ASAHARA Kiyomi

Researcher Profile & Settings

Degree

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

Education

• - 1997The University of Tokyo
• - 1997The University of Tokyo Graduate School, Division of Medical Sciences

Academic & Professional Experience

• 2013- 2015School of Nursing, St. Luke's International University
• 2002- 2003School of Medicine, Department of Health Sciences, Shinshu University
• 1999- 2002School of Allied Medical Sciences, Shinshu University
• 1995- 1999Nagano College of Nursing
• 1995- 1999Nagano College of Nursing, Associate
• 1991- 1994School of Allied Medical Sciences, Shinshu University
• Shinshu University, Professor
• Shinshu University, Assistant

Qualification

• 博士(保健学)
• 看護学修士

Research Activities

Research Areas

• Life sciences / Gerontological and community health nursing
• Life sciences / Basic nursing
• Life sciences / Clinical nursing
• Life sciences / Gerontological and community health nursing
• Life sciences / Gerontological and community health nursing
• Life sciences / Basic nursing
• Life sciences / Basic nursing

Published Papers

• An experiential approach to developing radiological content for public health nursing: Lessons from a nuclear disaster
  Chie Kawasaki PhD, RN, PHN, Professor, Chiaki Kitamiya PhD, Koji Yoshida PhD, RN, Associate Professor, Junko Omori PhD, RN, PHN, Professo, Sarah Porter PhD, MPH, MS, Associate Dean, Student, International, Affairs Emeritus, Kiyomi Asahara PhD, RN
  Public Health Nursing 37巻(1号) 10.1111-12700 Jan. 2020
• Developing a comprehensive career development scale for public health nurses in Japan
  Kazuko Saeki RN, PHN, PhD Michiyo, Hirano RN, PHN, PhD, Hikaru Honda RN, Kiyomi, Asahara RN
  Public Health Nursing 37巻(1号) 135-143 Jan. 2020
• Vitalizing public health activities through community assessment: A report of the committee on public health nursing 2014-2017
  Junko Omori, Maki Umeda, Kiyomi Asahara, Aya Iguchi, Masako Kageyama, Mikako Konishi, Izumi Watai, Nanako Tamiya, Sachiyo Murashima
  Japanese Journal of Public Health 66(3) 121-128 Mar. 2019 [Refereed]
• Narrative writing as a strategy for nursing ethics education in Japan
  Tsuruwaka, M, Asahara, K
  International Journal of Medical Education, 9 198-205 Jul. 2018 [Refereed]
• Evaluation of public health nursing students’ skill achievement levels by educational improvement
  Yoshimi Suzuki, Emiko Saito, Minako Sawai, Emiko Kishi, Satori Kamemoto, Chiyo Igarashi, Harumi Nakada, Kiyomi Asahara
  Public Health Nursing 63(7) 355-366 Oct. 2017 [Refereed]
  DOI:10.1111/phn.12388
• Importance and effectiveness of radiation education for piblic health nursing students
   5(1) 39-46 Mar. 2017 [Refereed]
• 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
• Ethics Review of Nursing Research: Possible Implications from the USA Experience
   36 80-84 2016 [Refereed]
  DOI:10.5630/jans.36.80
• Essential skill achievement levels of public health nursing students, as evaluated by students, faculties, and public health nurses in Tokyo 23 city
  SUZUKI Yoshimi, SAITO Emiko, SAWAI Minako, KISHI Emiko, KAKEMOTO Satori, NAKADA Harumi, IGARASHI Chiyo, MIYOSHI Tomomi, ASAHARA Kiyomi, NAGATA Satoko, MORI Toyomi, KAGURAOKA Sumi
  Jpn J Public Health 62(12) 729-737 Dec. 2015 [Refereed]
  DOI:10.11236/jph.62.12_729
  Permalink:http://ci.nii.ac.jp/naid/130005120036
