深堀 浩樹 (フカホリ ヒロキ)

Fukahori, Hiroki

写真a

所属(所属キャンパス)

看護医療学部 (湘南藤沢)

職名

教授

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  • 1999 年東大医学部健康科学・看護学科卒後, 2007 年同大大学院医学系研究科健康科学・看護学専攻修了。虎の門病院看護師,三重県立看護大学助教,東京医科歯科大学講師・准教授を経て,18 年より現職。博士(保健学)。専門は,老年看護学,家族看護学,看護管理学。高齢者施設等における看護・ケアの質の向上に関する研究に取り組んでいる。

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  • 看護師(取得時は看護士), 1999年

  • 保健師(取得時は保健士), 1999年04月

 

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  • Long-term care nurses’ perceptions of a good death for people with dementia: A qualitative descriptive study

    Nasu K., Fukahori H., Miyashita M.

    International Journal of Older People Nursing (International Journal of Older People Nursing)  17 ( 3 )  2022年05月

    ISSN  17483735

     概要を見る

    Introduction: The number of people with dementia (PwD) dying in long-term care (LTC) settings is expected to increase. However, effective care strategies to promote a good death for PwD remain unclear. This study aimed to explore nurses’ perceptions of a good death for PwD in LTC settings for older adults. Methods: Interviews were conducted with 19 nurses providing end-of-life care in LTC settings for older adults in Japan. The transcribed texts were analysed using inductive content analysis. Results: We identified two themes: (1) ambiguity and (2) preparedness. Participants perceived that there was ambiguity regarding a good death for PwD and emphasised the need for preparedness of those around PwD for a good death. Five categories represented preparedness: (a) reaffirming the original personality before dementia; (b) respecting that PwD change; (c) interpreting and fulfilling obscure desires, feelings, and sensations; (d) providing care consistent with an agreed-upon natural death process; and (e) maintaining relationships. Conclusion: Long-term care nurses should encourage families and multidisciplinary team members, including the nurses themselves, to prepare for a good death of the PwD. Future research should focus on healthcare professionals’ perspectives on advance care planning in the early stages of dementia, as well as the perceptions of PwD, their family members and other healthcare professionals regarding the natural death process.

  • Salutogenesis and COVID-19 pandemic impacting nursing education across SEANERN affiliated universities: A multi-national study

    Shorey S., Ang E., Baridwan N.S., Bonito S.R., Dones L.B.P., Flores J.L.A., Freedman-Doan R., Fukahori H., Hirooka K., Koy V., Lee W.L., Lin C.C., Luk T.T., Nantsupawat A., Nguyen A.T.H., Nurumal M.S., Phanpaseuth S., Setiawan A., Shibuki T., Sumaiyah Jamaluddin T.S., TQ H., Tun S., Wati N.D.N.K., Xu X., Kunaviktikul W.

    Nurse Education Today (Nurse Education Today)  110 2022年03月

    ISSN  02606917

     概要を見る

    Background: The COVID-19 pandemic has disrupted the lives of many. Particularly, nursing students experience greater stress as their normal curriculum is interrupted and some of them face the risk of being infected as frontline workers. Nursing faculty members may face similar struggles, in addition to developing teaching materials for online learning. Thus, it is important to examine the faculty members' and students' views on their ability to adapt during the pandemic to obtain a holistic view of how learning and training has been affected. Design: The descriptive cross-sectional quantitative design was used. Settings: Data were collected from Southeast and East Asian Nursing Education and Research Network (SEANERN) affiliated nursing institutions from January 2021 to August 2021. Participants: A total of 1897 nursing students and 395 faculty members from SEANERN-affiliated nursing institutions in Cambodia, Hong Kong, Indonesia, Japan, Laos, Malaysia, Philippines, Singapore, Thailand and Vietnam were recruited for this study. Methods: Quantitative surveys were used to explore the satisfaction levels in education modalities, confidence levels, psychosocial well-being, sense of coherence and stress levels of nursing students and faculty members during the COVID-19 pandemic. Results: Participants were mostly satisfied with the new education modalities, although most students felt that their education was compromised. Both groups showed positive levels of psychosocial well-being, despite scoring low to medium on the sense of coherence scale and experiencing great stress. The participants' sense of coherence was positively correlated with their psychosocial well-being and negatively correlated with stress levels. Conclusions: While the COVID-19 pandemic had negatively impacted the lives of nursing students and faculty members, most of them had a healthy level of psychosocial well-being. Having a strong sense of coherence was associated with better psychosocial health and lower stress levels. As such, it may be helpful to develop interventions aimed at improving the sense of coherence of nursing students and staff to help them manage stressors better.

  • Initial impact of the COVID-19 pandemic on time Japanese nursing faculty devote to research: Cross-sectional survey

    Yoshinaga N., Nakagami G., Fukahori H., Shimpuku Y., Sanada H., Sugama J.

