保健衛生学部 看護学科
Profile Information
- Affiliation
- Associate Professor, School of Health Sciences Faculty of Nursing, Fujita Health University(Concurrent)Nurse Practitioner
- Degree
- Doctor of Philosophy in Medicine(Sep, 2023, Fujita Health University)Master of Nursing(Mar, 2014, Fujita Health University)
- J-GLOBAL ID
- 201801013625674878
- researchmap Member ID
- 7000023872
Research Interests
1Research Areas
2Major Research History
10-
Apr, 2024 - Present
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Apr, 2024 - Present
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May, 2020 - Present
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Apr, 2020 - Present
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Nov, 2017 - Present
Education
4-
Apr, 2018 - Sep, 2023
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Apr, 2012 - Mar, 2014
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Apr, 2003 - Mar, 2005
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Apr, 2000 - Mar, 2003
Committee Memberships
9-
Apr, 2024 - Present
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May, 2023 - Present
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Apr, 2023 - Present
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Nov, 2021 - Present
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May, 2021 - May, 2023
Awards
2Papers
9-
The Journal of Vascular Access, Jun 21, 2023 Peer-reviewedLead authorBackground: Nurse-led peripherally inserted central venous catheter (PICC) placement teams are common in western hospitals, but they are still in their infancy in Japan. Although implementing a dedicated program may improve ongoing vascular-access management, the direct hospital-level effects of launching a nurse-led PICC team on specific outcomes have not been formally investigated. Objectives: To evaluate the effect of introducing a nurse practitioner (NP)-led PICC-placement program on subsequent utilization of centrally inserted central catheters (CICCs) and to contrast the quality of PICC placements conducted by physicians and NPs. Materials and methods: Patients who underwent central venous access devices (CVADs) between 2014 and 2020 at a university hospital in Japan were evaluated retrospectively using an interrupted time-series analysis on the trend for monthly CVAD utilization and logistic regression and propensity score-based analyses for PICC-related complications. Results: Among 6007 CVAD placements, 2230 PICCs were inserted into 1658 patients (725 by physicians and 1505 by NPs). The monthly number of CICC utilization fell from 58 in April 2014 to 38 in March 2020, while PICC placements by the NP PICC team increased from 0 to 104. The implementation of the NP PICC program reduced the immediate rate (by 35.5; 95% confidence interval [CI]: 24.1–46.9; p < 0.001) and post-intervention trend (by 2.3; 95% CI: 1.1–3.5; p < 0.001) of monthly CICC utilization. Overall immediate complication rates were lower in the NP group than the physician group (1.5% vs 5.1%; adjusted odds ratio = 0.31; 95% CI: 0.17–0.59; p < 0.001). The cumulative incidences of central line-associated bloodstream infections were comparable between the NP and physician groups (5.9% vs 7.2%; adjusted hazard ratio = 0.96; 95% CI: 0.53–1.75; p = .90). Conclusions: This NP-led PICC program reduced CICC utilization without affecting the quality of PICC placement or complication rate.
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Infection Control & Hospital Epidemiology, 44(3) 480-483, Dec 20, 2021 Peer-reviewedLead authorAbstract The Michigan peripherally inserted central catheter–associated bloodstream infection score (MPC score) had been developed for hospitalized medical patients but had not been externally validated. A retrospective analysis of a clinically heterogeneous case-mix in a university hospital cohort in Japan failed to validate its originally reported good performance.
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Journal of the Japanese Society of Intensive Care Medicine, 27(3) 208-212, May 1, 2020 Peer-reviewedLead author
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3(2) 25-29, May, 2019 Peer-reviewedLead author
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看護展望, 43(14) 1313-1316, 2018 Lead author
Misc.
2Books and Other Publications
6Presentations
17Teaching Experience
8-
Apr, 2024 - Present医療安全特論 (藤田医科大学大学院 急性期・周術期分野)
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Dec, 2022 - Present在宅医療特論 (藤田医科大学大学院 急性期・周術期分野)
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Aug, 2021 - PresentNP特論 (秋田大学大学院 医学系研究科)
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Nov, 2020 - Present外科患者管理学特論Ⅰ 創部ドレーン、腹腔ドレーン、膀胱瘻管理 (藤田医科大学大学院 急性期・周術期分野)
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Oct, 2020 - Present看護のための病態生理 (藤田医科大学 看護学科)
Professional Memberships
5-
May, 2020 - Present
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Apr, 2019 - Present
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Jun, 2015
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Mar, 2014
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Apr, 2005