi Koike, Tarou Fukaya, Masami Hasebe, Reiko Watanabe, Shuichiro Watanabe, Shouzoh Ueki, Naoko Arayama, Hirohito Yoshida, Tomoko Kamei, Masumi, Matsumoto, Chiaki Tanaka, Takayuki Hosoi, and Yoshinori Fujiwara.
    The 20th International Association of Gerontology and Geriatrics(IAGG) World Congress of Gerontology and Geriatrics. Jun. 2013
  • Development of Computer Based Testing for a Common Achievement Test for Nursing Colleges(CATNC) in Order to Maintain Students' Competency for Practical Nursing - With Emphasis on the Analysis of Reliability and Validity of the Test -
    Haruo YANAI, Tomoko KAMEI, Miwako MATSUTANI, Keiichiro SAIKI, and Hiroaki HISHIKAWA
    26th International Biometric Conference Aug. 2012
  • Changes in the Depression Status of Elderly Following Participation in an Intergenerational Day Program Over Two Years in a Japanese Urban Community
    Tomoko Kamei, Fumiko Kajii, and Yuko Yamamoto
    The 9th International Conferance with the Global Network of WHO Collaborating Centers for Nursing and Midwifery Jun. 2012
  • Meaning of Comfort for Elderly with Senile Demantia of Alzheimer Type(SDAT) in a Group Home
    Ayako Chigira and Tomoko Kamei
    The 9th International Conferance with the Global Network of WHO Collaborating Centers for Nursing and Midwifery Jun. 2012
  • An exercise habit among the elderly who participated in peactical course for prevention of fall-related fracture living in urban community in Japan.
    Tomoko Sugimoto, Tomoko Kamei, Fumiko Kajii, Yuko Yamamoto, Yukako Irie, and Naoakira Niino
    Ninth Asia/Oceania Regional Congress of Gerontology and Geriatrics Oct. 2011
  • Cost Effectiveness of Home Monitoring Based Telenursing in Preventing Acute Respiratory Exacerbation in COPD Patients with Home Oxygen Therapy:A Randomized- Controlled Trial
    Tomoko Kamei, Yuko Yamamoto, Fumiko Kajii, and Nobuaki Kamei
    5th International conference in community health nursing research May 2011
  • A Self-Monitoring Based Telenursing System for Home Oxygen Therapy (HOT) Patients Yielded Prevention of Hospital Readmission.
    The 4th International Conference on Community Health Nursing Research. Aug. 2009
  • Intergenerational Exchange and Staff Support in an Intergenerational Day Program for School Age Children and Older Adults in a Japanease Urban Community
    Waka Itoi, ◎Tomoko Kamei, and Fumiko Kajii
    The 4th international conference on community health nursing research Aug. 2009
  • The Practice of Sputum Aspiration and Tube Feeding by Nurses and Caregivers of Special Nursing Homes for the Elderly.
    19th IAGG World Congress of Gerontology and Geriatrics. Jul. 2009
  • Care Management in Japan
    10th Korean Gerontological Nursing Association International Conference Keynote Speech May 2008
  • Evaluation of telenursing practical seminars for older adults with chronic disease and clarification of monitoring system issues in Japan
    Success and Failures in Telehealth-17, 8th Annual Meeting of the Australasian Telehealth Society Oct. 2017


  • Medical Library 書評・新刊案内.一歩先のCOPDケア さあ始めよう,患者のための集学的アプローチ
    KAMEI Tomoko
    医学会新聞(3221) 7-7 Apr. 2017
  • 看護学教育評価検討委員会
    KAMEI Tomoko
     47-56 Mar. 2017
  • Seminar for Improving Quality of Care for People with Dementia and Their Caregivers:A Report on a U.S. Japan Grass Roos Exchange for Programs that Work.
    (34) 23-30 Mar. 2008
  • Effectiveness of a Rehabilitation Nursing Module on Swallowing Disorders : Student Self-evaluations of Learning and Confidence.
    (34) 88-97 Mar. 2008
  • An Educational Fall Prevention Program for Older Adults Living in an Urban Community Based on a Survey of Elders' Falls in Two Districts of Chuo-ku, Tokyo.
    (35) 52-60 Mar. 2009
  • Effectiveness of a Self-Care Behavior by Preventive Foot Care Program for the Elderly in an Urban Comunity.
    (35) 102-109 Mar. 2009
  • Development of a Home Hazard Modification Program Utilizing a Model of a House in Preventing Falls for Older Adults Living in the Community.
    (36) 25-31 Mar. 2010
  • A report on the outreach program of palliative care for elderly with dementia based at turner geriatric clinic in the university of michigan medical center.
