Yagasaki, Kaori

写真a

Affiliation

Faculty of Nursing and Medical Care (Shonan Fujisawa)

Position

Professor
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Career 【 Display / hide 】

  • 2020.04
    -
    Present

    慶應義塾大学看護医療学部, 慢性期・終末期看護学, 教授

  • 2020.04
    -
    Present

    慶應義塾大学健康マネジメント研究科, 看護学専攻, 教授

  • 2017.04
    -
    2020.03

    慶應義塾大学大学院健康マネジメント研究科, 看護学専攻, 准教授

  • 2014.06
    -
    2020.03

    慶應義塾大学看護医療学部, 慢性期・終末期看護学, 准教授

  • 2010.04
    -
    2014.05

    慶應義塾大学看護医療学部, 終末期看護学, 助教

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Academic Background 【 Display / hide 】

  • 2012.04
    -
    2014.03

    The Japanese Red Cross College of Nursing, 看護学研究科博士後期課程

    Graduate School, Completed, Doctoral course

  • 2004.03

    St. Luke's College of Nursing, Graduate School, Division of Nursing

    Graduate School, Completed, Master's course

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Academic Degrees 【 Display / hide 】

  • PhD, 日本赤十字看護大学大学院看護学研究科, Coursework, 2014.03

  • Master of nursing, St. Luke's College of Nursing, Coursework, 2004.03

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Licenses and Qualifications 【 Display / hide 】

  • がん看護専門看護師認定資格 (2016年12月まで）

  • 看護師

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Research Areas 【 Display / hide 】

  • Life Science / Clinical nursing (Clinical Nursing Science)

  • Life Science / Clinical nursing (Cancer Nursing, Palliative Care, Chemotherapy　　)

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Research Keywords 【 Display / hide 】

  • がん看護学

  • 成人看護学(慢性期看護)

  • 緩和ケア

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Research Themes 【 Display / hide 】

  • 高齢がん患者の食生活と身体活動に着眼したがん・心血管セルフケアプログラムの有効性, 

    2024.04
    -
    Present

  • がん薬物療法を受ける高齢者のフレイル予防：縦断研究によるハ-モニ-ケアモデル開発 , 

    2019.04
    -
    2024.03

  • 自宅で経口化学療法を続ける患者の服薬の実態解明と安全、確実な服薬支援モデル開発, 

    2011
    -
    2014

  • Bridging the Gap Between EBN guidelines and Clinical Practice in Cancer Nursing, 

    2008
    -
    2010

    　View Summary

    This study consists of two parts for practice of evidence-based nursing care. In the first part, we conducted a qualitative descriptive study by collecting data through focus group interviews in chemotherapy expert nurses. Results of the analysis identified “multifaceted approach to guideline implementation” as the core category, and there were 11 categories. Based on the results, we developed a dissemination model (draft) in the second part, and examined the feasibility of the model. We con

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Books 【 Display / hide 】

  • Guidelines for the management of chemotherapy extravasation

    日本がん看護学会, 日本臨床腫瘍学会, 日本臨床薬学会, 2022.12

  • 系統看護学講座 別巻 がん看護学　第3版

    矢ヶ崎 香 小松浩子、中根実、藤原裕、ほか, 医学書院, 2022.02

    Contact page： 317-328

  • 系統看護学講座 専門分野 成人看護学Ⅰ 成人看護学総論　第16版

    矢ヶ崎 香 小松浩子、井上智子、麻原きよみ、ほか, 医学書院, 2022.01

    Contact page： 44-65,300-309

  • 系統看護学講座 専門分野 成人看護学14 耳鼻咽喉　第14版

    矢ヶ崎 香 小松浩子、生井明浩、松﨑洋海、ほか, 医学書院, 2020.01

    Contact page： 174-187,220-222,234-240

  • がん看護コアカリキュラム日本版

    YAGASAKI Kaori, 医学書院, 2017.02

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Papers 【 Display / hide 】

  • Unmet Needs and Health-Related Quality of Life Among Patients With Relapsed/Refractory Indolent Non-Hodgkin Lymphoma: A Mixed-Methods Study

    Sugimoto M., Yagasaki K., Matsuki E., Shimizu T., Sakurai M., Kataoka K., Doorenbos A.Z.

