ASAHARA Kiyomi

Researcher Profile & Settings

Degree

• Ph.D(Health Science)
• MSN (Master of Nursing Science)

Profile

Community Health Nursing

Education

• - 1997The University of Tokyo Graduate School, Division of Medical Sciences
• - 1991St. Luke's College of Nursing Graduate School, Division of Nursing Community Health Nursing
• - 1981St. Luke's College of Nursing Faculty of Nursing

Academic & Professional Experience

• 1999- 2003 School of Allied Medical Sciences,
• 1995- 1999 Nagano College of Nursing, Associate
• 1991- 1994 School Allied Medical Sciences,
• Shinshu University, Assistant
• Professor
• Shinshu University, Professor
• 2003- School of Nursing, St.Luke's College of
• Nursing

Association Memberships

, Sigma Theta tau International Honer Society of Nursing , American Public Health Association , International Conferences on Community Health Nursing Research , Japanese Society of Public Health , Japan Academy of Community Health Nursing , The Japan Academy of Home Care , Japan Academy of Nursing Ethics , Japanese Society of Nursing Research , Japan Academy of Nursing Science

Committee Memberships

• Japanese Society of Nursing Research Board member
• Japan Academy of Nursing Ethics Board member
• The Japan Academy of Home Care Director, Chair of editorial committee
• Japan Academy of Community Health Nursing Director, Chair of committee for Promoting International Exchange Activities
• Japanese Society of Public Health Board member, Editor of Journal
•  reviewer of Japan Academy of Nursing Research, et al.
•  reviewer of Japan Academy of Nursing Science
•  reviewer of Japan Academy of Community Health Nursing
•  reviewer of Public Health Nursing (Journal)

Qualification

• 博士(保健学)
• 看護学修士

Research Activities

Research Areas

• Nursing / Community health nursing
• Nursing / Community health/Gerontological nursing
• Nursing / Fundamental nursing
• Nursing / Clinical nursing
• Nursing / Fundamental nursing

