Fukahori, Hiroki



Faculty of Nursing and Medical Care (Shonan Fujisawa)



Profile 【 Display / hide

  • 1999 年東大医学部健康科学・看護学科卒後, 2007 年同大大学院医学系研究科健康科学・看護学専攻修了。虎の門病院看護師,三重県立看護大学助教,東京医科歯科大学講師・准教授を経て,18 年より現職。博士(保健学)。専門は,老年看護学,家族看護学,看護管理学。高齢者施設等における看護・ケアの質の向上に関する研究に取り組んでいる。

Licenses and Qualifications 【 Display / hide

  • 看護師(取得時は看護士), 1999

  • 保健師(取得時は保健士), 1999.04


Papers 【 Display / hide

  • Latent Dirichlet allocation topic modeling of free-text responses exploring the negative impact of the early COVID-19 pandemic on research in nursing

    Inoue M., Fukahori H., Matsubara M., Yoshinaga N., Tohira H.

    Japan Journal of Nursing Science (Japan Journal of Nursing Science)  20 ( 2 )  2023.04

    ISSN  17427932

     View Summary

    Aim: To derive latent topics from free-text responses on the negative impact of the pandemic on research activities and determine similarities and differences in the resulting themes between academic-based and clinical-based researchers. Methods: We performed a secondary analysis of free-text responses from a cross-sectional online survey conducted by the Japan Academy of Nursing Science of its members in early 2020. The participants were categorized into two groups by workplace (academic-based and clinical-based researchers). Latent Dirichlet allocation (LDA) topic modeling was used to extract latent topics statistically and list important keywords/text associated with the topics. After organizing similar topics by principal component analysis (PCA), we finally derived topic-associated themes by reading the keywords/texts and determining the similarity and differences of the themes between the two groups. Results: A total of 201 respondents (163 academic-based and 38 clinical-based researchers) provided free-text responses. LDA identified eight and three latent topics for the academic-based and clinical-based researchers, respectively. While PCA re-grouped the eight topics derived from the former group into four themes, no merging of the topics from the latter group was performed resulting in three themes. The only theme common to the two groups was “barriers to conducting research,” with the remaining themes differing between the groups. Conclusions: Using LDA topic modeling with PCA, we identified similarities and differences in the themes described in free-text responses about the negative impact of the pandemic between academic-based and clinical-based researchers. Measures to mitigate the negative impact of pandemics on nursing research may need to be tailored separately.

  • Patterns of visiting nurse services for older adults in Japanese residential facilities: A latent class analysis

    Mashida Y., Fukahori H., Ikezaki S., Fukui S.

    Geriatrics and Gerontology International (Geriatrics and Gerontology International)   2023

    ISSN  14441586

     View Summary

    Aim: To examine the patterns of the visiting nurse services provided to older adults in a type of residential facility in Japan and to identify associated factors. Methods: This secondary analysis used past survey data from visiting nurse service agencies providing services to older adults in residential facilities with few nurses, known as non-specified facilities in Japan. Approximately 515 cases were used to determine the patterns of visiting nurse services using latent class analysis. Multinomial logistic regression analysis examined the relationships between identified classes, residents' characteristics, facilities, and services provided by visiting nurses. Results: Three service patterns were identified as follows: Class 1, observational and follow-up care (37.1%); Class 2, chronic disease care (35.7%); and Class 3, end-of-life care (27.2%). Class 1 comprised fewer nursing services than the other classes and primarily involved the observation of medical conditions, whereas Classes 2 and 3 involved higher care-need levels and provided diverse nursing care support. Specifically, Class 3 was associated with the inclusion of family (odds ratio: 2.42) and a visiting nurse at the attached facility (odds ratio: 4.88). Conclusions: The three identified classes describe the older residents' healthcare needs. Additionally, the factors associated with the end-of-life care class suggest that older residents with these factors may have difficulty accessing end-of-life care by visiting nurses. Geriatr Gerontol Int 2023; ••: ••–••.