    (32) 37-42 Mar. 2006
    I went to Michigan to participate in an eight-day training program to learn about the following: the function of nurses and care assistants working in nursing homes; palliative care; the interdisciplinary team approach for the elderly; and the function of social workers. This outreach program was based at Turner Geriatric Clinic in the University of Michigan Medical Center. Job descriptions about the responsibilities of nurses and care assistants are an important part of each job. In addition, the Registered Nurse (RN) and Licensed Practical Nurse (LPN) direct and supervise Nurse Assistants (NA). Therefore, conflict between nurses and care assistants, which often happens in Japan, is not so common. Long term care institutions for the elderly have care programs for palliative care, making medical guidelines, advance directives, and do not resuscitate orders (DNR) for the elderly with dementia. Also, an interdisciplinary team approach is widely carried out in home care for the elderly. Long term care insurance for the elderly will be changed in 2006 in Japan, which will include changes at the institutions of long term care. My experience suggests that the practices
  • Summary of curriculum comprehensive evaluation from 2000 to 2004 Part 3: Evaluation on the clinical practice.
    (32) 70-78 Mar. 2006
    General evaluations of the curriculum at St. Luke's College of Nursing are conducted every four years. As part of this process, this report summarizes evaluations that were conducted on the clinical practice. Evaluations were given by three different groups: students, faculty members and staff members of institutions at which the clinical practice was conducted. Although the number of responses collected was relatively low (less than 40%) , level of satisfaction towards the curriculum was high, the evaluations were generally favorable, and learning effectively by accumulating clinical practice was found. Fourth year students in particular showed the highest level of satisfaction (9.11) in that year and other evaluations were also well balanced. Evaluations from institutions indicated that the contents and methods were beneficial to student learning. However students' preparations for clinical practice received low evaluations. As a result, it was suggested that 1. There was a need to improve preparations for clinical practice at the school and 2. There was a need to think of how to increase the response rate. In the future, we hope to examine the subjects on clinica
  • Development of a health education program for five-year-olds : “Let's learn about our body!“ -The process of research aiming to promote people-centered care.
    (32) 51-58 Mar. 2006
    This paper describes how the process of research conceived by healthcare experts, “Knowledge of the body is necessary for people to take initiative in their own healthcare,“ has been developed into collaborative research with community people. In order to disseminate knowledge of the body into the community to attain fundamental awareness of it, children were strategically targeted since they will be the leaders of the next generation. As a result of group interviews with 15 school nurses and a pilot study on health education for children, five-year-old preschool children were chosen as the target age group introducing a learning program on the human body. The learning program for five-year-olds, which consists of eight sections, was drafted and educational materials were developed. In the process of developing the educational materials, community members surrounding five-yearolds made contributions to the research group, and the expert-led research has eventually evolved into collaborative research with the community. Further development of educational materials, and implementation and evaluation of the learning program will be conducted in collaboration with
  • Summary of curriculum comprehensive evaluation from 2000 to 2004 Part 1: Evaluation every four years.
    (32) 59-64 Mar. 2006
    General evaluations of the curriculum at St. Luke's College of Nursing are conducted every four years. As part of this process, curriculum evaluations were conducted by graduating students, faculty members and the supervisors of past graduates in March, 2005. Results of the evaluations showed that the 70 graduating students were generally satisfied with the curriculum with the exception of the cultural studies subjects. Answers collected from the 29 faculty members showed that they approachedtheir own subjects with enthusiasm however satisfaction levels with the entire curriculum were low. The answers collected from the nine supervisors of first year graduates indicated that there was not a significant change in the characteristics of the students compared with the previous intake however the low number of responses collected posed a problem. This is the tenth year since the start of the current curriculum and based on the results of the evaluations, there is a need for review.
  • Summary of curriculum comprehensive evaluation from 2000 to 2004 Part 2: Evaluation on the subjects.
    (32) 65-69 Mar. 2006
    At St. Luke's College of Nursing, all students and faculty members evaluate the curriculum at the end of semester from 1995. Every five years, the results of the evaluations summarized. This report summarizes the evaluations given on subjects other than clinical practice from 2000 to 2004. The number of responses to the questionnaires was low. They were 0-100% by students and 47.1% byfaculty members. The means of the satisfaction levels (1 to 10 points) on subjects by students were 10:1.0%, 9.9 to 9.0:13.6%, 8.9 to 8.0:33.0%, 7.9 to 7.0:33.0%, 6.9 to 6.0:15.5%, and 5.9 to 5.0:3.9%. The means of points of 8 items (1 to 4 points) of evaluations by faculty members were 4.0:7.8%, 3.9~3.5: 32.0%, 3.4~3.0:42.0%, 2.9~2.5:13.7%, and 2.4~2.0:2.7%. The evaluations given by students did not agree with those of faculty members at all. Both students and faculty members provided many comments in relation to the subjects. From the results, several problems with the evaluation system and curriculum were identified. One of them was how to increase the response rate and another was how to put the results to practical use.