Research Interests

, Community Health Nursing , Gerontological Nursing , Family Nursing

Published Papers

• Narrative writing as a strategy for nursing ethics
  Tsuruwaka, M., and Asahara, K.
  International Journal of Medical Education, 9 198-205 Jul. 2018 [Refereed]
• Importance and effectiveness of radiation education for piblic health nursing students
   5(1) 39-46 Mar. 2017 [Refereed]
• Toward Advanced Nursing Practice along with People-Centered care partnership Model for Sustainable Universal Health Coverage and Universal Access to Health
  Kamei.T , Takahashi.K , Omori.J , Arimori.N , Hishinuma.M , Asahara.K , Shimpuku.Y, Ohashi.K, Tashiro.J
  Revista Latino-Americana de Enfermagem Jan. 2017 [Refereed]
• Post-Fukushima radiation education for public health nursing students: A case study
  E. Konishi, T. Nagai, M. Kobayashi, Y. Mitsumori, W. Ono, K. Asahara, S. E. Porter, S. E. Porter
  International Nursing Review Jan. 2016
  DOI:10.1111/inr.12244
  Permalink:http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84958260638&origin=inward
  © 2016 International Council of Nurses. Background: The recent Fukushima Nuclear Power Plant accident was one of more than 200 serious nuclear/radiation incidents (accidents and disasters) that occurred worldwide since 1945. The current Fukushima disaster is in the recovery phase with the decreasing levels of radiation in the environment. However, fears and stigma related to the perceived risk of radiation exposure persist among the general population. Introduction: To improve on students' preparedness for social and public health challenges after a radiation incidence, radiation education was provided for undergraduate public health nursing students. Aim: This case study reports the development and implementation of the first class of radiation education in public health nursing, as well as students' reflections on their class experience. Methods: We included a 90-min radiation class in an undergraduate public health nursing course in Tokyo, Japan. Lectures/discussion on technical and environmental aspects provided the minimally essential content for basic radiation knowledge. After class, all the 65 students were invited to freely write their reflections on the class. With their consent, 61 students' anonymous written accounts were qualitatively analysed. Results: Five themes emerged: awareness of ignorance about radiation, problems produced by the mass media, becoming knowledgeable about radiation, public health nurses' role, and trustful and enjoyable lecture. Discussion: The class inspired students to consider social, psychological and relational aspects of knowing and not knowing about radiation and their future professional role. Conclusion and implications for nursing: Once radiation is taught at school, nursing students will emerge as professionals with the belief that radiation is within their professional purview. Education is key to disaster prevention, preparation, response and recovery. Given the ubiquitous nature of health challenges after a radiation incident, radiation education is indispensable for nursing students worldwide.
• Evaluation of skill achievement levels and practical experiences of public health nursing students before and after the introduction of the public health nursing course as an elective
  Suzuki. Y., Saito, E., Sawai, M., Kishi, E., Kakemoto, S., Nakada, H., Igarashi, C., Asahara, K.
  Journal of Public Health 63(7) 355-366 Jan. 2016 [Refereed]
• Ethics Review of Nursing Research: Possible Implications from the USA Experience
   36 80-84 2016 [Refereed]
  DOI:10.5630/jans.36.80
• Descriptive Study of Public Health Nurses Intention in Supporting Mothers with Low Birth Weight Infants
  Tomoko Nagai, Kiyomi Asahara
   36 220-228 2016 [Refereed]
  DOI:10.5630/jans.36.220
• 東京都特別区における保健師学生の技術到達度に関する学生・教員・保健師による評価
  鈴木 良美, 斉藤 恵美子, 澤井 美奈子, 岸 恵美子, 掛本 知里, 中田 晴美, 五十嵐 千代, 三好 智美, 麻原 きよみ, 永田 智子, 森 豊美, 神楽岡 澄
  日本公衆衛生雑誌 62(12) 729-737 Dec. 2015
  DOI:10.11236/jph.62.12_729
  目的 より質の高い保健師養成を目指し、保健師教育は保健師・看護師の統合カリキュラムから学部選択制や大学院教育への変革期を迎えており、その教育成果を適切に評価していく必要がある。しかし、従来の保健師教育の評価に関する国内外の研究は、一機関の学生のみを対象にしたものが多く、評価の精度を高めるためにも多角的な視点による調査が求められている。そこで本研究の目的を、保健師学生の卒業時の技術到達度について、東京都特別区内7大学の学生・教員ならびに特別区保健師を対象として多角的に評価し、統合カリキュラム最終年度の各対象からみた学生の到達度評価の現状と、保健師教育の課題を把握することとした。方法 対象は、特別区内7大学の学生663人と教員20人、特別区の保健師86人とした。統合カリキュラム最終年度にあたる2013年度に地域看護学実習を行った学生が、「保健師教育の技術項目と卒業時の到達度」の98項目を到達しているかどうかを問う無記名自記式質問紙調査を実施した。結果 学生が各項目を「到達できた」と回答した割合(到達割合)の平均は、学生67.9%、教員40.9%、保健師44.4%であった。各項目の到達割合が8割以上の項目数は、学生23項目、教員7項目、保健師0項目であり、5割未満の項目は、学生13項目、教員66項目、保健師70項目であった。到達割合上位10位のうち3者共通のものが6項目あり、アセスメント、信頼関係の構築、個人情報やプライバシーの保護などが含まれていた。下位10項目中、共通項目は4項目であり、当事者とのチーム形成や、健康危機管理に関することなどが含まれていた。結論 各対象の到達割合は8割に満たないものが多く、さらに、教員・保健師の結果では半数以上の項目が5割未満であり、統合カリキュラムにおいて、実習期間も制約された中で保健師養成のための講義・実習を行うには限界があると考えられる。(著者抄録)
• Public Health Nurses' Experiences in Caring for the Fukushima Community in the Wake of the 2011 Fukushima Nuclear Accident.
  Kawasaki C, Omori J, Ono W, Konishi E, Asahara K
  Public health nursing (Boston, Mass.) Aug. 2015 [Refereed]
  DOI:10.1111/phn.12227
• Moral competence questionnaire for public health nurses in Japan: Scale development and psychometric validation
  Kiyomi Asahara， Maasa Kobayashi， Wakanako Ono
  Japan Journal of Nursing Science 12(1) 18-26 Jan. 2015 [Refereed]
  DOI:10.1111/jjns.12044
  URL:http://hdl.handle.net/10285/11492
• Ethical Issues in Practice: A Survey of Home Visiting Nurses in Japan
  Kiyomi Asahara， Wakanako Ono， Maasa Kobayashi， Junko Omori， Yumiko Momose， Hiromi Todome， Emiko Konishi
  Japan Journal of Nursing Science 10(1) 20-25 Jun. 2013 [Refereed]
  DOI:10.1111/j.1742-7924.2012.00216.x
  URL:http://hdl.handle.net/10285/8953
• Mentoring doctoral students for qualitative research: interviews with experienced nursing faculty in Japan.
  Kayama M, Gregg MF, Asahara K, Yamamoto-Mitani N, Okuma K, Ohta K, Kinoshita Y
  The Journal of nursing education 52(5) 283-289 May 2013 [Refereed]
  DOI:10.3928/01484834-20130320-02
• Mentoring Doctoral Students for Qualitative Research: Interviews With Experienced Nursing Faculty in Japan
  Mami Kayama， Misuzu F. Gregg， Kiyomi Asahara， Noriko Yamamoto-Mitani， Keiko Okuma， Kikuko Oota， Yasuhito Kinoshita.
  Journal of Nursing Education 52(5) 43-55 Feb. 2013
  DOI:10.3928/01484834-20130320-02
  URL:http://hdl.handle.net/10285/10233
• Development and Psychometric Evaluation of the Moral Competence Scale for Home Care Nurses in Japan
  Kiyomi Asahara， Wakanako Ono， Maasa Kobayashi， Junko Omori， Hiromi Todome
  Jounal of Nursing Measurement 21(1) 309-321 2013 [Refereed]
  DOI:10.1891/1061-3749.21.1.43
  URL:http://hdl.handle.net/10285/9058
• Ethical Issues in Practice: A Survey of Public Health Nurses in Japan
  Kiyomi Asahara， Maasa Kobayashi， Wakanako Ono， Junko Omori， Hiromi Todome， Emiko Konishi and Toshie Miyazaki
  Public Health Nursing 29(3) 266-275 May 2012 [Refereed]
  DOI:10.1111/j.1525-1446.2011.00990.x
  URL:http://hdl.handle.net/10285/8249
• [Overview of the study of public health nursing as basis for the training leading to the national licensure].
  Asahara K
  [Nihon koshu eisei zasshi] Japanese journal of public health 57(10) 933-935 Oct. 2010 [Refereed]