  <b>目的</b> 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。<br/><b>方法</b> 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。<br/><b>結果</b> 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。<br/><b>結論</b> 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。
• 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
  Permalink:http://hdl.handle.net/10285/11492
• Learning Effect of a Practical Exercise Conducting a Community Assessment
   40 105-111 Mar. 2014 [Refereed]
• 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) 43-54 May 2013 [Refereed]
  DOI:10.1891/1061-3749.21.1.43
  Permalink:http://hdl.handle.net/10285/9058
• 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) 98-108 Apr. 2013 [Refereed]
  DOI:10.1111/j.1742-7924.2012.00216.x
  Permalink:http://hdl.handle.net/10285/8953
• Characteristics of Learning Based on Different Facilities in Health Promotion Practice.
  (39) 95-100 Feb. 2013 [Refereed]
• Strategic Practices for People-Centered Care Part Ⅰ ーTypes of Partnership ー
   13(2) 11-16 Jul. 2009
  Permalink: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 Ⅱ ―Outcomes That Grow Along with Activities―
   13(2) 17-24 Jul. 2009
  Permalink: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
• Web上でのヘルス・ボランティア学習支援プログラム試用の評価・改善とカリキュラム化
  田代 順子, 長松 康子, 松谷 美和子, 菱沼 典子, 及川 郁子, 平林 優子, 麻原 きよみ, 大森 純子, 佐居 由美
  聖路加看護学会誌 13(2) 53-62 Jul. 2009
  平成17年1月からWeb上でボランティア学生が学習できるヘルス・ボランティア・コミュニティ・e-センターを開発してきた。本論文では、本e-センターを学生と研究者の視点から評価し、その結果をもとにサービス・ラーニングの科目概要を作成したので報告する。評価方法は、e-センター内の(1)一般公開ボランティア学習サイトの利用状況、(2)学生サイトの活動ログの試用状況、(3)活動ログ試用学生と不試用学生の評価、(4)研究者の支援活動に関する評価、により過程評価した。研究の倫理的配慮として、学生に研究協力は自由で、協力中止の自由や、学業成績とは無関係であること、などを説明し、同意書に署名してもらった。本研究計画書は、学内の研究倫理審査委員会で承認を受けた(承認番号07-035)。評価結果:(1)一般学習サイトへのアクセスは2007年1月からの2年間で、1万4,768件であった。(2)1年間で活動ログは、登録学生122名中9名が試用し、延べ30件の活動ログが提出された。活動ログには、活動内容、感じたこと・考えたこと、困ったこと、今後、に沿って記録されていた。(3)活動ログの試用に関した学生評価は、(1)現在は、ボランティアなので活動ログ作成の動機付けとはならない、(2)学生間の連絡や記録は携帯メールを使用しており、PC上のWebサイトを使うには時間と労力が必要、(3)現在のWebでは他学生と経験を共有できない、(4)デジタルに馴染んでいない、などであった。(4)研究者の評価意見では、半数以上の研究者が、Web上での支援が未知であり関われなかったと評価した。しかし、研究者は、学生の書いた活動ノートでの活動内容や振り返り状況は、学生の学習上重要であると評価した。この評価をもとに、ボランティア活動が活発である学部1・2年生を対象とし、Web上での自己学習と併せてミーティングでの活動体験の共有と振り返りができる機会を提供するサービス・ラーニング科目を作成した。今後、この科目の学習支援を実践し学生の学びと評価を受けさらに発展させる計画である。(著者抄録)
• 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
• Web上でのヘルス・ボランティア学習とボランティア学生学習支援プログラム開発 開発過程
  田代 順子, 長松 康子, 大森 純子, 菱沼 典子, 松谷 美和子, 及川 郁子, 麻原 きよみ, 平林 優子, 酒井 昌子
  聖路加看護学会誌 11(1) 109-115 Jun. 2007
  日本において、ボランティアが文化となりつつあり今日、看護学生が地域の健康・福祉領域でボランティア活動をしている。研究者らは平成14〜16年度に学生ボランティアの学習ニーズと学習支援のあり方を研究し、ボランティアの出会いからボランティア活動までの系統的な学習支援指針を作成した。平成17年から、Webでのボランティアに関する学習とボランティア学生のための学習の支援プログラム開発を開始し、平成19年1月に完成した。開発したWebの試用と評価の段階に至ったので、開発過程を中間報告として報告する。本研究の全体目的は、看護学士課程の学生が市民あるいは看護職として、都市部地域でのボランティアに関しての学習ができ、ボランティア学生が活動を通して学習ができるWeb上の学習プログラムを開発し評価することである。本研究の方法は、開発過程にコンピュータープログラム開発会社と、開発の各過程にボランティア学生を加え活動したので、アクション・リサーチ(Morton-Cooper,2000)の研究技法を参考にして記述した。結果、2年間の開発過程は、3つの段階に分類できた。第1段階の、Webの全体設計をする段階では文献検討を行い、研究者間でボランティアの定義と要素の共通理解を行い、ボランティアを始める前の基礎学習、ボランティア準備学習、そして、ボランティア活動を通じての学習の支援プログラムとして、Webを一般サイトとボランティア学生用のコミュニケーションサイトでデザインにした。第2に「ボランティア」の知識提供のe-ラーニングのデザインと学習コンテンツ開発の段階で学生の意見を反映して作成した。第3にボランティア学生の経験からの学習支援として、活動の日誌を書き、振り返し、学生や教員との情報の共有で経験から学ぶ「サービス・ラーニング」サイトを開発した。今後、学生の試用と教員としてのコミュニケーションから学習支援の点から評価してゆきたい。(著者抄録)
• 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
  Permalink:http://hdl.handle.net/10285/8278
• Long-term care insurance in Japan - Its frameworks, issues and roles
  K Asahara, Y Momose, S Murashima
  DISEASE MANAGEMENT & HEALTH OUTCOMES 11(12) 769-777 Oct. 2003
  DOI:10.2165/00115677-200311120-00002