    Psycho-Oncology 34 ( 2 ) e70103 2025.02

    Accepted,  ISSN  10579249

    　View Summary

    Objective: Patients with relapsed or refractory (r/r) indolent non-Hodgkin lymphoma (iNHL) live with incurable disease for a long-term, experiencing multiple relapses and treatments that impair their health-related quality of life (HRQOL). We aimed to better understand the unmet needs and HRQOL of patients with r/r iNHL. Methods: This convergent mixed-methods study evaluated patients with r/r iNHL who received treatment. Unmet needs and HRQOL were assessed quantitatively using self-administered questionnaires and analyzed statistically. Qualitative data were collected through face-to-face semi-structured interviews for reflexive thematic analysis. Quantitative and qualitative findings were integrated through narrative discussion and joint display. Results: Questionnaire respondents (50 participants, mean age: 72.42 years) reported unmet needs in the health system and information and psychological domains and a negative association between unmet needs and HRQOL. Interviews (20 participants, mean age: 72.75 years) identified four themes: “unremarkable symptoms,” “anxiety of progression in the near future,” “make the best of life,” and “means to live with uncertainty.” Integration revealed that participants accepted their low HRQOL and attempted to make the best of life, influencing their perception of unmet needs. Conclusions: Throughout the long course of r/r and repeated treatment, patients with iNHL accepted their low HRQOL, valued their current situations, and endeavored to make the best of life. In this situation, support in the psychological and health system and information domains is crucial. Support for the unmet needs of patients with r/r iNHL is essential as they strive to live their best lives while maintaining a favorable HRQOL.

  • Extravasation associated with cancer drug therapy: multidisciplinary guideline of the Japanese Society of Cancer Nursing, Japanese Society of Medical Oncology, and Japanese Society of Pharmaceutical Oncology.

    Matsumoto K, Ryushima Y, Sato J, Aizawa Y, Aoyama T, Akaishi Y, Okamoto R, Sato Y, Sugano K, Tazumi K, Tsuji M, Fujikawa N, Bun S, Yagasaki K

    ESMO open 9 ( 10 ) 103932 2024.10

    Accepted

    　View Summary

    Background: Extravasation (EV), or the leakage of anticancer drugs into perivascular and subcutaneous tissues during intravenous administration, can cause serious conditions that may require surgical intervention. Therefore, updated guidelines for EV based on systematic review are needed. Additionally, classifications for anticancer drugs that cause EV are not standardized across the current guidelines, and some novel drugs have not been classified. Therefore, this study aimed to formulate guidelines using evidence-based information for shared decision making on prevention, early detection, treatment, and care for EV in Japan and provide additional classification for tissue injury based on systematic review. Materials and methods: The members of the Japanese Society of Cancer Nursing (JSCN), Japanese Society of Medical Oncology (JSMO), and Japanese Society of Pharmaceutical Oncology (JASPO) were surveyed about significant clinical challenges related to EV, and 17 clinical questions (CQs) were formulated. PubMed and ICHUSHI Web were searched using the Patient, Intervention, Comparison, and Outcomes terms listed in each CQ as key words. For the classification of new drugs, articles published through February 2021 were selected using the search terms ‘extravasation’, ‘injection-site reaction’, ‘adverse events’, and the names of individual drugs as key words. Results: Recommendations based on the results of randomized controlled trials (RCTs) were made with regard to the selection of central venous (CV) devices (CQ2, CQ3a, CQ3b, and CQ3c), regular replacement of peripheral venous catheters (CQ5), and use of fosaprepitant (CQ7). These CQs are novel and were not mentioned in previous guidelines. Warm compression monotherapy (CQ10b) and local injection of steroids (CQ12) are discouraged for the management of EV. Ten new drugs were classified for EV tissue injury. Conclusions: This study provides updated guidelines for the prevention and treatment of EV, which can be used to help health care providers and patients and their families practice better EV management.

  • Process of inner change in advanced age: a qualitative study of older adults in their early 90 s

    Komatsu H., Niimura H., Yagasaki K.

    BMC Geriatrics (BMC Geriatrics)  22 ( 1 ) 945 2022.12

    Accepted

    　View Summary

    Background: The number of nonagenarians is growing globally. The promotion of mental wellbeing is increasingly important. The aim of this study was to explore mental wellbeing and psychological experiences of older adults in their early 90 s who were living at home. Methods: We conducted a qualitative study using semi-structured face-to-face interviews with 20 older adults in their early 90 s. A thematic analysis, according to Braun and Clarke, was used to analyze data. Results: An inner process of older adults in their early 90 s was revealed; its three themes were the “reality of aging,” “seeking emptiness of the mind,” and “still moving on.” Older adults in this study experienced functional decline, regret, and loneliness. They were tired of life and nearly gave up. Emptying their minds helped them reset their attitudes and find a way to move on. After realizing that negative thinking did not help anything, they focused on what they could do and their daily routines. Perceived social usefulness validated participants’ self-worth. However, a few were consistently active without negative perceptions of aging. Conclusion: Understanding the psychological process and mental wellbeing in later life aids in the development of practical healthcare policies to assist the growing oldest-old population in cope with age-related challenges and improve their mental wellbeing.