    Japan Journal of Nursing Science (Japan Journal of Nursing Science)  19 ( 1 )  2022年01月

    ISSN  17427932

     概要を見る

    Aim: To investigate how nursing faculties' perceived time devoted to research changed during the first wave of the pandemic in Japan (April–June 2020) compared to pre-pandemic. Methods: This cross-sectional study was conducted online from July 1 to August 10, 2020 and involved 1,023 nursing faculties in Japan. Participants were asked to respond to a questionnaire based on their experiences from April to June 2020. We calculated descriptive statistics for several measures and examined associations between professional/personal demographic factors and declines in overall research time. Results: Of the 1,023 participants, 71.1% were spending less time on overall research activity; 79.6% spent less time attending academic events/conferences, and 77.4% spent less time conducting experiments/surveys. In contrast, 81.2% spent more time teaching, a much greater proportion than the global scientific community in a previous survey. As for work time allocation during the pandemic, teaching was by far the one activity that participants spent the most time on. Logistic regression analysis revealed that declines in overall research time were associated with several professional demographic factors, such as type of university, current academic position, and acquisition status of Japan's major research grant (KAKENHI) (all p <.05). Conclusions: Nursing faculties in Japan clearly spent less time on research, and more time on teaching during the first wave of the pandemic compared to pre-pandemic. The initial impact of the pandemic on nursing faculties revealed through this study is an eye-opener and a start for addressing the long-term impact on the nursing scientific community.

  • Quality of End-of-Life in Cancer Patients With Dementia: Using A Nationwide Inpatient Database

    Hirooka K., Okumura Y., Matsumoto S., Fukahori H., Ogawa A.

    Journal of Pain and Symptom Management (Journal of Pain and Symptom Management)  2022年

    ISSN  08853924

     概要を見る

    Context: The growing number of older people significantly affects end-of-life care. However, few studies have assessed the quality of end-of-life care among cancer patients with dementia. Objectives: To assess the quality of end-of-life care among non-small cell lung cancer patients with or without dementia using a nationwide inpatient database from Japan. Methods: This was a retrospective observational study that used a nationwide inpatient database of 366 acute care hospitals from April 2014 to November 2018. Poisson regression models were used where the quality indicator was the dependent variable, dementia status was the independent variable, and the age group and Charlson comorbidity index were covariates. Incidence proportion ratios (IPRs) and confidence intervals (CIs) were obtained from the model. Results: The study population included 16,758 patients, of whom 4507 (26.9%) had dementia. The incidence proportion of opioid use (61.8% vs. 70.8%; IPR: 0.87, 95% CI: 0.83–0.91), palliative care consultation (2.7% vs. 3.8%; IPR: 0.71, 95% CI: 0.58–0.88), mechanical ventilation (4.0% vs. 5.4%; IPR: 0.74, 95% CI: 0.62–0.87), and cardiopulmonary resuscitation (2.2% vs. 2.8%; IPR: 0.79, 95% CI: 0.63–0.99) was significantly lower in patients with dementia than in those without dementia. Conclusion: Patients with dementia are less likely to receive end-of-life care. This study demonstrates the importance of providing high-quality end-of-life care regardless the cognitive status of patients with cancer.

  • Provision and related factors of end-of-life care in elderly housing with care services in collaboration with home-visiting nurse agencies: a nationwide survey

    Fukui S., Otsuki N., Ikezaki S., Fukahori H., Irie S.

    BMC Palliative Care (BMC Palliative Care)  20 ( 1 )  2021年12月

     概要を見る

    Background: Japan has the largest population of older adults in the world; it is only growing as life expectancy increases worldwide. As such, solutions to potential obstacles must be studied to maintain healthy, productive lives for older adults. In 2011, the Japanese government has started a policy to increase “Elderly Housing with Care Services (EHCS)”, which is one of a private rental housing, as a place where safe and secure end-of-life care can be provided. The government expect for them to provide end-of-life care by collaborating with the Home-Visit Nursing Agencies (HVNA). The purpose of this study is to clarify the situation of the end-of-life care provision in EHCS in collaboration with HVNA and to examine the factors that associate with the provision of the end-of-life care in EHCS. Methods: A two-stage nationwide survey (fax and mail surveys) were conducted. Of the 5,172 HVNA of the National Association for Visiting Nurse Services members, members from 359 agencies visited EHCS. Logistic regression analysis was conducted with the provision of end-of-life care to EHCS in 2017 as the dependent variable, and the following as independent variables: characteristics of HVNA and EHCS; characteristics of residents; collaborations between HVNA and EHCS; and the reasons for starting home-visit nursing. Results: Of the 342 HVNA who responded to the collaborations with EHCS, 21.6% provided end-of-life care. The following factors were significantly associated with the provision of end-of-life care to inmates in elderly care facilities: being affiliated with a HVNA, admitting many residents using long-term care insurance, collaborating with each other for more than three years, and started visiting-nurse services after being requested by a resident’s physician. Conclusions: This study clarified the situation of the provision of end-of-life care in EHCS in collaboration with HVNA and the related factors that help in providing end-of-life care in EHCS.

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競争的研究費の研究課題 【 表示 / 非表示

  • 高齢者施設・住まいにおける避けられる救急搬送・入院を削減する複雑介入の開発

    2020年04月
    -
    2025年03月

    文部科学省・日本学術振興会, 科学研究費助成事業, 深堀 浩樹, 基盤研究(B), 補助金,  研究代表者

  • 高齢者ケア施設における看取りのケアパスの開発

    2016年04月
    -
    2021年03月

    文部科学省・日本学術振興会, 科学研究費助成事業, 深堀 浩樹, 挑戦的萌芽研究, 補助金,  研究代表者

  • 高齢者ケア施設の入居者家族へのケアとその効果に関する縦断的研究

    2015年04月
    -
    2019年03月

    文部科学省・日本学術振興会, 科学研究費助成事業, 深堀 浩樹, 基盤研究(B), 補助金,  研究代表者

 

担当授業科目 【 表示 / 非表示

  • 看護学特論Ⅰ

    2022年度

  • 老年看護論

    2022年度

  • 老年サポートシステム・制度論

    2022年度

  • プロジェクトⅡ(応用)

    2022年度

  • プロジェクトⅠ(基礎)

    2022年度

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