研究者詳細 - 原田　奈穂子

論文 - 原田　奈穂子

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Early Outcomes of Changes to Collection of Suicide Data in Japan 査読

Nahoko Harada, Masahide Koda, Shuhei Nomura

JAMA Network Open 6 ( 12 ) e2347543 - e2347543 2023年12月

担当区分：筆頭著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：American Medical Association (AMA)

This cross-sectional study examines implications of updated categorizations for suicide data collection in Japan.

DOI： 10.1001/jamanetworkopen.2023.47543

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災害時における多職種連携のポイント～産業保健の視座に基づくメンタルヘルス支援の事例から～招待

産業医学ジャーナル 48 ( 4 ) 383 - 387 2025年7月

Determinants of Infection Prevention and Control Practices in Japanese Nursing Homes: A Scoping Review 査読

Kanako Fujimoto, Momoe Utsumi, Ayako Suzuki, Nahoko Harada

Nursing and Health Sciences 27 ( 2 ) 2025年5月

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Wiley

ABSTRACT

Understanding the determinants influencing healthcare workers' (HCWs) behaviors is essential for promoting infection prevention and control (IPC) in Japanese nursing homes (NHs). This scoping review aimed to map IPC determinants in Japanese NHs using two behavior change frameworks and to identify research gaps. We conducted a scoping review using three databases, following the Joanna Briggs Institute methodology. Reviewers independently screened reports, assessed eligibility, and extracted IPC behavior determinants. Extracted data were mapped and thematically analyzed using the Theoretical Domains Framework (TDF) and the Capability, Opportunity, and Motivation‐Behavior model. Of 1778 records identified, 22 reports published between 2006 and 2021 met the inclusion criteria. We codified 70 determinants and generated 15 themes. Most reports addressed barriers related to limited IPC knowledge, skills, resources, and systems. Facilitators were mainly codified within motivation‐related TDF domains, where an underexplored research gap was identified. Further research focusing on IPC motivation and a deeper understanding of NH contexts is important for developing context‐appropriate IPC promotion strategies. A participatory approach involving NH residents and HCWs may be helpful in future research.

DOI： 10.1111/nhs.70125

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The Multiple Determinants of Infection Prevention and Control Practices in Nursing Homes: A Scoping Review. 査読国際誌

Kanako Fujimoto, Momoe Utsumi, Toshiyuki Swa, Aoi Furuya, Ayumi Ikuji, Ayami Nakanishi, Nahoko Harada

Journal of the American Medical Directors Association 105593 - 105593 2025年4月

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）

OBJECTIVES: To map the barriers and facilitators influencing infection prevention and control (IPC) practices in nursing homes (NHs) from a behavior change perspective and to identify research gaps. DESIGN: Scoping review using the Joanna Briggs Institute methodology. SETTING AND PARTICIPANTS: NHs for older adults and health care workers in NHs. METHODS: We conducted database searches in March 2022 and updated them in November 2024, including additional sources from citation tracking and reference list checks. We analyzed barriers and facilitators using the Theoretical Domains Framework (TDF) and the Capability, Opportunity, and Motivation-Behavior (COM-B) model. RESULTS: Of 1591 identified records, 54 reports published between 2003 and 2024 met our inclusion criteria. The analysis identified 101 determinants (25 in Capability, 46 in Opportunity, and 30 in Motivation within the COM-B model) categorized into 36 categories and 16 themes as barriers and facilitators. The most frequently mentioned barriers were related to the "Environmental context and resources" domain of the TDF. Relatively few reports addressed the determinants of the TDF domain classified within the Motivation area of the COM-B model. Although many facilitators were identified in this area, including beliefs, intentions, and goals, they were coded based on limited descriptions. CONCLUSIONS AND IMPLICATIONS: This review provides a detailed mapping of the barriers and facilitators to IPC in NHs based on existing literature. It demonstrates the complexity of sustaining IPC practices, influenced by multiple determinants. Although Motivation may impact IPC adherence, its determinants remain insufficiently studied, indicating a research gap. Further research is needed to explore these determinants and understand how Motivation interacts with other factors in IPC implementation.