• [A framework for assessing essential public health nursing skills and achievement levels required for students graduating from schools that provide education for obtaining a license as a public health nurse in Japan].
  Asahara K, Omori J, Kobayashi M, Hirano Y, Suzuki Y, Arakida M, Oki S, Okamoto R, Okuyama N, Kaihara I, Sudo H, Nagae H, Miyazaki M, Murashima S
  [Nihon koshu eisei zasshi] Japanese journal of public health 57(3) 184-194 Mar. 2010 [Refereed]
• [Developing a professional identity scale: identifying factors related to professional identity of government-employed public health nurses].
  Negishi K, Asahara K, Yanai H
  [Nihon koshu eisei zasshi] Japanese journal of public health 57(1) 27-38 Jan. 2010 [Refereed]
  DOI:10.11236/jph.57.1_27
• Strategic Practices for People-Centered Care Part Ⅱ ―Outcomes That Grow Along with Activities―
   13(2) 17-24 Jul. 2009
  URL:http://hdl.handle.net/10285/3479
  　The objective was to obtain useful concrete measures for strategic practices in People-Centered Care (PCC)， basedon the results of five years of PCC activities of the St. Luke's College of Nursing 21st Century Center of Excellence(COE) Program: “Nursing for People-Centered Initiatives in Health Care and Health Promotion”.This qualitative research gathered recorded interview data from those involved in all 15 PCC projects and data fromvarious records and documents. Categories signifying outcomes indicated the results obtained from PCC activities.　The PCC outcomes could be compiled into a matrix composed of three data aspects and four activity actors. Thevertical axis indicated the three characteristics of the outcomes: “the ability formation process outcomes，” “healthpromotion outcomes，” and “system expansion outcomes.” The horizontal axis displayed: actors―individual “peoplein general/people involved” and “professionals”. The two other dimensions were “activity groups” running theprojects， including the reciprocal effects between individuals， and “the community，” which included the individuals，environment and culture affected by
• Strategic Practices for People-Centered Care Part Ⅰ ーTypes of Partnership ー
   13(2) 11-16 Jul. 2009
  URL:http://hdl.handle.net/10285/3478
  Abstract：The objective was to obtain useful concrete measures and suggestions for strategic practices in PeopleCentered Care （PCC）， based on the results of five years of PCC activities of the St. Luke's College of Nursing 21stCentury Center of Excellence （COE） Program: “Nursing for People Centered Initiatives in Health Care and HealthPromotion”.Methods：Qualitative descriptive method was used in this research. The data generated from a group interview with15 research project leaders and 75 members from action groups who participated in this research and analyzed fromtwo points of view: 1） Participation rate of healthcare professionals and the， general public/people involved and2） Awareness of the health-related subjects of the general public. Data were formulated into categories signifyingpartnerships.Results：The partnerships between general public and healthcare professionals were categorized into three differenttypes: the Collaborating Type Partnership， the Supporting Type Partnership， and the Market-networking TypePartnership.　The Collaborating Type Partnerships were characterized by collegial co-promoting where healthcare professionalsand self-as
• Function and practice of public health nursing in Japan: a trial to develop the Japanese Purpose-Focused Public Health Nursing Model.
  Yoshioka-Maeda K, Taguchi A, Murashima S, Asahara K, Anzai Y, Arimoto A, Miyazaki T, Sato N, Sakai T, Oomori J, Magilvy JK
  Journal of nursing management 14(6) 483-489 Sep. 2006 [Refereed]
  DOI:10.1111/j.1365-2934.2006.00688.x
• Tacit knowledge of public health nurses in identifying community health problems and need for new services: a case study.
  Kyoko Yoshioka-Maeda， Sachiyo Murashima，Kiyomi Asahara
  International Journal of Nursing Studies 43(7) 819-826 Sep. 2006
  DOI:10.1016/j.ijnurstu.2005.11.001
  URL:http://hdl.handle.net/10285/8276
• Function and practice of public health nursing in Japan: a trial to develop the Purpose?Focused Public Health Nursing Model
  Kyoko Yoshioka-Maeda，Atsuko Taguchi，Sachiyo Murashima，Kiyomi Asahara，Yukiko Anzai， Azusa Arimoto， Toshie Miyazaki， Noriko Sato， Taichi Sakai， Junko Omori， Joan Kathy Magilvy
  Journal of Nursing Management 14(6) 483-489 Sep. 2006
  DOI:10.1111/j.1365-2934.2006.00688.x
  URL:http://hdl.handle.net/10285/8278
• Long-Term Care Insurance in Japan: Its framework， issues and roles.
  Kiyomi Asahara， Yumiko Momose， Sachiyo Murashima
  Disease Management and Health Outcome 11(12) 769-777 Dec. 2003
  DOI:10.2165/00115677-200311120-00002
  URL:http://hdl.handle.net/10285/8274
• The Implementation of Long-Term Care Insurance in Japan: Focused on the Trend of Home Care
  Sachiyo Murashima， Azusa Yokoyama， Satoko Nagata， Kiyomi Asahara
  Home Health Care Management & Practice 15(5) 407-415 Aug. 2003
  DOI:10.1177/1084822303252417
  URL:http://hdl.handle.net/10285/8271
• A Trial to Support Family Caregivers in Long-Term Care Insurance in Japan: Self-Help Groups in Small Communities
  Yumiko Momose， Kiyomi Asahara， Sachiyo Murashima
  Home Health Care Management & Practice 15(6) 494 Aug. 2003
  DOI:10.1177/1084822303253826
  URL:http://hdl.handle.net/10285/8273
• The Effectiveness of the Around-the-Clock In-Home Care System: Did it Prevent the Institutionalization of Frail Elderly?
  Sachiyo Murashima， Kiyomi Asahara
  Public Health Nursing 20(1) 13-24 Jan. 2003
  DOI:10.1046/j.1525-1446.2003.20103.x
  URL:http://hdl.handle.net/10285/8270
• Family Caregiving of the Elderly and Long-Term Care Insurance in Rural Japan.
  Kiyomi Asahara， Yumiko Momose， Sachiyo Murashima
  International Journal of Nursing Practice 8(3) 167-172 Jun. 2002
  DOI:10.1046/j.1440-172X.2002.00358.x
  URL:http://hdl.handle.net/10285/8269
• Public Health Nurses’ Perception of Long Term Care Insurance for Elderly Japanese: Questions of Justice
  Lou Ellen Barnes， Kiyomi Asahara， Anne J. Davis， Emiko Konishi
  Nursing Ethics 9(1) 67-79 Jan. 2002
  DOI:10.1191/0969733002ne482oa
  URL:http://hdl.handle.net/10285/8267
• The relationship of social norms to use of services and caregiver burden in Japan.
  Kiyomi Asahara， Yumiko Momose， Sachiyo Murashima， Noriko Okubo， Joan K. Magilvy
  Journal of Nursing Scholarship 33(4) 375-380 Dec. 2001
  URL:http://hdl.handle.net/10285/8265
• Meaning of public Health Nursing: Creating 24-hour Care in a Community in Japan
  Sachiyo Murashima， Kiyomi Asahara， Calorine M. White，& Shuhei Ryu
  Nursing and Health Sciences 1(2) 83-92 Jun. 1999
  URL:http://hdl.handle.net/10285/8261
• Public Health Nursing in Japan: New Opportunities for Health Promotion
  Sachiyo Murashima， Yoko Hatono， Nora Whyte，Kiyomi Asahara
  Public Health Nursing 16(2) 133-139 Apr. 1999
  DOI:10.1046/j.1525-1446.1999.00133.x
  URL:http://hdl.handle.net/10285/8259
• Long-term care for the elderly in Japan.
  Kiyomi Asahara， Emiko Konishi， Ayako Soyano， &　Anne J. Davis
  Geriatric Nursing 20(1) 23-6; Jan. 1999
  URL:http://hdl.handle.net/10285/8257