  Permalink:http://hdl.handle.net/10285/8274
  In response to an increase in the number of elderly people and increasing medical costs, the Japanese government implemented the Long-Term Care Insurance (LTCI) system for the elderly in April 2000. Three years have passed since the LTCI was initiated. The purpose of this paper is to describe the framework, current situation and issues of this system, and the challenges and roles of the LTCI in the future. The numbers of service agencies, institutions, and LTCI service users have been steadily increasing. The waiting list for institutions has also increased, and only half of the users have reached the upper cost limit. Most users were satisfied with the LTCI services. However, the decisions made by the elderly on the types of services to use within the LTCI system are sometimes influenced by their families. The system has some problems regarding the lack of support that is provided to the elderly with respect to their access, choice and use of the LTCI services. Often, care managers cannot devote enough time to the care management process. As a result, important elements of care management, such as conducting home visits to assess users' conditions, monitoring the care that is received by users, and meeting with other service providers to discuss adequacy of care, are sometimes lacking. Private companies have promoted the quality and efficiency of the home care and long-term care market. The total amount of yearly medical expenses for elderly people in Japan has decreased following the implementation of the LTCI system, compared with that prior to the initiation of the system. LTCI premiums differ among municipalities. The questionnaire that has been used to assess the care requirements of the elderly was deficient in some areas of health. However, in 2003, some amendments were made to this questionnaire in an attempt to address these deficiencies. Furthermore, the LTCI system should have relieved some of the burden on the elderly patient's family; however, since the implementation of the LTCI, its impact on the burden on the family has not been addressed sufficiently. Although there have been amendments to the system, several challenges of the LTCI system must be considered: (i) ensuring the future financing of LTCI services is met; (ii) providing countermeasures to promote the use of home-care services and to alleviate the care burden to family caregivers; (iii) providing adequate support and advocacy of rights and decision-making for the elderly; (iv) providing educational activities to disseminate knowledge about LTCI programs; and (v) ensuring the availability of activities to promote health for the elderly and to prevent them from becoming bedridden.
• 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
  Permalink:http://hdl.handle.net/10285/8273
• 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
  Permalink:http://hdl.handle.net/10285/8271
• 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
  Permalink: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
  Permalink: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. Magil
  Journal of Nursing Scholarship 33(4) 375-380 Dec. 2001
  Permalink: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
  Permalink:http://hdl.handle.net/10285/8261
• 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
  Permalink:http://hdl.handle.net/10285/8257
• 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.