DOI： 10.1016/j.jamda.2025.105593

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What is Disaster Readiness Among Health Care Professionals? A Systematic Integrative Review Study 査読

Karin Hugelius, Nahoko Harada

Disaster Medicine and Public Health Preparedness 19 2025年3月

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Cambridge University Press (CUP)

Abstract

Objective

This study aimed to explore the meaning of disaster readiness among health care professionals.

Methods

A systematic, integrative literature review was conducted on PubMed, Chinal plus with full text, Web of Science, PsychInfo, and Scopus. Quality appraisal was conducted using the CASP checklists.

Results

A total of 22 scientific articles were included. Disaster readiness, from the perspectives of health care professionals, was defined as having sufficient skills and confidence to respond, having access to the necessary equipment, being able to adapt to the changing environment and organizational structure, and being willing to serve in a disaster.

Conclusions

Disaster readiness is more than being prepared. Disaster readiness means moving beyond technical skills and knowledges to include personal mental preparedness and a willingness to confront the risks and take necessary precautions to stay safe and resilient in the efforts to help others. To enhance disaster readiness, preparations should include introducing elements that touch the soul, providing moral and personal motivation to serve in a disaster, and initiating thoughts on what such deployments or situations could be like for those affected as well as for health care professionals. How to enhance such trainings and develop effective training methods must be a focus for future studies.

添付ファイル： what-is-disaster-readiness-among-health-care-professionals-a-systematic-integrative-review-study.pdf

DOI： 10.1017/dmp.2025.58

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Medical perspective on the systemic challenges involving indirect disaster-related deaths in Japan. 査読国際誌

Motohiro Tsuboi, Hiroyuki Sasaki, Hyejeong Park, Masaharu Tsubokura, Toyoaki Sawano, Nahoko Harada, Fumiyasu Zaima, Akihiro Uto, Tadashi Okamoto, Toshihiko Watanabe, Manabu Hibiya, Shinsaku Ueda, Noboru Sakamoto, Koichi Yasaka, Shigemasa Taguchi, Kazuya Kiyota, Shinichi Egawa

Scientific reports 15 ( 1 ) 5225 - 5225 2025年2月

記述言語：英語掲載種別：研究論文（学術雑誌）

Disaster-related deaths can be classified as direct and indirect disaster-related deaths that are becoming more predominant in Japan. To reduce indirect disaster-related deaths, accurate statistics based on medical documentation are essential. However, the definition and reporting of such deaths in Japan present systemic challenges. These deaths are certified and recorded by municipalities at the request of bereaved families seeking condolence grants. This cross-sectional study assessed 755 certified indirect disaster-related deaths after the 2011 Great East Japan Earthquake in the Miyagi Prefecture, Japan, to determine whether medical documents mentioned disaster relevance. Of the 755 cases, 74 (9.8%) death certificates and 145 (19.2%) medical documents described the relevance of disasters. Relevance mentioned only in the self-reported documentation from bereaved families was 536 (71.0%). The median [interquartile range] time from the disaster onset to disaster-related deaths was 21 [7-52] days. The mean age was 79.7-years-old, and 346 (46.7%) of the victims were female. The predominant etiologies of these deaths included circulatory (32.7%) and respiratory (27.7%) diseases. The time periods of the deaths varied among the municipalities, suggesting a lack of consensus among the review committees. Establishing a medical and social consensus for indirect disaster-related deaths and recording them on death certificates is crucial for accurate disaster death data and social resilience.

DOI： 10.1038/s41598-025-89349-7

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Changes in Healthcare Utilization in Japan in the Aftermath of the COVID-19 Pandemic: A Time Series Analysis of Japanese National Data Through November 2023 査読

Yuta Tanoue, Alton Cao, Masahide Koda, Nahoko Harada, Cyrus Ghaznavi, Shuhei Nomura

Healthcare 2024年11月

Association between Disaster Knowledge Level and the First Step of Stockpiling Food for a Disaster 査読