Conference Activities & Talks

• Development and Feasibility of a Radiological Education Program
  Kiyomi Asahara, Yasuko Mitsumori, Chiaki Kitamiya, Tomoko Nagai, Chie Kawasaki, Koji Yoshida, Emiko Konishi, Toru Kikuchi
  the 5th International Global Network for Public Health Nursing May 2019
• Development of radiological education program for public health nurses and nursing students
  ASAHARA Kiyomi
  APHA's Annual Meeting and Expo Nov. 2018 [Invited]
• A Systematic Review of the Work-Life Balance of Hospital Nurses
  Akiko Ui, Kiyomi Asahara
  AAOHN 2017 Global Summit Apr. 2017
• Development of public health nursing ethics education for nursing students.
  ASAHARA Kiyomi
   Sep. 2016
• Developing radiation teaching materials for Public Health Nurses of Fukushima， Japan.
  Chie Kawasaki ， Atsuko Yabuki ， Emiko Konishi ， Wakanako Ono， Toru Kikuchi， Makiko Orita， Junko Omori ， Mikako Arakida ，Maasa Kobayashi ， Yasuko Mitsumori， Kiyomi　Asahara
  18th EAFONS Feb. 2015
• Multidisciplinary approach to promote a practical radiation culture in Fukushima， Japan
  Emiko Konishi， Atsuko Yabuki， Toru Kikuchi， Yasuko Mitsumori， Junko Omori，　Mikako Arakida ，Makiko Orita， Chie Kawasaki Wakanako Ono， Maasa Kobayasi， Kiyomi Asahara
  18th EAFONS Feb. 2015
• HEALTHOGRAPHY HOW WHERE YOU LIVE AFFECTS YOUR HEALTH AND WELL-BEING　
  Kiyomi Asahara， Maasa Kobayashi， Misako Miyazaki，Yukiko Anzai， Emiko Konishi， Yasuko Mitsumori， Toshie Miyazaki， Junko Omori，Wakanako Ono
  APHA 142nd ANNUAL MEETING&EXPO/American Public Health Association Nov. 2014
• Experiences of Public Health Nurses (PHNs) in Fukushima:Struggles with People in their Community
  Chie Kawasaki， Kiyomi Asahara， Junko Omori， Emiko Konishi， Mikako Arakida，Wakanako Ono， Makiko Orita， Toru Kikuchi， Maasa Kobayashi， Yuko Matsunari， Yasuko Mitsumori
  The 3rd Conference of the Global Congress for Qualitative Health Research Dec. 2013
• What Do public health Nurses (PHNs) Learn When They Become Preceptors for Novices PHNs?
  Taeko Shimazu， kiyomi Asahara
  International Conference of Community Health Nursing Research conference 2013 Mar. 2013
• Components of moral behavior among Japanese public health nurses and differences according to work experience and position
  Kiyomi ASAHARA， Maasa KOBAYASHI， Wakanako ONO， Junko OMOR， Hiromi TODOME， Emiko KONISHI， Akiko OZAKI， Hiroko NAGAE， Yumiko MOMOSE， Toshie MIYAZAKI， Masako SAKAI
  138th APHA Nov. 2010
• Comparison of ethical dilemmas and coping patterns among Japanese Public Health Nurses by position and work experience
  Maasa Kobayashi， Kiyomi Asahara，Yuko Hirano， Junko Omori， Akiko Ozaki， Toshie Miyazaki， Masako Sakai， Hiroko Nagae， Yumiko Momose， Emiko Konishi
  The 4th International Conference on Community Health Nursing Research Aug. 2009
• Supporting ethically sensitive practice: Development of an educational program for Japanese nurses working in communities
  Asahara K， Kobayashi M， Momose Y， Nagae H， Sakai M， Miyazaki T， Ozaki A， Omori J， Hirano Y， Konishi E
  International Council of Nurses 24th Quadrennial Congress Jul. 2009
• Evaluation of the ethics education program for home health nursing－the changes in the awareness of home health nurses and changes in MSQ－
  Akiko Ozaki， Yumiko Momose， Masako Sakai， Maasa Kobayashi， Kiyomi Asahara， Hiroko Nagae， Junko Omori， Maki Umeda， Toshie Miyazaki， Emiko Konishi
  The 1st Korea-Japan Joint Conference on Community Health Nursing Nov. 2007
• Evaluation of the Ethics Education Program for Community Health Nursing- The Changes in the Awareness of PHNs and Changes in MSQ -
  Toshie Miyazaki， Maasa Kobayashi， Kiyomi Asahara， Yukiko Momose， Maki Umeda， Junko Omori， Masako Sakai， Akiko Ozaki， Hiroko Nagae， Emiko Konishi
  The 1st Korea-Japan Joint Conference on Community Health Nursing Nov. 2007
• Long-Term Care Insurance(LTCI) System for the Elderly in Japan: Framework， New Directions， and Roles of Nurses
  Kiyomi Asahara
  Prevention and Management of Chronic Conditions: International Perspectives (plenary session) Jan. 2006
• Long-Term Care Insurance(LTCI) System for the Elderly in Japan: Framework， New Directions， and Roles of Nurses
  Kiyomi Asahara
  Khon Kaen University， Faculty of Nursing (a lecture to faculty members) Jan. 2006
• The Analysis of Ethical Issues of Home Care Nursing in Japan
  Masako Sakai， Hiroko Nagae，　Toshie Miyazaki， Junko Omori， Kiyomi Asahara，
  Nursing management congress2005 Oct. 2005
• Developing Terminology for Public Health Nursing Practice: Clarifying the Meaning of PHN Activities
  Yukiko Anzai，Kathy Magilvy，Atsuko Taguchi， Sachiyo Murashima， Taichi Sakai， Noriko Sato，Kyoko Yoshioka， Azusa Arimoto，Kiyomi Asahara
  Third International Conference of Community Health Nursing Research (Workshop) Oct. 2005
• Conflicts between Users or Their Family and Home Care Nurses (HCNs) in Nursing Practice
  Hiroko Nagae， Masako Sakai，Kiyomi Asahara， Yumiko Momose，Toshie Miyazaki， Junko Omori
  Third International Conference of Community Health Nursing Research Oct. 2005
• Developing a Japanese Purpose-Focused Public Health Nursing (JPPHN) Model for Practice， Education， and Research (Report 1)
  Atsuko Taguchi， Sachiyo Murashima， Yukiko Anzai，Toshie Miyazaki， Taichi Sakai， Noriko Sato， Kyoko Yoshioka， Azusa Arimoto， Kathy Magilvy，Kiyomi Asahara
