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Kukitsu Tomoko

    Department of Nursing　Professor
    Graduate Schools of Nursing　Professor
Last Updated :2024/02/02

Researcher Information

J-Global ID

Research Interests

  • 小児看護学、グリーフケア   

Research Areas

  • Life sciences / Clinical nursing
  • Life sciences / Lifelong developmental nursing

Academic & Professional Experience

  • 2016/04 - Today  Kyoto Koka Women's UniversityThe Faculty of Health Science, The Department of Nursing教授
  • 2007/04 - 2016/03  Tenshi CollegeSchool of Nursing and Nutrition Department of Nursing教授
  • 2003/04 - 2007/03  Tenshi CollegeSchool of Nursing and Nutrition, Department of Nursing准教授
  • 1989/04 - 2000/03  Tenshi Junior College助手・講師
  • 1985/04 - 1988/03  聖路加看護大学助手

Education

  •        - 2002  Sapporo Medical University  保健医療学研究科  看護学

Association Memberships

  • 日本グリーフ＆ビリーブメント学会   日本死の臨床研究会   日本小児看護学会   日本臨床死生学会   日本学校保健学会   日本看護教育学会   日本小児保健協会   日本看護科学学会   

Published Papers

Books etc

  • 小児看護学Ⅱ 子どもへのケア技術と看護過程
    守口絵里; 茎津智子 (Editor)医歯薬出版株式会社 2023/01 9784263237700
  • 小児看護学Ⅰ子どもの健康と成長・発達
    茎津智子; 守口絵里 (Editor)医歯薬出版株式会社 2023/01 9784263237694
  • 発達段階を考えたアセスメントにもとづく小児看護過程第2版
    茎津智子編著 (Editor)医歯薬出版株式会社 2021/09 9784263237557
  • 発達段階を考えたアセスメントにもとづく小児看護過程
    茎津 智子 (Editor第１章)医歯薬出版 2012/06
  • グリーフケア
    高橋聡美編、茎津 智子 (Joint work第３章大切な人を亡くした親へのケア、第４章大切な人の死が子どもに与える影響)メジカルフレンド社 2012/05
  • 小児看護学１小児と家族への系統的アプローチ第2版
    茎津 智子 (第1章、２章、３章、５章、６章)医歯薬出版 2010/10
  • 小児看護事典
    へるす出版 2006
  • 小児慢性疾患療養育成指導マニュアル
    茎津智子 (Joint work)診断と治療社 2006
  • 小児看護学３家族への系統的アプローチの実際
    医歯薬出版株式会社 2006
  • 小児看護学2－小児の主要症状とケア技術
    医歯薬出版株式会社 2001
  • 小児看護学１系統的アプローチの実際
    医歯薬出版株式会社 1999

Conference Activities & Talks

Research Grants & Projects

  • 日本学術振興会：科学研究費助成事業
    Date (from‐to) : 2022/04 -2026/03 
    Author : 田中 さおり; 茎津 智子; 日沼 千尋; 伊織 光恵
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 2019/04 -2024/03 
    Author : 茎津 智子; 長谷川 由香; 工藤 悦子; 守口 絵里; 山本 裕子; 三宅 靖子
  • 小児看護技術取得のための乳幼児バイタルサイン測定シュミレーターの開発
    京都光華女子大学：基幹研究－産官学連携による研究活性化に関わるプロジェクト
    Date (from‐to) : 2020/06 -2022/03 
    Author : 守口絵里、茎津智子、山本裕子
  • SGA性低身長症児と家族のGH療法をシームレスに支える看護支援プログラムの開発
    Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 2018/04 -2021/03 
    Author : 田中 さおり; 茎津 智子; 伊織 光恵
     