Conference Activities & Talks

• Lessons from Fukushima:Public Health Nurses'Dialogue with Affected People
   Dec. 2019
• 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
• Systematization of Public Health Nursing Science and its Significance in Japan.
  The 5 th international conference of the global network for public health nursing（GNPHN） May 2019
• compulsory retirement
  ASAHARA Kiyomi
  The 7th Annual Conference of Japan Academy of Public Health Nursing YAMAGUCHI 2019 Jan. 2019
• public health nursing
  ASAHARA Kiyomi
  The 7th Annual Conference of Japan Academy of Public Health Nursing YAMAGUCHI 2019 Jan. 2019 [Invited]
• Development of radiological education program for public health nurses and nursing students
   Nov. 2018 [Invited]
• 市民と看護職とのパートナーシップに基づく「People-Centered Care」の概念の再構築
  高橋 恵子, 亀井 智子, 大森 純子, 麻原 きよみ, 菱沼 典子, 有森 直子, 新福 洋子, 大橋 久美子, 田代 順子
  日本看護科学学会学術集会講演集 Dec. 2017 (公社)日本看護科学学会
• 保健師の基礎・現任教育に必要な放射線に関する教育内容 福島県・隣県保健師の原発事故当時の経験に基づく認識から
  川崎 千恵, 北宮 千秋, 吉田 浩二, 大森 純子, 小西 恵美子, 菊地 透, 折田 真紀子, 小野 若菜子, 三森 寧子, 小林 真朝, 永井 智子, 遠藤 直子, 江川 優子, 荒木田 美香子, 麻原 きよみ
  日本放射線看護学会学術集会講演集 Aug. 2017 日本放射線看護学会
• A Systematic Review of the Work-Life Balance of Hospital Nurses
  Akiko Ui, Kiyomi Asahara
  AAOHN 2017 Global Summit Apr. 2017
• Public health nurses' approaches to promote a practical rediological protection culture in fukushima,japan
  American Public Health Association 2016 144th Annual Meeting & EXPO Nov. 2016
• Development of public health nursing ethics education for nursing students.
   Sep. 2016
• 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
• 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
• 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
• 看護系大学院における質的研究方法を用いた学位論文の指導プロセスの実際
  廣田 朋子, グレッグ 美鈴, 大熊 恵子, 麻原 きよみ, 山本 則子, 太田 喜久子, 大川 貴子, 萱間 真美
  日本看護科学学会学術集会講演集 Nov. 2012 (公社)日本看護科学学会
• 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 Aug. 2012
• 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
• 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 Oct. 2010
• 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 Sep. 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
• ボランティア学生のWeb上記録への評価と記録様式の改善
  田代 順子, 長松 康子, 平林 優子, 松谷 美和子, 菱沼 典子, 及川 郁子, 麻原 きよみ, 大森 純子
  日本看護科学学会学術集会講演集 Nov. 2008 (公社)日本看護科学学会
• Tips for home care supporting independence
  Hollander Lene, 瀧澤 利行, 麻原 きよみ
  Journal of Japan Academy of Home Care Sep. 2008
• Evolution of Nursing Research : Studying Practice Arts to Increase Nursing Effectiveness
  SANADA H, ASAHARA K
  日本看護科学会誌 Mar. 2008
• 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
• 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
• 看護系大学院(修士課程)における質的研究に関する教育内容
  安保 寛明, 大熊 恵子, 萱間 真美, グレッグ 美鈴, 竹崎 久美子, 麻原 きよみ, 大川 貴子, 山本 則子, 太田 喜久子
  日本看護科学学会学術集会講演集 Nov. 2007 (公社)日本看護科学学会
• 学士課程における地域看護の倫理教育プログラムの開発と評価(第4報) MSQを使用した倫理的感受性の変化
  小林 真朝, 大森 純子, 長江 弘子, 梅田 麻希, 尾崎 章子, 宮崎 紀枝, 加藤 典子, 小野 若菜子, 酒井 昌子, 麻原 きよみ, 百瀬 由美子, 小西 恵美子
  日本看護科学学会学術集会講演集 Nov. 2006 (公社)日本看護科学学会
• 学士課程における地域看護の倫理教育プログラムの開発と評価(第3報) 地域看護領域の倫理的課題の特徴と理解
  宮崎 紀枝, 百瀬 由美子, 麻原 きよみ, 梅田 麻希, 大森 純子, 小林 真朝, 尾崎 章子, 加藤 典子, 長江 弘子, 酒井 昌子, 小野 若菜子, 小西 恵美子
  日本看護科学学会学術集会講演集 Nov. 2006 (公社)日本看護科学学会
• 学士課程における地域看護の倫理教育プログラムの開発と評価(第2報) 倫理に対する認識や態度の変化
  梅田 麻希, 酒井 昌子, 小野 若菜子, 百瀬 由美子, 麻原 きよみ, 小林 真朝, 大森 純子, 宮崎 紀枝, 尾崎 章子, 長江 弘子, 加藤 典子, 小西 恵美子
  日本看護科学学会学術集会講演集 Nov. 2006 (公社)日本看護科学学会
• 学士課程における地域看護の倫理教育プログラムの開発と評価(第1報) プログラムの開発過程
  麻原 きよみ, 尾崎 章子, 加藤 典子, 宮崎 紀枝, 長江 弘子, 百瀬 由美子, 小野 若菜子, 酒井 昌子, 大森 純子, 小林 真朝, 梅田 麻希, 小西 恵美子
  日本看護科学学会学術集会講演集 Nov. 2006 (公社)日本看護科学学会
• 骨粗しょう症検診受診者の意識及び行動変容に関する調査
  神原 麻子, 大島 千絵子, 大森 純子, 麻原 きよみ
  東京都福祉保健医療学会誌 Oct. 2006 (公財)東京都福祉保健財団人材養成部職員研修室
• 米国におけるサービス・ラーニングの取り組みの比較検討
  大森 純子, 田代 順子, 麻原 きよみ, 平林 優子, 及川 郁子, 松谷 美和子, 菱沼 典子, 香春 知永, 酒井 昌子
  聖路加看護学会誌 Sep. 2006 (一社)聖路加看護学会
• 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
• 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
• 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
• 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 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 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• Home Care and Culture of Family Caregiving in Rural Japan
  Kiyomi Asahara
  First International Conference on Rural Aging (Symposium) Jun. 2000
• 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
• 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
• 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
• Home Care and Culture of Family Caregiving in Japan
  Kiyomi Asahara
  Third International Nursing Research Conference (Symposium) 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
• people-Centered Care
  Asahara Kiyomi