Moeka HARADA, Nobuyo TSUBOYAMA-KASAOKA, Jun OKA, Rie KOBAYASHI

Journal of Nutritional Science and Vitaminology 70 ( 5 ) 422 - 429 2024年8月

Comparing health care outcomes before and after employing nurse practitioners in cardiovascular hospitals in Japan: A retrospective chart review 査読

Miho Suzuki, Natsuko Sekiguchi, Masato Saitoh, Masahide Koda, Nahoko Harada, Kazuya Honda, Tomoko Araki, Takemi Kudo, Takako Watanabe

Journal of the American Association of Nurse Practitioners 2024年7月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Ovid Technologies (Wolters Kluwer Health)

ABSTRACT

Background:

There are approximately 872 certified nurse practitioners (NPs) in Japan as of April 2024. However, research on the results of their specific activities is still scarce.

Purpose:

This study aimed to compare health care outcomes before (i.e., 2019) and after (i.e., 2021) employing NPs in cardiovascular hospitals in Japan.

Methodology:

We conducted a retrospective chart review and analyzed 114 patients who underwent cardiac surgery in Hospital A and 381 patients who received pacemaker implantation/replacement in Hospital B. Hospital A hired one NP for cardiac surgery service, and Hospital B hired one NP for pacemaker device service. The NPs assisted in the surgical procedures and provided postsurgical management.

Results:

In Hospital A, the median length of hospitalization and intubation were shorter in 2021 than in 2019 (p = .02 and .01, respectively). In Hospital B, medical fee reimbursement was lower in 2021 (p < .001) than in 2019, and the median procedure duration was shorter (p = .01), which remained statistically significant after controlling for age, comorbidities, and device types. Some outcomes improved following the employment of NPs, whereas others remained unchanged.

Conclusions:

Nurse practitioners managed surgical patients well and contributed to the quality care of cardiovascular medicine.

Implications:

The employment of NPs in Japan is encouraged because even a single NP can have a positive, although not large, impact on patients and organizations.

DOI： 10.1097/jxx.0000000000001046

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The importance of methodological vigilance: Reevaluating suicide trends in Japan post‐2022 査読

Masahide Koda, Nahoko Harada, Shuhei Nomura

Psychiatry and Clinical Neurosciences Reports 3 ( 2 ) 2024年6月

Scoping review of exploring the roles of primary care providers to increase disaster preparedness of vulnerable populations 査読

Perihan Şimşek, Mayumi Kako, Nahoko Harada, Jonathan Abraham, Ismail Tayfur

Progress in Disaster Science 100339 - 100339 2024年6月

アトピー性皮膚炎のある成人が経験するかゆみに関する記述研究査読

平見有希, 藤本要子, 香田将英, 原田奈穂子

統合科学 ( 4 ) 9 - 18 2024年3月

Changes in Place of Death Among Patients With Dementia During the COVID-19 Pandemic in Japan: A Time-series Analysis 査読

Nahoko Harada, Masahide Koda, Akifumi Eguchi, Masahiro Hashizume, Motoi Suzuki, Shuhei Nomura

Journal of Epidemiology 2024年2月

Excess suicides in Japan: a three-year post-pandemic assessment of gender and age disparities 査読

Haruka Sakamoto, Masahide Koda, Akifumi Eguchi, Kaori Endo, Takahiro Arai, Nahoko Harada, Takashi Nishio, Shuhei Nomura

Psychiatry Research 115806 - 115806 2024年2月

Nurse Practitioner Placement in A Nursing Home in Japan 査読

Masahide Koda, Nahoka Harada, Naoko Sato, Tomoko Araki, Kazuya Honda, Takemi Kudo, Takao Watanabe, Miho Suzuki

The Journal for Nurse Practitioners 20 ( 1 ) 104845 - 104845 2024年1月

「災害時の支援者支援」の視点から見るコロナ禍からの組織の復興—看護管理者が支える組織の安定感招待

原田奈穂子

看護管理 33 ( 4 ) 278 - 282 2023年4月

心理社会的支援を通してみる災禍の自殺対策招待

原田奈穂子

自殺予防と危機介入 43 ( 2 ) 12 - 17 2023年

診療看護師(NP)の所属による業務内容、職務満足、給与の相違

鈴木美穂, 原田奈穂子, 香田将英, 本田和也, 荒木とも子, 工藤剛実, 齋藤真人, 渡邊隆夫

日本NP学会誌 6 ( Suppl. ) 136 - 136 2022年11月

Establishing best practice for the implementation of evacuation centres for vulnerable populations: A comparative analysis of the Australian and Japanese experience 査読