    平成30年度は、まず国内外のGH治療を受ける子どもと家族に関する文献検討を行った。GH治療はSGA性低身長症以外に成長ホルモン分泌不全性低身長症やターナー症候群等でも行われ、身長を改善するのみならず子どものQOLの改善にも効果的である。しかし毎日の治療は子どもと家族にとって負担となり治療には痛みも伴うことから、怠薬や治療を中断するケースもみられる。国外の報告では、怠薬防止や治療継続の意欲向上には、子どもと家族が自ら注射器を選択することが効果的であると報告されている。国内の報告では、GH治療の実施者は母親が多いことや治療継続に伴い怠薬が見受けられるといったGH治療を受ける子どもと家族の治療実態に関する報告はあるが、子どもや家族がGH治療をどう受け止め治療に取り組んでいるのか、成長する過程でその受け止めや取り組みに変化はあるのかといった、子どもと家族の体験や思いに言及した報告は少なかった。 そこで当初は、GH治療適応疾患を対象に治療開始年齢、GH治療実施の主体者、自己中断の有無、怠薬の有無等について質問紙調査より治療実態を明らかにすることを計画していたが、文献検討の結果をもとに再検討し、GH治療を受けている子どもと家族の療養行動の現状を面接調査より明らかにすることに再計画し、研究計画書を立案した。 立案した研究計画書を所属機関の研究倫理委員会に提出し、研究実施の承認を得て、現在、主に小児科クリニックを中心に研究協力者の紹介を依頼している段階である。
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 2013/04 -2017/03 
    Author : KUKITSU Tomoko; TANAKA Saori; KUDO Etsuko
     
    We surveyed elementary and junior high school teachers on their perceptions and actual interactions with children who had experienced bereavement. Subject:460 elementary and junior high school teachers. Half of the individuals who had a history of interactions with children who had experienced bereavement also had the opportunity to talk with the child about the bereavement. While in many cases the impetus for the conversation was, “concern about the child’s condition,” reasons for not conversing with the child included, “not wanting to bring up painful memories for the child,” “not knowing the best way to talk to the child,” “it is not the domain of the school,” and so on. While many positive statements regarding talking to children about death were written in the free response section, we were able to identify the passive state of interaction exemplified by statements such as “it is not the concern of teachers,” etc.
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 2010 -2012 
    Author : KUKITSU Tomoko; INOUE Yukiko; IWAMOTO Kikuko; TANAKA Saori
     
    Voices collected in focus groups revealed that even though parents had initiated the conversation, many were not sure if their children fully understood what they tried to teach them on the subject of death. At the same time, many parents observed that their children’s behavior included offering food or water, talking about the interests of the deceased, and decorating flowers at the altar placed at home, which indicate their connection with the deceased. Likewise, this shows that despite the concerns of parents regarding their children’s ability to understand the concept of death, children will learn in their own way, particularly through observation of death and mourning rituals.When exploring how nurses responded to bereaved children, it was revealed that nurses believed in the importance of “death-related” conversation with the bereaved children. However, 75% of them felt that such conversation was difficult to initiate. They tended to avoid interaction with the bereaved children, mainly because of their lack of confidence and deficient knowledge of cognitive development regarding children’s understanding of death
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 2007 -2009 
    Author : KUKITSU Tomoko
     
    This study aims to explore how children respond to their experiences of death and other related forms of loss, as well as examining what kinds of communication exist between children and their parents regarding death and loss experiences. Subjects were 868 parents with children from 1^ grade through 6^ grade volunteered to participate in the study. Common loss experiences amongst the children were the attending of funerals and visiting sick family members (85%), loss of a pet (50%) and follows death of parents/grandparents (42%). Of those parents, 70% said they had a conversation about death and dying with their children on a daily basis, and many said that social problems and news reports concerning murder and suicide cause them to bring up that conversation. Many parents believe that it is important to have "death-related" conversations from early on in their children's lives, but more than 30% of parents reported that they never had an opportunity to have such discussions with their children. While the desire of parents to provide death education for their children is quite strong, according to the results only 30% of parents have such opportunities to communicate with their children about death and loss experiences.
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 2004 -2006 
    Author : OKADA Yoko; SUGANO Yoshiki; KUKITU Tomoko; INOUE Yukiko; INOUE Hitomi
     