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
• People-Centered Care PCC Guide
  Takahashi K, Kamei T, Omori J, Asahara K, Hishinuma M, Arimori N, Shimpuku Y, Tashiro J, Ohashi K
   2017
  Permalink:http://research.luke.ac.jp/who/documents.html
• 健康課題としての放射線防護 保健師による実際的な活動モデルに向けて 保健師の実践へのヒント ベラルーシ視察報告から学ぶ
  大森 純子, 小西 恵美子, 麻原 きよみ
  保健師ジャーナル 70(7) 626-630 Jul. 2014
  DOI:10.11477/mf.1664102473
• 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
• 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
• 聖路加看護大学2011年度改訂カリキュラム
  麻原 きよみ, 有森 直子, 大森 純子, 佐居 由美, 外崎 明子, 廣瀬 清人, 飯岡 由紀子, 松谷 美和子, 小野 智美, 梶井 文子, 瀬戸屋 希, 長松 康子, 中村 綾子
  聖路加看護大学紀要(38) 52-57 Mar. 2012
  本稿では、2011年度改訂カリキュラムの作成過程と概要を報告する。1995年度改訂カリキュラムは総括評価において、いくつかの問題点が明らかとなったため、2007年度からカリキュラム改訂のためのワーキンググループを立ち上げて検討した。2011年度改訂カリキュラムは本学の理念とビジョンに基づくものである。また、4つの概念とその関係性を基盤とした1995年度改訂カリキュラムの枠組みに、本学が文部科学省COEプログラムとして取り組んだPeople-Centered Careの概念を取り入れたことに大きな特徴がある。2011年度改訂カリキュラムは教養科目と基礎科目の充実を図るとともに、専門科目については、臨地実習の充実を図り、保健師の国家試験受験資格にかかわる教育を選択制とした。科目名称については、科目内容のわかるものとし、専門科目は専門性が明確となるものとした。(著者抄録)
• 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
• 社会格差と健康
  INR 33(5) 14-15 2010
• 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
• ボランティア学生のWeb上記録への評価と記録様式の改善
  田代 順子, 長松 康子, 平林 優子, 松谷 美和子, 菱沼 典子, 及川 郁子, 麻原 きよみ, 大森 純子
  日本看護科学学会学術集会講演集 28回 345-345 Nov. 2008
• 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
• CBPRとは何か? CBPRの成果(アウトカム)と課題
  安齋 ひとみ, 酒井 昌子, 加藤 典子, 有本 梓, 尾崎 章子, 麻原 きよみ, 大森 純子, 鈴木 良美
  地域保健 38(4) 76-82 Apr. 2007
• 米国におけるサービス・ラーニング(地域参加型教育)の理念と取り組み ウィスコンシン大学とワシントン大学の視察調査とワークショップ報告
  田代 順子, 大森 純子, 平林 優子, 麻原 きよみ, 松谷 美和子, 菱沼 典子, 及川 郁子, 香春 知永, 酒井 昌子
  聖路加看護大学紀要 33(33) 68-73 Mar. 2007
• 保健師の遭遇する倫理的ジレンマ 保健師と対象者本人あるいは家族の意向が異なる状況に関する分析
  加藤 典子, 宮崎 紀枝, 麻原 きよみ, 百瀬 由美子, 大森 純子
  日本看護科学学会学術集会講演集 24回 239-239 Dec. 2004
• ＜フォーラム＞患者ケアの創造と確信―市民とナースと研究者の協働ー
  Quality Nursing 10(4) 344-354 2004
• 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

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  
  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  
  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  
  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  
  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  
  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.