Mayumi Kako, Paul Arbon, Benjamin Ryan, Nahoko Harada

International Journal of Disaster Risk Reduction 79 103165 - 103165 2022年9月

Spatial statistical analysis of regional disparities in suicide among policy units in Japan: Using the Bayesian hierarchical model 査読

Masahide Koda, Julia Robinson, Katsunori Kondo, Satoru Takahashi, Toshiyuki Ojima, Tomohiro Shinozaki, Manabu Ichikawa, Nahoko Harada, Yasushi Ishida

PLOS Global Public Health 2 ( 8 ) e0000271 - e0000271 2022年8月

掲載種別：研究論文（学術雑誌）出版者・発行元：Public Library of Science (PLoS)

Suicide prevention is a crucial policy issue in Japan to be addressed nationally. Nevertheless, if there are regional differences in suicide, even in adjacent sub-regions, measures may need to be taken at the sub-regional level. Previous studies have not compared regional differences in suicide based on the size of policy units, such as prefectures, secondary medical areas, and municipalities. This study used the number of suicides from open data for 10 years from 2009 to 2018 to obtain shrinkage estimates of the standardized mortality ratio (SMR) using the Bayesian hierarchical model. We visualized and compared the regional disparities in suicide for each policy unit. For each gender and policy unit, adjacent regions had similar clusters of SMRs and positive spatial autocorrelation of global Moran’s I (p < 0.001 for each). Comparisons between each policy unit showed that even if the SMR was low for the prefectural units, there were regions with high SMRs in municipalities and secondary medical areas, and vice versa. It was found that assessing suicide solely on a prefecture-by-prefecture basis may overlook regional disparities in suicide. This research emphasizes the need to establish suicide indicators at the secondary medical or municipal level and execute individual suicide prevention interventions in neighboring communities. Prefectures can also play a role in developing collaborative cooperation between neighboring regions by acting as actors.

DOI： 10.1371/journal.pgph.0000271

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Facilitators and barriers in implementing the nurse practitioner role in Japan: A cross‐sectional descriptive study 査読

Miho Suzuki, Nahoko Harada, Kazuya Honda, Masahide Koda, Tomoko Araki, Takemi Kudo, Takao Watanabe