  • Development of a preventive skin care protocol using a skin protection cleaning foam for frail elderly who had urinary and fecal incontinence.
    (31) 26-35 Mar. 2005
  • The evaluation of interdisciplinary team gerontological education program for health, medical and social work course students to promote interdisciplinary team approach for the elderly.
    (31) 36-45 Mar. 2005
  • The needs survey on E-learning lectures in the professional Nurses who work in Health, Medical, Welfare and Educational Institutions.
    (30) 66-73 Mar. 2004
    In 2002, St. Luke's College of Nursing faculty began exploring the possibility of delivering e-learningin higher education to nurses who had completed their basic nursing education. It was deemed importantto understand the e-learning situations and problems both in Japan and abroad.The purpose of this survey was to understand the learning needs and interests of nurses workingin health, medical, welfare, and educational institutions in Japan for the eventual development ofcourses including learning materials to be used in an e-learning program scheduled for 2005.A survey to determine educational interests and needs was developed and sent by post to a randomstratified sample of nurses in Japan. Included in the survey were public health nurses, midwives,and nurses working in health, medical, welfare and educational institutions, and companies. Excludedwere nurses working in clinics, public health centers and other institutions. Eligible institutions numbered810 with a total of 3,466 nurses. For the most part, each institution was asked to choose fivenurses to respond to the survey. Agencies with small numbers of nurses were sent one survey form.The response ra
  • A Report: Advanced nursing practice training at University of Michigan Medical Center using an interdisciplinary team approach for elderly home care.
    (30) 74-80 Mar. 2004
    A three-week training program has been planned and put into practice aiming to learn the interdisciplinaryteam approach method for the elderly at home, which has been carried out at Turner's geriatricclinic in University of Michigan Medical Center as a foothold. The program was designed to learnthe advanced nursing practice in the clinic and outreach.For effective practice of the interdisciplinary team approach, it is important to make the approachas a team from the beginning of nursing care through mutual understanding of the specificity andcharacteristics as each specialist in the team consisted of doctors, nurses and social workers. Furthermore,an appropriate specialist for health problems of the elderly should be chosen as the teamleader and most important points for practice of the program were as follows: to speak a commonlanguage to communicate with the elderly about information necessary for the care, to always makeefforts to advance the communication technique, to realize a rapid utilization of the information bymaking good use of information technology in the university and its outside, to keep a team spirit forchallenge to a new problem and to provide a jo
  • The Development and Evaluation of a Model “Home care Collaboration Notebook“ for the Elderly and Families Living at Home.
    (28) 50-61 Mar. 2002
    We have developed a model “home care collaboration notebook“for the elderly livingat home. We have attempted to enhance the interdisciplinary team approach, and to improve the qualityof life of the elderly and their families using this notebook communication.The methods we used to develop the home care collaboration notebook were the following:1) clarification of the goals of the use of this notebook, 2) identifying the existing problems of the similar notebooks used at present, 3) Creation of the trial notebook and the pilot of its application by using them with a limited number of the elderly and their families at home. After two trial periods and focus groups where we interviewed the care managers who used the notebookwith their clients in two different prefectures, were evaluated the product to make the final version.The elderly and their families who used the notebooks were given the questionnairestwice to evaluate the effect of the notebooks. The first survey was given to six elderlypersons who used it for a week. The second survey was given to seventy-one persons whoused the notebooks for one month.The second surveys were given to the professionalswho provided th
  • Outreach Program to Prevent Falls and Fractures among Urban Elderly : Evaluation of Two Years' Experience.
    (33) 74-84 Mar. 2007
  • Collaboration of Citizens and Professionals to Make a Community Where “All can Live in Peace“: Evaluation of a Symposium Focused on Dementia.
    (33) 103-110 Mar. 2007
  • Evaluation of Clinical Practice of Gerontological Nursing : A Study of Significance of Clinical Practice in a Health Care Facility for the Elderly, and a Geriatric Hospital.
