Details of a Researcher - Yagasaki, Kaori

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

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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

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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

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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

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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

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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 】

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

-

Present
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

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2014
Bridging the Gap Between EBN guidelines and Clinical Practice in Cancer Nursing,

2008

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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 】

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
系統看護学講座専門分野成人看護学14 耳鼻咽喉科第13版

YAGASAKI Kaori, 医学書院, 2017.01

Scope: 236-241

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Papers 【 Display / hide 】

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 ） 2022.12

　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.
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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 ） 2022.11

ISSN 23475625

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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.
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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

ISSN 15276546

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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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The relationship between work-related outcomes and symptoms in early breast cancer survivors receiving adjuvant endocrine therapy

Nakao M., Komatsu H., Hayashida T., Takahashi M., Seki T., Yagasaki K.

Asia-Pacific Journal of Oncology Nursing （Asia-Pacific Journal of Oncology Nursing) 9 （ 3 ） 174 - 178 2022.03

ISSN 23475625

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Objective: This study examined the relationship between symptom burdens and work-related outcomes, including work participation and overall work impairment (OWI) among breast cancer survivors (BCS) receiving adjuvant endocrine therapy (AET). Methods: This was a cross-sectional study with 140 BCS of working age receiving AET. Data were collected using self-report questionnaires that included an assessment of symptoms and their employment status, and OWI. Data were analyzed using descriptive statistics and multiple logistic regression analysis. Results: A total of 111 (79%) survivors reported being employed at the time of the survey. Symptom burdens were not associated with unemployment. Of the 110 working BCS receiving AET, symptom burdens were significantly related to a higher degree of OWI (OR = 2.14, 95% CI, 1.58–2.89, P ≤ 0.001). Conclusions: Participating BCS receiving AET continued to work while experiencing symptoms, with survivors who experienced high symptom burdens being negatively affected in their work life. Healthcare providers need to assess and manage symptoms and their impact on work, with the help of employers, to improve the quality of work life of BCS receiving AET.
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Rediscovering the Joy of Eating in Older Adults With Gastrointestinal Cancer Undergoing Treatment: A Qualitative Study

Yagasaki K, Komatsu H, Hamamoto Y.

Cancer Care Research Online. 2 （ 1 ） e017 2022

Research paper (scientific journal), Joint Work, Accepted

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Background: Cancer treatment significantly impacts the diet of older adults with cancer. Professional support is required for such patients to manage their eating problems at home.
Objective: To explore the dietary experiences of older adults with gastrointestinal cancer undergoing treatment, and their perceptions of how the disease and its treatment affected their eating.
Interventions/Methods:Semi-structured interviews were conducted with 21 older patients (aged ≥ 70 years) with gastrointestinal cancer in Japan. Interview data were analyzed using thematic analysis.
Results:Three key themes were identified: impact on daily life, significance of eating, and rediscovering the joy of eating. Participants experienced dietary changes and reduced social interactions. Challenging situations allowed them to reassess their eating values and habits. By seeking their own coping strategies, they rediscovered the pleasure of eating.
Conclusions:Older adults with gastrointestinal cancer tried to cope with dietary changes based on their reaffirmed values while seeking the joy of eating.
Implications for Practice: A multidisciplinary healthcare team can support patients’ self-management by seeking to understand patients’ eating values and habits rather than focusing only on patients’ weight control and nutritional status.
- Access to Document (DOI)

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

Experiencing the daily life of community-dwelling centenarians : a qualitative study

Yagasaki, Kaori

学事振興資金研究成果実績報告書（慶應義塾大学) 2020
Experiencing the daily life of community-dwelling centenarians : a qualitative study

Yagasaki, Kaori

学事振興資金研究成果実績報告書（慶應義塾大学) 2019
The development of nursing practice for cancer survivorship

Yagasaki, Kaori

Keio SFC journal （慶應義塾大学湘南藤沢学会) 18 （ 2 ） 10 - 22 2018

ISSN 13472828
Development of a program to prevent and manage targeted therapy-induced dermatological adverse events in oncology patients

Yagasaki, Kaori

科学研究費補助金研究成果報告書 2018
Development of an integrated care model for young cancer patients to support their decision-making about fertility preservation

Yagasaki, Kaori

科学研究費補助金研究成果報告書 2015

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Reviews, Commentaries, etc. 【 Display / hide 】

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
「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

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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 】

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

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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

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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

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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

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2011.03

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