International Nursing Review 2022年7月

災害時リハビリテーション支援の能力強化への取り組み —教材開発と評価研究— 査読

佐藤亮, 冨岡正雄, 原田奈穂子

日本災害医学会誌 27 ( 2 ) 129 - 135 2022年3月

Reasons for Suicide During the COVID-19 Pandemic in Japan. 査読国際誌

Masahide Koda, Nahoko Harada, Akifumi Eguchi, Shuhei Nomura, Yasushi Ishida

JAMA network open 5 ( 1 ) e2145870 2022年1月

担当区分：筆頭著者記述言語：英語掲載種別：研究論文（学術雑誌）

Importance: Although the suicide rate in Japan increased during the COVID-19 pandemic, the reasons for suicide have yet to be comprehensively investigated. Objective: To assess which reasons for suicide had rates that exceeded the expected number of suicide deaths for that reason during the COVID-19 pandemic. Design, Setting, and Participants: This national, population-based cross-sectional study of data on suicides gathered by the Ministry of Health, Labor, and Welfare from January 2020 to May 2021 used a times-series analysis on the numbers of reason-identified suicides. Data of decedents were recorded by the National Police Agency and compiled by the Ministry of Health, Labor, and Welfare. Exposure: For category analysis, we compared data from January 2020 to May 2021 with data from December 2014 to June 2020. For subcategory analysis, data from January 2020 to May 2021 were compared with data from January 2019 to June 2020. Main Outcomes and Measures: The main outcome was the monthly excess suicide rate, ie, the difference between the observed number of monthly suicide deaths and the upper bound of the 1-sided 95% CI for the expected number of suicide deaths in that month. Reasons for suicide were categorized into family, health, economy, work, relationships, school, and others, which were further divided into 52 subcategories. A quasi-Poisson regression model was used to estimate the expected number of monthly suicides. Individual regression models were used for each of the 7 categories, 52 subcategories, men, women, and both genders. Results: From the 29 938 suicides (9984 [33.3%] women; 1093 [3.7%] aged <20 years; 3147 [10.5%] aged >80 years), there were 21 027 reason-identified suicides (7415 [35.3%] women). For both genders, all categories indicated monthly excess suicide rates, except for school in men. October 2020 had the highest excess suicide rates for all cases (observed, 1577; upper bound of 95% CI for expected number of suicides, 1254; 25.8% greater). In men, the highest monthly excess suicide rate was 24.3% for the other category in August 2020 (observed, 87; upper bound of 95% CI for expected number, 70); in women, it was 85.7% for school in August 2020 (observed, 26; upper bound of 95% CI for expected number, 14). Conclusions and Relevance: In this study, observed suicides corresponding to all 7 categories of reasons exceeded the monthly estimates (based on data from before or during the COVID-19 pandemic), except for school-related reasons in men. This study can be used as a basis for developing intervention programs for suicide prevention.

DOI： 10.1001/jamanetworkopen.2021.45870

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ボランティアベースの災害支援者に向けた組織に求められる支援者支援と女性支援者への配慮査読

福島奏子, 新福洋子, 原田奈穂子

日本災害医学会誌 27 ( 1 ) 26 - 34 2022年1月

Consequences of visiting restrictions during the COVID‐19 pandemic: An integrative review 査読

Karin Hugelius, Nahoko Harada, Miki Marutani

International Journal of Nursing Studies 121 104000 - 104000 2021年9月

Suicide by gender and 10-year age groups during the COVID-19 pandemic vs previous five years in Japan: an analysis of national vital statistics 査読

Akifumi Eguchi, Shuhei Nomura, Stuart Gilmour, Nahoko Harada, Haruka Sakamoto, Peter Ueda, Daisuke Yoneoka, Yuta Tanoue, Takayuki Kawashima, Takehiko I. Hayashi, Yuzo Arima, Motoi Suzuki, Masahiro Hashizume

Psychiatry Research 114173 - 114173 2021年8月

Culturally sensitive disaster nursing by Public health nurses in Japan 査読

Miki Marutani, Nahoko Harada, Kanae Takase, Hiroko Okuda, Yukiko Anzai

Public Health Nursing 38 ( 6 ) 984 - 996 2021年7月

Trends in suicide in Japan by gender during the COVID-19 pandemic, through December 2020 査読

Shuhei Nomura, Takayuki Kawashima, Nahoko Harada, Daisuke Yoneoka, Yuta Tanoue, Akifumi Eguchi, Stuart Gilmour, Yumi Kawamura, Masahiro Hashizume

Psychiatry Research 300 113913 - 113913 2021年4月

GIS Mapping Analysis of Damages and Countermeasures Against the Nankai Trough Earthquake among Primary Care Facilities in Miyazaki 査読

Nahoko Harada, Masahide Koda, Toshiaki Saito, Hisashi Yoshimoto, Atsushi Obata

An Official Journal of the Japan Primary Care Association 44 ( 1 ) 2 - 10 2021年3月

Trends in suicide in Japan by gender during the COVID-19 pandemic, up to September 2020. 査読国際誌

Shuhei Nomura, Takayuki Kawashima, Daisuke Yoneoka, Yuta Tanoue, Akifumi Eguchi, Stuart Gilmour, Yumi Kawamura, Nahoko Harada, Masahiro Hashizume

Psychiatry research 295 113622 - 113622 2021年1月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Elsevier {BV}

Suicide is an extreme consequence of the psychological burden associated with the coronavirus disease 2019 (COVID-19) counter-measures. A quasi-Poisson regression was applied to monthly suicide mortality data obtained from the National Police Agency to estimate the gender-specific excess/exiguous suicide deaths during the COVID-19 pandemic in Japan up to September 2020. We found excess suicide deaths among women in July, August and September, but not among men. Our results indicate the importance of COVID-19 related suicide prevention, especially for women. Timely access to mental health care and financial and social support is urgently needed, as is optimal treatment for mental illness.