  • Age Group Differences in Daily Life Changes among Community Residents during the COVID-19 Pandemic: A Pilot Study on Intergenerational Comparison

    Yamamoto-Takiguchi N., Uchiyama E., Fukahori H., Taguchi A., Nagata S.

    Keio Journal of Medicine (Keio Journal of Medicine)  72 ( 1 ) 11 - 20 2023

    ISSN  00229717

     View Summary

    This study investigated lifestyle changes and the self-reported mental health status of Japanese community residents during the COVID-19 pandemic. Differences in demography, daily lifestyle changes, and approaches to problem solving were analyzed in two age cohorts (<60 vs ≥60 years). The prevalence of moderate/increased psychological distress was 31.7%, with no significant difference between the cohorts. Compared with the pre-COVID-19 era, more than 80% of the participants stopped eating out and spent more time at home, and more than 70% used public transport less frequently. There were significant differences between the cohorts for the time spent at home, opportunities to eat meals outside of home, and shopping in stores. Participants aged under 60 years were less likely to use television and newspapers or to consult a family doctor. Those aged over 60 years were less likely to consult friends/ colleagues or to use the Internet/social networking services. Identifying the risk factors for psychological distress is warranted for implementing measures to maintain and improve the physical and mental health of residents.

  • Factors affecting the critical appraisal of research articles in Evidence-Based practices by advanced practice nurses: A descriptive qualitative study

    Tomotaki A., Sakai I., Fukahori H., Tsuda Y., Okumura-Hiroshige A.

    Nursing Open (Nursing Open)   2023

     View Summary

    Aim: To describe factors affecting critical appraisal of research articles in evidence-based practice by certified nurse specialists who were advanced practice nurses in Japan. Design: A descriptive qualitative study. Methods: Fourteen certified nurse specialists with master's degree were included by a snowball sampling to maximize the variety of specialty fields for advanced practice nurses in Japan. Individual semi-structured interviews were conducted between November 2016 and March 2017. Interview guides included the experience of evidence-based practice and learning about critical appraisal. Results: The following four aspects were identified as factors affecting the critical appraisal of research articles in evidence-based practices—individual beliefs and attitude, learning status, organizational readiness and availability of research evidence. Each factor included both positive and negative aspects for critical appraisal in evidence-based practice. Patient or Public Contribution: If advanced practice nurses acquire knowledge/skills of critical appraisal, they would be able to select more appropriate care. This will increase to improve the health-related outcome for patients or populations.

  • Relationship between research activities and individual factors among Japanese nursing researchers during the COVID-19 pandemic

    Takeuchi A., Yokota S., Tomotaki A., Fukahori H., Shimpuku Y., Yoshinaga N.

    PLoS ONE (PLoS ONE)  17 ( 8 August )  2022.08

     View Summary

    Aim To explore the individual factors (such as gender, division of household labor, childcare and elder care) and their impact on research activities in the Japanese nursing research community during the early stage of the COVID-19 pandemic from April to June in 2020. Design Cross-sectional study. Methods An online survey with a self-reported questionnaire was conducted on Japan Academy of Nursing Science members to explore the impacts of individual factors among Japanese nursing researchers from April to June 2020. A multivariate logistic regression model was used for data analysis. Results A total of 1,273 participants (90.7% female, 85.8% university faculty) were included in the analysis. This survey showed that no evidence of a significant gender gap was found in research activities in Japanese nursing researchers during the COVID-19 pandemic. Research activities during the pandemic were associated with time and motivation.

display all >>

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

Presentations 【 Display / hide

display all >>

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

  • 高齢者施設・住まいにおける避けられる救急搬送・入院を削減する複雑介入の開発


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

  • 高齢者ケア施設における看取りのケアパスの開発


    MEXT,JSPS, Grant-in-Aid for Scientific Research, Grant-in-Aid for Challenging Exploratory Research, Principal investigator

  • 高齢者ケア施設の入居者家族へのケアとその効果に関する縦断的研究


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


Courses Taught 【 Display / hide











display all >>