  Third International Conference of Community Health Nursing Research Oct. 2005
• Developing the JPPHN Model (Report 2): Dimention 1 “Creating the Basis for Support“
  Kiyomi Asahara，Kyoko Yoshioka，Taichi Sakai， Noriko Sato， Azusa Arimoto， Toshie Miyazaki， Atsuko Taguchi， Kathy Magilvy，Sachiyo Murashima， Yukiko Anzai
  Third International Conference of Community Health Nursing Research Oct. 2005
• Developing the JPPHN Model (Report 3): Dimention 2 “Working with Individuals/ Families“
  Toshie Miyazaki，Yukiko Anzai， Kyoko Yoshioka，Azusa Arimoto，Noriko Sato， Taichi Sakai， Atsuko Taguchi， Kathy Magilvy，Kiyomi Asahara，Sachiyo Murashima
  Third International Conference of Community Health Nursing Research Oct. 2005
• Developing the JPPHN Model (Report 4): Dimention 3 “Working with the Community“
  Azusa Arimoto，Noriko Sato，Atsuko Taguchi，Toshie Miyazaki，Taichi Sakai，Kyoko Yoshioka， Kiyomi Asahara，Kathy Magilvy，Yukiko Anzai， Sachiyo Murashima
  Third International Conference of Community Health Nursing Research Oct. 2005
• Ethnograpy in Community Health Nursing: Its Usefulness and Application to Practice and Research
  Kiyomi Asahara
  Third International Conference of Community Health Nursing Research Oct. 2005
• Conflicts experienced by public health nurses in caring for families in Japan
  Toshie Miyazaki， Junko Omori， Noriko Kato， Kiyomi Asahara， Masako Sakai， Hiroko Nagae， Yumiko Momose
  American Public health Association 132nd Annual Meeting Nov. 2004
• Conflicts with other professionals in home care nursing and public health nursing practices
  Masako Sakai， Hiroko Nagae，　Mutsumi Nakajima， Noa Miyata， Kiyomi Asahara， Toshie Miyazaki， Yumiko Momose
  American Public health Association 132nd Annual Meeting Nov. 2004
• Identifying Obstructive factors of using services for the elderly in the Long-Term Care Insurance in Japan
  Yumiko Momose，Kiyomi Asahara， Emiko Konish
  The 7th Asia/Oceanis Regional Congress of Gerontology Nov. 2003
• Public health nursing in Japan: After the implementation of the Long-Term Care Insurance
  Sachiyo Murashima， Azusa Yokoyama， Satoko Ngata， Kiyomi Asahara， Caroline M.White
  American Public Health Association 131st Annual Meeting and Exposition Nov. 2003
• Decision-making for use of services for the elderly in the Lomg-Term Care Insurance in Japan
  Kiyomi Asahara， Yumiko Momose， Emiko Konishi
  Third European Nursing Congress Oct. 2003
• Culture of Health Care Provider’s Care for Congenital Fetal Abnormalities
  Noriko Okubo， Mariko Tamai， Kiyomi Asahara， Yumiko Momose， Atsuko Yumoto， Miyuki Miyazawa， Etsuko Onikuma
  The 26th Triennial Congress International Conference of Midwives Apr. 2002
• Community-based Health Promotion Activities in Matsumoto
  Kiyomi Asahara
  　University of Colorado Health Sciences Center School of Nursing (a lecture to faculty members) Feb. 2002
• Effectiveness of Around-the Clock In-Home Care System: Did It Prevent the Institutionalization of Frail Elderly?
  Sachiyo Murashima， Kiyomi Asahara， Caroline M. White， Toyomi Horii
  Fourth International Nursing Research Conference Aug. 2001
• Evaluation of the Community-based Health Promotion Activities in Matsumoto: Relationships between the Programs and Perceived Effects
  Noriko Okubo， Kiyomi Asahara， Yumiko Momose
  Fourth International Nursing Research Conference Aug. 2001
• Community Health Nursing Practice in Rural Japan: Activities of making a connection
  Kiyomi Asahara， Yumiko Momose， Noriko Okubo
  　The 7th Annual Conference Qualitative Health Research Conference Jun. 2001
• Meaning of Experience about mothers’ peer group after birth
  Noriko Okubo， Kiyomi Asahara， Yumiko Momose
  　The 7th Annual Conference Qualitative Health Research Conference Jun. 2001
• Trans-cultural Perspectives on Healthcare of Rural Elders
  Joan K. Magilvy， Cheryl Schrader， Marianne Smith， Kiyomi Asahara， Mary Ann Rosswurm， Jo Ann Congdon
  First International Conference on Rural Aging (Panel Discussion)　 Jun. 2000
• Home Care and Culture of Family Caregiving in Rural Japan
  Kiyomi Asahara
  First International Conference on Rural Aging (Symposium)　 Jun. 2000
• Strength and Weakness of BSN Nurses and Expectations of a Local Nursing College in Japan
  Katsumasa Ota， Mariko Suzuki， Emiko Konishi， Kiyomi Asahara， Ikuko Okubo， Ayako Soyano， Masae Tamura， Noriko Ikeda
  ICN Contenuail Conference in London Jun. 1999
• Home Care and Culture of Family Caregiving in Japan
  Kiyomi Asahara
  Third International Nursing Research Conference (Symposium) Sep. 1998
• Care Needs of Frail Elders at Home in a Municipality: After Creating Around-the-Clock In-Home Care System
  Sachiyo Murashima， Choi Junghyun， Masako Yamada， Kiyomi Asahara， Shuhei Ryu
  Third International Nursing Research Conference Sep. 1998
• The Relationship of Family Caregivers' `Sekentei' to Use of Social and Nursing Services and Care Burden
  Kiyomi Asahara， Yumiko Momose， Sachiyo Murashima， Toyomi Horii， Kiyomi Tome
  Third International Nursing Research Conference Sep. 1998
• Creating Around-the-Clock In- Home Care System: Strategies Using Community as Partner Model
  Sachiyo Murashima， Choi Junghyun， Kiyomi Asahara， Shuhei Ryu
  Second International Conference of the Global Network of WHO Collaborating Centers for Nursing and Midwifery Apr. 1998