  • Cancer survivorship care for post-treatment cancer survivors in Japan: A secondary analysis of a multinational study across Asia–Pacific countries

    Yamamoto S., Arao H., Yagasaki K., Komatsu H.

    Asia-Pacific Journal of Oncology Nursing (Asia-Pacific Journal of Oncology Nursing)  9 ( 11 ) 100121 2022.11

    Accepted,  ISSN  23475625

    　View Summary

    Objective: The global understanding of cancer survivorship care leads to optimal care delivery for cancer survivors. This study aimed to assess the perceptions of Japanese oncology nurses regarding cancer survivorship care and explore the factors influencing the provision of survivorship care. Methods: A questionnaire survey of oncology nurses was conducted as part of a multinational, cross-sectional survey. A 29-item measurement scale with four subscales regarding survivorship care was used to assess nurses’ perceptions regarding responsibility, confidence, and frequency of practice for cancer survivors. Additionally, we investigated a list of 16 factors influencing the provision of survivorship care. Results: Among 181 oncology nurses, the mean adjusted scores for survivorship care items were 65.6–84.7, 16.8–44.7, and 29.2–47.2 for responsibility, confidence, and frequency, respectively. Significant correlations were observed in the subscales for frequency of care with responsibility (r ​= ​0.315–0.385, P ​< ​0.001) and confidence (r ​= ​0.428–0.572, P ​< ​0.001). Participants with >10 years of experience in cancer care reported more frequent performance on surveillance than those with ≤ 5 years of experience (P ​= ​0.03). The major barriers for providing survivorship care by oncology nurses were lack of knowledge and skills (87.8%), lack of time (81.8%), and not seeing the value of survivorship care (79.6%). Conclusions: Oncology nurses face many challenges regarding survivorship care, even though they recognize their responsibility. Educational support for oncology nurses is warranted to overcome impeding factors and improve confidence.

  • Impact of a web-based educational program on Japanese nurses tobacco cessation practice and attitudes in oncology settings

    Mizuno M., Yagasaki K., Imai Y., Ueta I., Bando T., Takahashi A., Komatsu H., Asanuma C., Sarna L., Wells M., Brook J., Floegel-Shetty A., Bialous S.

    Journal of Nursing Scholarship (Journal of Nursing Scholarship)  54 ( 3 ) 315 - 323 2022.05

    Accepted,  ISSN  15276546

    　View Summary

    Purpose: To evaluate the effects of a short web-based educational program on Japanese nurses’ self-reported attitudes toward tobacco cessation and their use of interventions to help smokers to quit. Design: Prospective, single-group design with a pre-educational survey, a short web-based educational program, and a follow-up survey at 3 months. Methods: Clinical nurses were asked to view two prerecorded webcasts about helping smokers quit. They completed two online surveys, one at baseline and one at a 3-month follow-up. Generalized linear models were used to determine changes in nurses’ self-reported routine practice after the study intervention. Findings: A total of 1401 nurses responded to the baseline survey, 678 of whom completed the follow-up survey. Compared with baseline, nurses at follow-up were more likely to advise smokers to quit (odds ratio [OR] = 1.45, 95% confidence interval [CI: 1.15, 1.82]), assess patients’ interest in quitting (OR = 1.46, 95% CI [1.01, 1.04]), and assist patients with smoking cessation (OR = 1.34, 95% CI [1.04, 1.72]). However, the proportion of nurses who consistently recommended resources for tobacco cessation did not significantly improve at follow-up. Conclusions: This study provides preliminary evidence that a web-based educational program can increase nurses’ implementation of tobacco dependence interventions in cancer care practice. Sustaining these educational efforts could increase nurses’ involvement in providing these interventions, encourage nurses to refer patients to cessation resources, and support nurses’ attitudes towards their role in smoking cessation. Clinical relevance: Our short web-based educational program can increase nurses’ use of tobacco-dependence interventions in cancer care practice. This role can be enhanced with additional information about existing cessation resources that nurses could use to refer patients for support post-discharge. Japanese nurses, when properly educated, are willing and significant contributors to promote tobacco use cessation for cancer patients. The contribution can be facilitated through nursing care protocol that integrate tobacco use cessation interventions within evidence-based cancer care approaches.