DOI： 10.1016/j.psychres.2020.113622

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Cultural safety in disaster nursing 査読

NAHOKO HARADA, LEV ZHURAVSKY, MIKI MARUTANI AND BECKY, HICKMOTT

27 ( 2 ) 2021年

Mental health of family, friends, and co-workers of COVID-19 patients in Japan. 査読国際誌

Yuta Tanoue, Shuhei Nomura, Daisuke Yoneoka, Takayuki Kawashima, Akifumi Eguchi, Shoi Shi, Nahoko Harada, Hiroaki Miyata

Psychiatry research 291 113067 - 113067 2020年9月

記述言語：英語掲載種別：研究論文（学術雑誌）

As the coronavirus disease 2019 (COVID-19) pandemic rages on, the mental health of both the infected and non-infected is a rising concern. We used administrative survey data (16402 responses in the last two weeks) using a chatbot on LINE, the most popular social networking service (SNS) in Japan, to show that people with COVID-19 patients in a close setting had higher psychological distress level than those without. We believe that the results indicate an urgent need to prioritize the establishment and implementation of mental health and psychosocial support tailored to family, close relatives, and friends of COVID-19 patients.

DOI： 10.1016/j.psychres.2020.113067

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東日本大震災被災地における避難施設内真菌叢に関する研究査読

渡辺麻衣子, 横瀬英里子, 小沼ルミ, 入倉大祐, 小林直樹, 角泰人, 原田奈穂子, 大橋博樹, 小西良子, 工藤由起子, 高鳥浩介, 矢内勝, 鎌田洋一, 林健太郎

日本防菌防黴学会誌 48 ( 1 ) 3 - 9 2020年1月

Japanese public health nurses’ culturally sensitive disaster nursing for small island communities 査読

Miki Marutani, Shimpei Kodama, Nahoko Harada

Island Studies Journal 15 ( 1 ) 371 - 386 2020年

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Institute of Island Studies

Objective: To clarify the tacit knowledge of Japanese public-health nurses who administer culturally sensitive disaster nursing for small island communities. Design: Qualitative and inductive study. Sample: Eleven public-health nurses who provided disaster aid on one of six affected islands. Measurements: Semi-structured interviews, with qualitative analysis of data. Nursing actions that were based on consideration for islanders’ culture were categorized in terms of similarity. Results: Categories of culturally sensitive disaster nursing were identified for each disaster phase of the recovery process. These included confirming islanders’ safety and using existing interpersonal bonds to notify others (acute phase); assisting shelter management by facilitating the application of local rules and bonds (semi-acute phase); compensating for weakened neighbour-based relationships through public services (mid-term phase); and supporting the completion of necessary procedures by utilizing/adjusting islanders’ existing relationships with local government personnel (long-term phase). Cultural elements included interpersonal bonds and relationship, which emerged across phases. Conclusion: Public-health nurses should utilize culture not only to comfort islanders, but also to strengthen their sense of coherence and resilience as islander. They should also remember the nursing principle of compensating for a lack of self-care. To provide effective aid, the changes in cultural influences with recovery phases should be considered.

DOI： 10.24043/isj

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文化的に安全な災害看護の提供:日本とニュージーランドの視点から招待査読

Zhuravsky Lev, 原田奈穂子

保健医療科学 68 ( 4 ) 334 - 342 2019年10月

【健康先進国に求められる文化に即した保健医療-災害保健活動に焦点を当てて-】文化に即した災害時公衆衛生看護活動の概念整理査読

丸谷美紀, 原田奈穂子, 高瀬佳苗, 安齋由貴子, 奥田博子, 春山早苗

保健医療科学 68 ( 4 ) 343 - 351 2019年10月

The Psychological Impact of the Great East Japan Earthquake on Japan Ground Self-Defense Force Personnel: A Three-Wave, One-Year Longitudinal Study 査読国際誌