Works

• Community Health Activities Using Community-Based Participatory Research in Japan
  URL:https://researchmap.jp/read0193794#work
• Development and Evaluation of Education Programs for Nursing Ethics in Community Health Nursing
   2003
  URL:https://researchmap.jp/read0193794#work
• Study on Relationships of Social Norms to Use of Services and Care Burden among Family Caregivers of Impaired Elders
   1996 - 1999
  URL:https://researchmap.jp/read0193794#work
• Study on Evaluation of Community Health Promotion Activities
   1999 - 2000
  URL:https://researchmap.jp/read0193794#work
• Study on Model Development of Rural Nursing
   1997 - 2000
  URL:https://researchmap.jp/read0193794#work

Misc

• Ethical Topics Concerning Nursing Research:Research Ethics,Conflicts of Interests,Authorship
  ASAHARA Kiyomi
  Journal of Health Care and Nursing 15(1) 1-7 Oct. 2018
• Relationship between Job Satisfaction and Characteristics of Stressors Experienced by Nursing Staff Working in Nursing Care Facilities for the Elderly
  Momose Yumiko, Fujino Ayumi, Amaki Nobuko, Watanabe Midori, Okuno Shigeyo, Ashahara Kiyomi
  愛知県立大学看護学部紀要 19 11-19 Dec. 2013
  Permalink:http://ci.nii.ac.jp/naid/110009794797
• Descriptive Study on Continuous Mother-Child Care for the Prevention of Child Abuse : Collaboration between Midwives and Public Health Nurses in Japan
  大友 光恵, 麻原 きよみ
  日本看護科学会誌 33(1) 3-11 Mar. 2013
  DOI:10.5630/jans.33.1_3
  Permalink:http://ci.nii.ac.jp/naid/40019644386
• Mentoring Process of Doctoral Dissertation : Peer Review of Journal of Nursing Education
  萱間 真美, グレッグ 美鈴, 麻原 きよみ
  看護研究 46(4) 374-381 2013
  Permalink:http://ci.nii.ac.jp/naid/40019798464
• Comment on Discussion
  麻原 きよみ
  看護研究 46(4) 407-409 2013
  Permalink:http://ci.nii.ac.jp/naid/40019798519
• Cross-Cultural Experiences of Immigrant Chinese Mothers Caring for Their Children in Japanese Society : The Process of Coping with Difficulties
  川崎 千恵, 麻原 きよみ
  日本看護科学会誌 32(4) 52-62 Dec. 2012
  Permalink:http://ci.nii.ac.jp/naid/40019538938
• The Ethics of Everyday Practice in Community Health Nursing(Presidential Address,Thel5th Annual Conference of Japan Academy of Community Health Nursing)
  Asahara Kiyomi
  Journal of Japan Academy of Community Health Nursing 15(1) 150-156 Aug. 2012
  Permalink:http://ci.nii.ac.jp/naid/110009838799
• The 15th Annual Conference of Japan Academy of Community Health Nursing : Presidential Address : The Ethics of Everyday Practice in Community Health Nursing
  麻原 きよみ
  日本地域看護学会誌 15(1) 150-156 Aug. 2012
  Permalink:http://ci.nii.ac.jp/naid/40019438522
• Making a Policy for Maintaining and Promoting Health of the Populations Living in the Communities Which Have the Disparities of Health Care(13 th Annual Conference of Japan Academy of Community Health Nursing)
  Kato Tokiko, Asahara Kiyomi
  Journal of Japan Academy of Community Health Nursing 13(1) Oct. 2010
  Permalink:http://ci.nii.ac.jp/naid/110009843390
• Meeting length lecture: Caring for families in the homes and the communities: as a professional caring for clients as well as their families
  麻原 きよみ
  Journal of Japan Academy of Home Care 14(1) 3-7 Sep. 2010
  Permalink:http://ci.nii.ac.jp/naid/40018709957
• Strategic Practices for People-Centered Care Part ? ーTypes of Partnership ー
  有森直子、江藤宏美、大森純子、川上千春、後藤桂子、牛山真佐子、石崎民子、高橋恵子、大久保菜穂子、麻原きよみ、小松浩子
  聖路加看護学会誌 13(2) 11-16 Jul. 2009
  URL:http://hdl.handle.net/10285/3478
  Abstract：The objective was to obtain useful concrete measures and suggestions for strategic practices in PeopleCentered Care （PCC）， based on the results of five years of PCC activities of the St. Luke's College of Nursing 21stCentury Center of Excellence （COE） Program: “Nursing for People Centered Initiatives in Health Care and HealthPromotion”.Methods：Qualitative descriptive method was used in this research. The data generated from a group interview with15 research project leaders and 75 members from action groups who participated in this research and analyzed fromtwo points of view: 1） Participation rate of healthcare professionals and the， general public/people involved and2） Awareness of the health-related subjects of the general public. Data were formulated into categories signifyingpartnerships.Results：The partnerships between general public and healthcare professionals were categorized into three differenttypes: the Collaborating Type Partnership， the Supporting Type Partnership， and the Market-networking TypePartnership.　The Collaborating Type Partnerships were characterized by collegial co-promoting where healthcare professionalsand self-as
• Strategic Practices for People-Centered Care Part ? ―Outcomes That Grow Along with Activities―
  大森純子、高橋恵子、牛山真佐子、大久保菜穂子、有森直子、江藤宏美、後藤桂子、川上千春、石崎民子、麻原きよみ、小松浩子
  聖路加看護学会誌 13(2) 17-24 Jul. 2009
  URL:http://hdl.handle.net/10285/3479
  　The objective was to obtain useful concrete measures for strategic practices in People-Centered Care (PCC)， basedon the results of five years of PCC activities of the St. Luke's College of Nursing 21st Century Center of Excellence(COE) Program: “Nursing for People-Centered Initiatives in Health Care and Health Promotion”.This qualitative research gathered recorded interview data from those involved in all 15 PCC projects and data fromvarious records and documents. Categories signifying outcomes indicated the results obtained from PCC activities.　The PCC outcomes could be compiled into a matrix composed of three data aspects and four activity actors. Thevertical axis indicated the three characteristics of the outcomes: “the ability formation process outcomes，” “healthpromotion outcomes，” and “system expansion outcomes.” The horizontal axis displayed: actors―individual “peoplein general/people involved” and “professionals”. The two other dimensions were “activity groups” running theprojects， including the reciprocal effects between individuals， and “the community，” which included the individuals，environment and culture affected by
• The guideline of qualitative research for theses and dissertations in nursing
  麻原 きよみ
  The Japanese journal of nursing research 42(5) 341-346 2009
  Permalink:http://ci.nii.ac.jp/naid/40016832273
• Tips for home care supporting independence
  Hollander Lene, 瀧澤 利行, 麻原 きよみ
  Journal of Japan Academy of Home Care 12(1) 10-13 Sep. 2008
  Permalink:http://ci.nii.ac.jp/naid/40016292112
• Evolution of Nursing Research : Studying Practice Arts to Increase Nursing Effectiveness
  SANADA H., ASAHARA K.
  日本看護科学会誌 28(1) Mar. 2008
  Permalink:http://ci.nii.ac.jp/naid/10026507921
• Ethical issues in home care nursing and challenges in the future
  麻原 きよみ
  Journal of Japan Academy of Home Care 11(2) 26-29 Feb. 2008
  Permalink:http://ci.nii.ac.jp/naid/40016208039
• Health Promotion in Thailand and Roles and Functions of Community Nurses(International Seminar,10th Annual Conference of Japan Academy of Community Health Nursing)
  Nuntaboot Khanitta, Asahara Kiyomi
  Journal of Japan Academy of Community Health Nursing 10(1) 21-25 Oct. 2007
  Permalink:http://ci.nii.ac.jp/naid/110009844382
• Nursing Philosophy of Visiting Nurses Who Support Families Caring for Their Dying Elders at Home
  ONO Wakanako, ASAHARA Kiyomi