    (30) 97-103 Mar. 2004
    Clinical practice of gerontological nursing in our college is undertaken in two institutions for eachstudent; that is, in a health care facility for the elderly, and in a geriatric hospital. Learning acquiredin each setting is then integrated during the campus conference, which takes place in the last day ofthe practice. The purpose of this study was to consider the significance of practice through the standpointof students by evaluating their clinical practice records.The subjects were 44 students from the 83 third graders who had gerontological nursing clinicalpractice in 2002, and agreed to participate in this study. From the free statements written in the “GeneralSelf Evaluation“ of each institution practice, those concerned with learning and awareness wereextracted, classifying and nominating them through considering their similarity.The results were as follows; The 7 items categorized from practice in geriatrics hospitals were: “understandingof the subject“, “Patients information gathering and needs assessment“, “identified ofneeds“, “practice of nursing care“, “understanding of dementia“, “gerontological nursing view“, and
  • Development and Evaluation of Gerontological Nursing Program in Integrated Curriculum of Undergraduate Nursing Education.
    (27) 42-51 Mar. 2001
    We developed and evaluated of our undergraduate program of gerontological nursing in the integrated curriculum of undergraduate nursing education. There view process was described : identification of goal in each subject, review of undergraduate nursing educational programs, and asignificance of gerontological nursing program in the integrated curriculum in the fiscal year of 1999, Based on these results, We evaluated additional and newly started programs in the fiscal year of 2000. The following findings were obtained: 1.Through the review process of the subject goals in gerontological nursing, the contents were not sufficient according to the framework of the integrated curriculum at St. Luke's College of Nursing. A scope of nursing for the elderly can be covered as much as possible by describing educational contents on the vertical line (interaction between human being and environment) and the horizontalline (living place for the elderly). 2 .It is necessary to ascertain what programs in gerontological nursing should be taught by the first semester of the junior in compulsory subjects and by the first semester of the senior in comprehensive practice. 3. Our future cha
  • Learning and Tasks in Gerontological Nursing Practice at Health Service Faciliteis for Elderly.
    (27) 52-58 Mar. 2001
    Gerontological nursing practice learned at a health service facility for the elderly has reached its second year. Preliminary arrangements were done thoroughly due to the introduction of the Long - term Care lnsurance System and the staff shift at the training facility. Moreover training tasks of the previous year, namely pre - training learning state, arrangement of training environment, and the system of training guidance were amply reviewed, reaching to the conclusion of taking the similar training method performed during the second half of the last year. Aside, this time, a case report was assigned for each individual student in order to achieve an integration of academic and practical learning. Data for qualitative analyses was taken from the contents of “Daily Training Record '' and “General Assessment'', and case reports of 4 students who trained during the first half. Through analyses of the categorized students - learning notes, 6 categories of “Role and significance of health service facilities“, “Role and liaison among professionals“ , “Actual supporting activities“ , “Significance of the family“ , “Life after leaving fac
  • Practical Learning Care Skills at Health Service Facility for the Elderly For Better General Practice for Undergraduate students of Nursing.
    (26) 93-104
    We conducted practice for sophomore students of the St.Luke's College of Nursing at health service facility for the elderly.The purpose of the practice is to learn care skills for elderly patients and their family. Eight students were participated for a ten-day practice.They were randomly divided into two groups according to time of initiating practice, I.e., four students were assigned to first practice group and remaining students assigned to latter group.Despite meetings with care staff of the facility, students of the first group were not able to establish good communication with care staff and they could not actively participate the care program.Students of the latter group were informed about these problems and they tried improve communication with care staff and residents.They could participate care program more actively and their satisfaction with the practice was better. Our experiences suggest that awareness of importance of communication both by students and care providers such as staff leaders and head nurse are important to improve efficacy of general practice.We assume this is particularly important for students of nursing who practice in health service facilit
  • The Characteristics of the Intergenerational Program at The Intergenerational School in Cleveland in USA
    (38) 76-80 Mar. 2012
    〔Abstract〕 This report aimed to describe the characteristics of the intergenerational program of The IntergenerationalSchool (TIS) in Cleveland in USA. The intergenerational program of TIS had two type activities; communityelders join school for reading mentoring and mathematics tutoring for children, and children visit elders tonursing home and assisted living, and these activities involve many elders with dementia. The three characteristics of intergenerational program was described; a) good using multigenerationallearning environment for school education, b) multigenerational people realize interaction effects fromintergenerational relationships, c) become known in community. For this multigenerational learningenvironment, it is necessary to show school vision, volunteer education, instruction for children, partnershipbuilding with elderly institutions, management intergenerational activities. As a next step in Japan, itis necessary to clarify of children's needs and make the volunteer opportunities for talented elders bycooperation between health science, welfare, and education.