Masanori Nagamine, Taisuke Yamamoto, Jun Shigemura, Masaaki Tanichi, Aihide Yoshino, Go Suzuki, Yoshitomo Takahashi, Masaki Miyazaki, Yasuhide Uwabe, Nahoko Harada, Kunio Shimizu

Psychiatry Interpersonal and Biological Processes 81 ( 3 ) 288 - 296 2018年

The longitudinal mental health impact of Fukushima nuclear disaster exposures and public criticism among power plant workers: the Fukushima NEWS Project study 査読

Y. Tanisho, J. Shigemura, K. Kubota, T. Tanigawa, E. J. Bromet, S. Takahashi, Y. Matsuoka, D. Nishi, M. Nagamine, N. Harada, M. Tanichi, Y. Takahashi, K. Shimizu, S. Nomura, A. Yoshino

PSYCHOLOGICAL MEDICINE 46 ( 15 ) 3117 - 3125 2016年11月

The effects of living environment on disaster workers: a one-year longitudinal study. 査読国際誌

Masanori Nagamine, Nahoko Harada, Jun Shigemura, Kosuke Dobashi, Makiko Yoshiga, Naoki Esaki, Miyuki Tanaka, Masaaki Tanichi, Aihide Yoshino, Kunio Shimizu

BMC psychiatry 16 ( 1 ) 358 - 358 2016年10月

Mental health support for healthcare workers after the Great East Japan Earthquake: Five years on. 査読国際誌

Jun Shigemura, Nahoko Harada, Aihide Yoshino

Nursing & health sciences 18 ( 1 ) 1 - 3 2016年3月

Peacekeepers deserve more mental health research and care. 査読国際誌

Shigemura J, Nagamine M, Harada N, Tanichi M, Shimizu K, Yoshino A

BJPsych open 2 ( 2 ) e3 - e4 2016年3月

Noradrenalin effectively rescues mice from blast lung injury caused by laser-induced shock waves. 査読

Miyawaki H, Saitoh D, Hagisawa K, Noguchi M, Sato S, Kinoshita M, Miyazaki H, Satoh Y, Harada N, Sakamoto T

Intensive Care Medicine Experimental 3 ( 1 ) 2015年12月

Jun Shigemura, Nahoko Harada, Masaaki Tanichi, Masanori Nagamine, Kunio Shimizu, Yoshiaki Katsuda, Shinichi Tokuno, Gentaro Tsumatori, Aihide Yoshino

Disaster medicine and public health preparedness 9 ( 4 ) 459 - 63 2015年8月

東日本大震災亜急性期における海外の支援団体受け入れの経験

林健太郎, 角泰人, 原田奈穂子, 富塚太郎, 大橋博樹, 前沢政次

日本プライマリ・ケア連合学会誌 38 ( 特別号 ) 154 - 162 2015年3月

サイプロジェクトの経験より災害医療のために家庭医・総合医は何を備えておくべきか?

若林英樹, 山上実紀, 原田奈穂子

日本プライマリ・ケア連合学会誌 38 ( 特別号 ) 132 - 135 2015年3月

山元町仮設住宅・被災者住宅におけるIT機器を用いた保健活動

林健太郎, 加門葉月, 原田奈穂子, 森山美智子

日本プライマリ・ケア連合学会誌 38 ( 特別号 ) 180 - 183 2015年3月

WHO版サイコロジカルファーストエイド研修の取り組みと評価

原田奈穂子

日本プライマリ・ケア連合学会誌 38 ( 特別号 ) 170 - 175 2015年3月

日本プライマリ・ケア連合学会東日本大震災支援プロジェクト(PCAT)の、被災地派遣医療支援スタッフのための派遣前研修の構築とその展開

角泰人, 林健太郎, 原田奈穂子, 大橋博樹, 山下大輔, 若林英樹, 孫大輔, 石橋幸滋, 前沢政次

日本プライマリ・ケア連合学会誌 38 ( 特別号 ) 166 - 169 2015年3月

Mental health and psychological impacts from the 2011 Great East Japan Earthquake Disaster: a systematic literature review. 査読国際誌