  Journal of Japan Academy of Nursing Science 27(2) 34-42 Jun. 2007
  DOI:10.5630/jans.27.2_34
  Permalink:http://ci.nii.ac.jp/naid/10026507141
• Development and evaluation of tool for reporting an case in conference at a home-visit nursing station
  竹森 志穂, 麻原 きよみ
  Journal of Japan Academy of Home Care 10(2) 99-106 Feb. 2007
  Permalink:http://ci.nii.ac.jp/naid/40015537249
• Family Caregiving of the Elderly and Long-Term Care Insurance in Rural Japan
  Kiyomi Asahara, Yumiko Momose, Sachiyo Murashima
  International Journal of Nursing Practice  8(3) 167-172 2002
  DOI:10.1046/j.1440-172X.2002.00358.x
• Empowerment of the Elderly and Culture
  Asahara Kiyomi
  老年看護学 : 日本老年看護学会誌 : journal of Japan Academy of Gerontological Nursing 5(1) 20-25 Nov. 2000
  Permalink:http://ci.nii.ac.jp/naid/110007454816
• A STUDY ON COMPETENCIES USED BY PUBLIC HEALTH NURSES IN CREATING NEW HEALTH CARE SYSTEMS IN THE COMMUNITY
  OKADA Mari, MURASHIMA Sachiyo, ASAHARA Kiyomi
  Japanese journal of public health 44(4) 309-321 Apr. 1997
  Permalink:http://ci.nii.ac.jp/naid/10008624277
• Study on the Nursing Students' Image of Surgery Nursing (First Report) : Factor Analysis of the Image and Analyses of Factors Affecting the Image Before Clinical Nursing Practice
  Asahara Kiyomi, Yamazaki Akie, Murota Noriko
  Treatises and studies 18 31-42 1992
  Permalink:http://ci.nii.ac.jp/naid/110000547187
  We investigated two areas; (1) the attitude of nursing students toward their surgical nursing courses before beginning practices, and (2) the relationship between their attitude toward this course and their previous personal experience with surgery. Sixty-seven nursing students participated in this study. Twenty-three different words and 10 different colors were presented to students. Each student answered how each word or color corresponded to her attitude toward her surgical nursing course using a scale of 1 to 5. We also surveyed the background of each student to: (1) admission to hospital and/or surgery on herself or a family member, (2) duration of attending meetings in a surgical ward, (3) degree of self-confidence in nursing skill, (4) previous grade in surgical nursing course, (5) degree of self-esteem, and (6) lifestyle. Using factor analysis, We found five factors which were combined in students' attitudes toward their surgical course : (1) fearful and difficult (factor 1); (2) favorite (factor 2); (3) too fast and hard (factor 3); (4) uncomfortable (factor 4); and (5) gentle and human but negative (factor 5). High self-esteem correlated with factor 1 (P<0.01). Lifestyle correlated with factor 1 (P<0.01) and with factor 3 (P<0.05). Factor 4 correlated with a low grade on a previous surgical nursing course (P<0.01). We concluded that our students had negative attitudes toward their surgical nursing couses before practice and that these negative attitude related to previous lifestyle, a low grade in a previous surgical nursing course, or a high degree of self-esteem.
• Study of the Learning Process in Three Weeks of Psychiatric Nursing Practice : Students' Self-Evaluation of Level of Understanding in the Areas of Self-Awareness,Patient Behavior and the Therapeutic Relationship.
  Kondo Hiroko, Naito Tetsuo, Asahara Kiyomi, Osiba Hiroko
  Treatises and studies 18 43-55 1992
  Permalink:http://ci.nii.ac.jp/naid/110000547188
  The purpose of this study was to evaluate the improvement of students' level of understanding during the three weeks of psychiatric nursing practice. Weekly eighty students evaluated themselves on their self-awareness, their comprehension of patient behavior and the quality of the therapeutic relationship. As a result of this self-evaluation system, according to the students, their level of understanding improved in all three areas after three weeks. T-test comparisons of students' level of understanding after the three weeks indicated significant differences. However, the rate and degree of improvement varied. We concluded as follows; (1) students' self-awareness developed from the initial self-conscious stage to a greater awareness of others' perception of their behavior, and then on to an objective, professional attitude and performance, (2) the comprehension of patient behavior evolved from a superficial observation of the patient to a more empathetic awareness of the patient's values, motivation, and the nature of the patient's illness, and (3) the quality of the therapeutic relationship changed from concern about the patients' feelings in general, to a more constructive approach to create a comfortable atomosphere, responding to each patient's needs.
• Function and practice of public health nursing in Japan: a trial to develop the Purpose –Focused Public Health Nursing Model
  Kyoko Yoshioka-Maeda，Atsuko Taguchi，Sachiyo Murashima，Kiyomi Asahara，Yukiko Anzai, Azusa Arimoto, Toshie Miyazaki, Noriko Sato, Taichi Sakai, Junko Omori, Joan Kathy Magilvy
  Journal of Nursing Management 14 483-489 2006
  DOI:10.1111/j.1365-2934.2006.00688.x
• Tacit Knowledge of public health nurses in identifying community health problems and need for new services :A case study
  Kyoko Yoshioka-Maeda，Sachiyo Murashima，Kiyomi Asahara
  International Journal of Nursing Studies  43 819-826 2006
  DOI:10.1016/j.ijnurstu.2005.11.001
• The Implementation of Long-Term Care Insurance in Japan: Focused on the Trend of Home Care
  Sachiyo Murashima, Azusa Yokoyama, Satoko Nagata, Kiyomi Asahara
  Home Health Care Management & Practice  15(5) 407-415 2003
  DOI:10.1177/1084822303252417
• A Trial to Support Family Caregivers in the Long-Term Care Insurance in Japan: Self-Help Group in Small Communities
  Yumiko Momose, Kiyomi Asahara, Sachiyo Murashima
  Home Health Care Management & Practice  15(6) 494-499 2003
  DOI:10.1177/1084822303253826
• The Effectiveness of the Around-the-Clock In-Home Care System: Did it Prevent the Institutionalization of Frail Elderly?
  Sachiyo Murashima, Kiyomi Asahara
  Public Health Nursing  20(1) 13-24 2003
  DOI:10.1046/j.1525-1446.2003.20103.x
• Long-Term Care Insurance in Japan: Its Frameworks and Roles
  Journal of Disease Management and Health Outcomes 11(12) 769-777 2003
  DOI:10.2165/00115677-200311120-00002
• Public Health Nurses’ Perception of Long Term Care Insurance for Elderly Japanese: Questions of Justice
  Lou Ellen Barnes, Kiyomi Asahara, Anne J. Davis, Emiko Konishi
  Nursing Ethics  9(1) 67-79 2002
  DOI:10.1191/0969733002ne482oa
• The Relationship of Social Norms to Use of Services and Caregiver Burden
  Kiyomi Asahara, Yumiko Momose, Sachiyo Murashima, Noriko Okubo, Joan K. Magilvy
  Journal of Nursing Scholarship 33(4) 375-380 2001
• Public Health Nursing in Japan: New Opportunities for Health Promotion
  Sachiyo Murashima, Yoko Hatono, Nora Whyte, & Kiyomi Asahara
  Public Health Nursing  16(2) 133-139 1999
  DOI:10.1046/j.1525-1446.1999.00133.x
• Meaning of public Health Nursing: Creating 24-hour Care in a Community in Japan
  Sachiyo Murashima, Kiyomi Asahara, Calorine M. White, & Shuhei Ryu
  Nursing and Health Sciences 1 83-92 1999
• Long-term Care for the Elderly in Japan
  Kiyomi Asahara., Emiko Konishi E., Ayako Soyano A.,& Ann J. Davis
  Geriatric Nursing 20(1) 23-26 1999