  • Elderly?centered Advanced Nursing Practice and Interdisciplinary Team Approach at the University of Michigan, Geriatrics Center and Outreach Programs:An Application of St. Luke’s College of Nursing Gerontological Nursing Master Course Program
    (38) 29-33 Mar. 2012
    〔Abstract〕 During August, 2011 the authors of this report: the team of doctoral and master course students, facultyof gerontological nursing, and a gerontological clinical professor presented a seminar program summary oftheir experiences observing the elder?centered advanced practice and interdisciplinary team approach at theUniversity of Michigan, geriatrics center and outreach programs. In our gerontological nursing advanced clinical program in master’s course, we thought that we neededto promote and enhance the clinical program content to strengthen student’s knowledge and skills aboutelderly?centered advanced primary care and an interdisciplinary team approach. Moreover in the clinicalprogram, we determined that graduate students could understand problems that appeared in the elderly andtheir families, and also difficulties within the interdisciplinary team. The students could build the team withflexibility and took a leadership role and demonstrated actions according to the problems. In master courseprogram, students’ education is necessary to improve the elderly?centered advanced primary care and bestteam strength.
  • 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.
  • The Creation of a Memory Book Based on a Life Review: Resulting Behavioral Changes in Cognitively Impaired Elderly Persons
     16(3) 1-9 Jan. 2013
    Purpose:In this study, original memory books based on life reviews of cognitively impaired elderly personswere created, and their behavioral changes resulting from using a memory book in daily life were investigated.Method:Between four and five life-review sessions were held with cognitively impaired elderly persons andtheir caregivers. Each session focused on a specific theme. The session included pictures and involved listening tothe elderly persons and paying attention to their thoughts. The pictures were taken using existing album creationsoftware, with the language of narration inserted in the albums. In this way, the memory books were created. Beforeand after the life review sessions, a questionnaire was administered, and depression and activities of daily livingwere assessed using the Geriatric Depression Scale15 (GDS)-15 and Activities of Daily Living (ADL)-20. Onemonth later, telephone interviews were conducted with the caregivers care managers and community health nursesto determine potential behavioral changes in the elderly persons. Data obtained from the interviews were analyzed.Results:The memory books were created for twelve elderly-caregi
  • Life Review for Elderly with Middle Stage Dementia: A Content Analysis
     16(3) 10-17 Jan. 2013
    Purpose:The purpose of this study was to provide a life review for an elderly person with middle stage dementiaand to describe the themes through content analysis.Method:The life review was conducted over a period of five weeks. Each session lasted 90 minutes or less. Theelderly reminisced about their situation related to their photographs and selected a theme for each session.Results:The taped and transcribed data was analyzed revealing 105 codes that were abstracted into 14 sub-categoriesand these were abstracted into six categories, which unified the sessions: (1) pleasure connected to the memory;(2) pleasure by recognizing oneself in the family; (3) tells the others retracing memory; (4) expression of feelingwhich emerged; (5) recognition of a faded memory and; (6) existence of self-acceptance. These categoriesdemonstrated the changes that occurred through the life review process.The photographs provided the stimulus for recall and were associated with pleasurable feelings.A definite aim in life was recollected by expressing the feelings in which a child's education, child-rearing, etc.persisted, and in disclosing unsolved conflict.By repe
  • Program Evaluation and Description of Change with Advanced Clinical Nursing Practice Course Students to Participating Three Day Seminar Program for Team Building in the Master's Programs.
    (39) 36-46
     St. Luke’s college of nursing graduate school held the“ Three Days Seminar Program for Team Building”with the 24 participants of the advanced clinical nursing practice course students, as part of the master’sprogram special lecture“ Team Building ” . The authors evaluated the program based on the questionnaires,filled by the participants before and after the program, about ① Team building ability, ② Team assessmentability and ③ Program satisfactions. The seminar consisted of short lectures; What is team in health care? etc., the challenge program;Experiential leaning cycle program based on the adventure activities, case studies with team approach, andpresentations with small groups. These were organized to increase the depth of the team ability based onthe experience and debriefing. According to the questionnaires compared before the program to after, the “following own decision” ( p =0.01) and the “ self-conscious ” ( p <0.01) on the scale of the independent andinterdependent construal of self were decreased. Meanwhile, the “ relation and membership ” ( p <0.01),the“ measure for problem solving ”( p <0.01)

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  • Development of Clinical Path for Home Oxgen Therapy
  • Home Respiretory Rehabilitation for Chronice Respiratory Farlute Patient
  • Development of Telecare for Chronic Respiratory Failure Patients

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