Nahoko Harada, Jun Shigemura, Masaaki Tanichi, Kyoko Kawaida, Satomi Takahashi, Fumiko Yasukata

Disaster and military medicine 1 17 - 17 2015年

担当区分：筆頭著者,　責任著者記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND: On March 11, 2011, Japan experienced an unprecedented combination of earthquake/tsunami/nuclear accidents (the Great East Japan Earthquake; GEJE). We sought to identify mental health and psychosocial consequences of this compound disaster. METHOD: A systematic literature review was conducted of quantitative research articles addressing mental health of survivors and the psychological impact of the GEJE. For articles between March 2011 and December 2014, PubMed, PsychINFO, and EMBASE databases were searched with guidance on literature review method. RESULTS: Forty-nine studies met the inclusion criteria. A substantial proportion of the affected individuals experienced considerable psychological distress. Mental health outcomes included, but were not limited to, posttraumatic stress disorder, depression, and anxiety symptoms. Physical health changes, such as sleeping and eating disturbances, also occurred. In Fukushima, radioactive release induced massive fear and uncertainty in a large number of people, causing massive distress among the affected residents, especially among mothers of young children and nuclear plant workers. Stigma was additional challenge to the Fukushima residents. The review identified several groups with vulnerabilities, such as disaster workers, children, internally displaced people, patients with psychiatric disorders, and the bereaved. CONCLUSIONS: Following the GEJE, a considerable proportion of the population was mentally affected to a significant degree. The affected individuals showed a wide array of mental and physical consequences. In Fukushima, the impact of nuclear disaster was immense and complex, leading to fear of radiation, safety issues, and stigma issues.

DOI： 10.1186/s40696-015-0008-x

PubMed

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東日本大震災急性期の周産期アウトカムと母子支援プロジェクト

吉田穂波, 林健太郎, 林健太郎, 太田寛, 池田裕美枝, 大塚恵子, 原田菜穂子, 新井隆成, 藤岡洋介, 春名めぐみ, 中尾博之

日本プライマリ・ケア連合学会誌 38 ( Supplement ) 2015年

【東日本大震災と保健医療】東日本大震災における医療系民間ボランティア団体現地派遣員の活動内容と活動期間と帰任後の心理状態査読

原田奈穂子, 新福洋子, 重村淳, 安酸史子

日本保健医療行動科学会雑誌 29 ( 1 ) 40 - 47 2014年6月

Avian influenza A(H7N9): information-sharing through government web sites in the Western Pacific Region 査読

Nahoko Harada, World Health Organization Regional Office for the Western Pacific Event Management Team, Nyka Alexander, Babatunde Olowokure

WPSAR 4 ( 3 ) 48 - 50 2013年5月

Caring for the forensic population: recognizing the educational needs of emergency department nurses and physicians 査読

Elizabeth Henderson, Nahoko Harada, Angela Amar

Journal of Forensic Nursing 8 ( 4 ) 170 - 177 2012年12月

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Ovid Technologies (Wolters Kluwer Health)

The Emergency Department (ED) is a point of contact for victims of violence after an act of criminal activity has occurred. Hence, ED clinicians are in a key position to have a significant impact on both the medical and legal outcomes of the forensic patient population. The purpose of this study was to describe and compare forensic knowledge, practice, and experiences of ED nurses and physicians. Specific aims were to (1) describe experiences of nurses and physicians related to forensic practice; (2) compare clinical forensic knowledge and experience between nurses and physicians; and (3) describe forensic learning needs. This descriptive, correlational study utilized a survey questionnaire completed by 134 ED nurses and physicians. Results of the survey revealed no significant differences in the education, knowledge, and confidence with forensic patients between ED nurses and physicians. However, just over half of the sample reported feeling confident in managing forensic patients indicating a need for increased forensic education. Practice implications indicate that forensic education is needed and desired among ED nurses and physicians within the clinical setting. Further studie

DOI： 10.1111/j.1939-3938.2012.01144.x

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Closed suctioning system: Critical analysis for its use 査読

Nahoko Harada

JAPAN JOURNAL OF NURSING SCIENCE 7 ( 1 ) 19 - 28 2010年

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