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Papers, etc., Registered in KOARA 【 Display / hide 】

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Reviews, Commentaries, etc. 【 Display / hide 】

  • 「がん放射線療法看護認定看護師」領域認定申請報告と認定看護師への期待

    YAGASAKI Kaori

    日本がん看護学会誌 25 ( 1 ) 62 - 63 2011.05

    Article, review, commentary, editorial, etc. (scientific journal), Joint Work

  • がん看護コアカリキュラム日本版の作成　日本がん看護学会教育・研究活動委員会コアカリ検討班報告（平成19～21年度)

    YAGASAKI Kaori

    日本がん看護学会誌 25 ( 1 ) 54 - 61 2011.05

    Article, review, commentary, editorial, etc. (scientific journal), Joint Work

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Presentations 【 Display / hide 】

  • 広汎性子宮頸部摘出術を受ける患者を支援するチーム医療の特徴

    YAGASAKI Kaori

    第29回日本がん看護学会学術集会, 

    2015.02

  • 胸部食道がん患者の術後機能回復促進プログラムを実施する看護師の講習会によるコミュニケーション能力および患者教育能力の向上

    YAGASAKI Kaori

    第29回日本がん看護学会学術集会, 

    2015.02

  • 手術を受ける胸部食道がん患者のための教育用DVDの作成　手術に安心して取り組むために先輩患者さんからのメッセージ

    YAGASAKI Kaori

    第29回日本がん看護学会学術集会, 

    2015.02

  • 遺伝性乳癌卵巣癌症候群に関する遺伝カウンセリングのクライエントの背景および遺伝子検査の現状

    YAGASAKI Kaori

    第22回日本乳癌学会総会, 

    2014.07

  • 胸部食道がん患者の術後の回復過程における困難と対処

    YAGASAKI Kaori

    第68回日本食道学会学術集会, 

    2014.07

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Research Projects of Competitive Funds, etc. 【 Display / hide 】

  • 高齢がん患者の食生活と身体活動に着眼したがん・心血管セルフケアプログラムの有効性

    2024.04
    -
    2029.03

    基盤研究(B), Principal investigator

  • がん薬物療法を受ける高齢者のフレイル予防：縦断研究によるハ-モニ-ケアモデル開発

    2019.04
    -
    2023.03

    MEXT,JSPS, Grant-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (B), Principal investigator

  • 基盤研究B　経口分子標的治療のがん患者イニシアチブ皮膚障害予防・管理プログラムの実用性

    2015.04
    -
    2019.03

    日本学術振興会, Grant-in-Aid for Scientific Research, Kaori Yagasaki, Research grant, Principal investigator

  • 基盤研究C　自宅で経口化学療法を続ける患者の服薬の実態解明と安全、確実な服薬支援モデル開発

    2011.04
    -
    2015.03

    日本学術振興会, Grant-in-Aid for Scientific Research, Kaori Yagasaki, Research grant, Principal investigator

  • 基盤研究C　がん医療におけるＥＢＮと臨床実践のｇａｐと波及モデルの開発

    2008.04
    -
    2011.03

    文部科学省科学研究費補助金　, Principal investigator

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Awards 【 Display / hide 】

  • Best Poster Award 2014(EONS-9 Congress)

    Hiroko Komatsu, Kaori Yagasaki, 2014.09, Power of Nursing: What Makes Nursing Unique?

    Country： Turkey

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Courses Taught 【 Display / hide 】

  • THEORIES IN CANCER NURSING

    2025

  • THEORETICAL ISSUES IN CANCER TREATMENT NURSING

    2025

  • THEORETICAL ISSUES IN CANCER NURSING

    2025

  • THEORETICAL ISSUES IN CANCER MEDICATION NURSING

    2025

  • TERMINAL CARE NURSING

    2025

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Memberships in Academic Societies 【 Display / hide 】

  • 日本臨床腫瘍学会, 

    2022.07
    -
    Present

  • 日本癌治療学会, 

    2017
    -
    Present

  • 日本生殖看護学会, 

    2017
    -
    Present

  • 日本肺癌学会, 

    2015
    -
    Present

  • 日本死の臨床研究会, 

    2009.04
    -
    2020.12

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Committee Experiences 【 Display / hide 】

  • 2025.02
    -
    Present

    Director, Japanese Society of Cancer Nursing

  • 2023.08
    -
    2025.07

    代議員, 一般社団法人日本癌治療学会

  • 2023
    -
    2025

    社員, 日本看護科学学会

  • 2021.04
    -
    2025.02

    Japanese Society of Cancer Nursing, 一般社団法人日本がん看護学会　ガイドライン委員会

  • 2021.03
    -
    2023.02

    理事, 一般社団法人　日本がん看護学会

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