Awards & Honors

• 2000 Award for Encouragement of Research, Japanese Society of Public Health

Research Grants & Projects

• Ethnography of administrative organizations related to the ethical practice of public health nurses in Japan
  Ministry of Education, Culture, Sports, Science and Technology：Grants-in-Aid for Scientific Research(挑戦的萌芽研究)
  Project Year: 2010 - 2012  Investigator(s):Kiyomi ASAHARA
  The purpose of this study was to describe the relationships between the culture of Japanese administrative organizations and the ethical practice of public health nurses (PHNs). We collected data by conducting interviews, observation of participants, and examination of existing materials, and then the data were analyzed by content analysis. The results showed the culture of the administrative organizations was “accomplishing projects faithfully based on the procedures of their organizations or laws/systems,” while the culture of the PHNs was “promoting health and well-being of the population using their professional knowledge and skills.” Cognitive gaps between the administrators and PHNs occurred with interaction of these two cultures, particularly with regards the ethical practice of the PHNs’. PHNs and administrators must therefore recognize their different cultures, and develop a culture in which they can work together as partners.
• Development and Evaluation of an Educational Ladder and Relevant Programs for Ethics Education in Community Health Nursing Practice
  Ministry of Education, Culture, Sports, Science and Technology：Grants-in-Aid for Scientific Research(基盤研究(B))
  Project Year: 2007 - 2010  Investigator(s):Kiyomi ASAHARA
  The purposes of this study were to develop an educational ladder and the relevant programs for ethics education to promote effective practice of public health nurses (PHNs) and home visiting nurses (HVNs) in Japan. We conducted the interviews and questionnaire surveys with PHNs and HVNs to clarify : the contents and frequencies of encountering ethical issues in their practices, the components of moral behavior, experiences with ethics education, experiences influencing nurses' decisions in practice and workplace environment related to ethical practices; then the relationships between each variable and demographic data including length of work experience and position were analyzed. Based on these results, we developed a tentative educational ladder and targeted programs for ethics education and then conducted and evaluated the trial programs for PHNs and HVNs. Finally, we revised the ethics educational ladder and the relevant programs for ethics education for PHNs and HVNs.
• Development and Evaluation the Educational Program for Nursing-Ethics in Community Health Nursing
  Ministry of Education, Culture, Sports, Science and Technology：Grants-in-Aid for Scientific Research(基盤研究(C))
  Project Year: 2004 - 2006  Investigator(s):Kiyomi ASAHARA
  Purpose : To develop and evaluate the educational program for nursing ethics in community health nursing for undergraduate nursing students, public health nurses (PHNs), and visiting nurses (VNs).Methods : This study was conducted as follows : 1) develop a program based on the results of literature reviews, information gleaned from the curriculum of the ethics center of the university, and a survey of ethical issues for nurses working in the community ; 2) conduct this program for students (25), PHNs (17) and VNs (30) ; 3) evaluate the process and outcome ; and 4) modify the program based on the results of the evaluation.Results : Using this program, the students, PHNs and VNs achieved most of the goals set forth by the program, understood the ethical issues found in their daily practices and also the importance of respecting the values and systematic thinking processes of others to resolve ethical issues. In addition, their scores on the Moral Sensitivity Questionnaire increased.Discussion : This program was very useful and may be beneficial for use in the education and practice of community health nursing.
• Comprehensive Study of Systems that Support the Families of Patients in the Hospital
  Ministry of Education, Culture, Sports, Science and Technology：Grants-in-Aid for Scientific Research(基盤研究(C))
  Project Year: 2001 - 2003  Investigator(s):Kiyomi ASAHARA
  The purpose of this study was to identify appropriate systems that support the families of hospital inpatients. The results were as follows.1.The results of interviews with 45 families of hospital inpatients and outpatients showed that the families had difficulties in all areas of their lives related to the care of the hospitalized family member. They cared for the patients without support from persons outside of the family, and they worried about the physicians, nurses, neighbors, coworkers, other family members and the patients in same room as their family members.2.The results of a survey on caring for families among 333 nurse administrators in hospitals and communities show that nurse administrators in the communities are more supportive of families and evaluated their caring for the family more positively than their counterparts in hospitals. Most nurse administrators in hospitals think of families as part of the background of the patient, but those in the communities realize that families also need care and support.3.In the USA, advanced hospitals concerned with family caring have a system that places case managers in the wards. They support families consistently from admission to discharge by coordinating professionals in their hospitals, providing education about patient care, conducting discharge planning, etc. The discharge planning sections of some hospitals in Japan support patients and families who are expected to have some problems after discharge. One of the most important functions of these sections is to refer patients and families to health and welfare organizations and other professionals in their communities.These results indicate that the nurse case manager system is an appropriate system to support families of hospital patients. Political issues to support families in hospital in the future were discussed.
• Ethnographic study on the community health nursing practices in rural Japan
  Ministry of Education, Culture, Sports, Science and Technology：Grants-in-Aid for Scientific Research(基盤研究(C))
  Project Year: 1997 - 1999  Investigator(s):Kiyomi ASAHARA
  The purpose of this ethnographic study was to describe the community health nursing practices in rural Japan from public health nurses' perspectives. Twenty-four public health nurses (PHNs) who were working at rural community participated in unstructured, tape-recorded interviews.The findings were as follows:1. Rural communities have maintained the traditional values and norms, while rural life has rapidly changed.2. It was found the closer relationship between PHNs and community members.3. Six characteristic rural community health nursing practices were found; 'considering the whole of community', 'conducting the practices from the actual work to health care policy planning', 'creating the health care systems in a community', 'networking among the persons, organizations and institutions ', 'surveying the actual condition of community' and 'carrying out immediately '.4. 'Networking among the persons, organizations and institutions' which was the most important community health nursing practice in rural areas had five kinds of modes; 'connecting with the residents', 'maintaining the relationship with other professionals or staff members of town (village) office ', 'connecting with clients and their family members', 'networking strategies when PHNs initiate the health care programs' and 'creating the residents' organizations or neighbors' networks in a community'.5. PHNs were practicing community health nursing activities with the cognitions such as 'philosophy of community health nursing practices', 'a sense of satisfaction to attain the aim', 'disadvantages of PHNs working at rural community ', 'a sense of justice for residents and their community', 'awareness of PHN's responsibilities for residents and theft community' and 'desire to learn and improve the health care of one's community'.From these results, it seems important to clarify the knowledge about rural community health nursing practices and create the rural nursing modal.
• Ethical Issues for Nurses Working in the Community
• Development of Research Methodology Using Community-Based Participatory Research (CBPR)
• Study on Community Empowerment
• Research on Qualitative Research in Nursing Practice.