    We got the following suggestion from enforcement and evaluation of Death-Education (evaluation research). 1) Adult and Society which sees death as a taboo and avoids conversation with a child. 2) The child has not taken in as experience even the matter which is probably being experienced through a life. 3) Imbalance of knowledge and experience study. The unit which the sixth grader of an S city A elementary school applies half a year (a total of 38 hours), and we carried out Death-Education. Teaching materials : We used the documentary video of this sixth grader who insisted as raw today, fighting *** the cardiac disease of an incurable disease. When the report presentation before and behind Death-Education, and free discussion for every class after Death-Education. Analysis is doing by the report and the contents of discussion. Result and Consideration : Push in precedence study : (1) Importance of life (even if it is in bullying, it will want without taking a life itself). (2) Happiness(of living healthily). (3) A future way of life (even if he wants to live, but not to live). From the report after video viewing and listening: (1) It is impressed by a way of life. (2) A way of life to follow example. (3) Unreasonable (of death ). (4) A life, the reconfirmation to living. (5) Death without regret. (7) Those who support and suit, and a man. (8) Present、 which lets a way of life pass was extracted. Free discussion : An active exchange. (2)Desire to express in one's words. We having obtained many learning about the dignity and essence of human beings, such as raw and death. Most Important point is 「The lesson was not considered until now, and pleased this lesson having been studied」. One of the correspondences which aim at the balance of knowledge and experience is Death-Education. The child needs the construction.
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 2001 -2003 
    Author : OKADA Yoko; INOUE Hitomi; KUKITU Tomoko; SUGANO Yoshiki
     
    We have examined the development of the Death-concept and associated factor for school age children. From these result, it was shown that the developmental process of children Death-concept has a tendency to gain socio-experience. This result was very importance If children has understanding the death and life concept without non-experience(okada:1999). So we were going to produce and plan a death-education program for school-age children. We planed three death-education program for school age children. It made in order to consider about cognitive development and reality event like bad illness or accident. It bring us a Death Before then, we identify a guide principle and method to practice and evaluation for Death-education. After the practice of death-education program at elementary and junior school, we evaluated about death-education program from a report, written by school age children. As a result, school age children(each grade)-ff ere learned about life and live from children, who is a terminal patient (death-education program). So We were going to produce and plan about death-education, and continue this evaluation research.
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 1998 -2001 
    Author : WATANABE Yukari; MASAOKA Keiko; INOUE Yukiko
     
    Objective The purpose of this study is to identify couple's experience what is their feeling, thinking and acting through event of pregnancy and delivery. Method The subjects of this study were 4 couples expecting a first child. The data were collected using semi-structured interviews and recorded with participant's consent on three separate occasions: first trimester(about 12 weeks), third trimester(about 35 weeks) and postpartum period(within 1 week after delivery). After each interview was transcribed, the data were compiled and then analyzed qualitatively using a grounded theory approach. Results As a result, eight categories and twenty one sub-categories from the data of first trimester, eight categories and twenty five sub-categories from the data of third trimester and seven categories and seventeen sub-categories from postpartum period were extracted. Wife was expressing pleasure with physical and psychological distress in all period of pregnancy and postpartum period. Husband paid attention to wife's condition and supported her in daily life. Wife felt pleasure and satisfaction by these support. And wife experienced new relationship with husband talking about their babies and shopping baby's things. They did not feel a feeling of reality of fetal in first trimester. However as fetal is showing their appearance look like human being by ultrasonography, couples were becoming to talk to their fetal frequently. Through an interaction with baby and preparation of baby's articles, couple's feeling was changing from a strange object in uterus to their own sweet child. Conclusions These results suggest the importance of approaches that focus on couple's relationship and communications to be parents through pregnancy and delivery.
  • Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Date (from‐to) : 1998 -2000 
    Author : OKADA Yoko; SUGANO Yoshiki; MATUURA Kazuyo; SATO Masako; INOUE Hitomi; KUKITU Tomoko; MITAMURA Tamotu
     
    This research which aimed to investigate life-experience about death and death-ceremony and animism. And identity the development of the concept of death and associated factor, focused on the process of archiving an adult understanding of death concept by school age children. Its was shown that life-experience about death and death-ceremony did not decreased, and animism was continued still junior high school. The concept of death developed in relation to age mosthighly. Furthermore, with regard to the effect of various socio-experiential variables, such as experiences of death of pet, a family member, a funeral ceremony. From these result, it was shown that the developmental process of children death concept has a tendency to gain socio-experience. It was very importance. If children has understanding the death concept and life without non-experience. A powerful experience for children about death in socio-experience, it is important task we expect. In this research, we were going to produce and plan a death-education program for school age children. We are going to continue this research to evaluation research.

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