Health Sciences and Nursing

Health Sociology —————————————————————————————————————————————
http://www.hlthsoc.m.u-tokyo.ac.jp/index.htm

Our department studies social and psychological factors related to health problems and health caresystems, through developing and applying theories, concepts and methods, which have been developed in sociology and social psychology. We carry out studies in interdisciplinary academic fields,
involving health, medicine and nursing as well as the field of sociology.

• Studies on Antonovsky's Salutogenesis and Sense of Coherence (SOC)• Study on medically infected HIV subjects• Studies on the current situation and theories of changing professionalpatient relationship and patient autonomy• Studies on the effects of changes in industrial society on “Ways ofWorking and Living” and fatigue / stress among wokers• Studies on social differences and inequalities in health• Development of health sociological researches and theories for people
living with illness/stress
An example of a visual presentation on research results

Mental Health / Psychiatric Nursing ———————————————————————————————
Our departments conduct research on mental health and psychosocial stress and provide education/
training of professionals in related fields from global perspectives.

• Mental Health• Mental health epidemiology• Occupational mental health/Occupational health psychology• Psychoeducation/Stress management• Evaluation of school counseling• Practice and Evaluation of Psychotherapy• Early detection and therapeutic education of PDD• Psychiatric Nursing• Supporting people living with mental health problems• Practice and evaluation of home visiting psychiatric nursing• Illness self-management in mental health• Recovery for people with mental illness• Patients' satisfaction with psychiatric services

44Biostatistics / Epidemiology and Preventive Health Sciences —————————————
http://www.epistat.m.u-tokyo.ac.jp/

Biostatistics and epidemiology provide the methodological basis for health sciences. We are conducting basic methodological research of biostatistics and theoretical epidemiology as well as consultation
works and collaborative projects with basic/clinical researchers. The NPO “Japan Clinical Research
Support Unit” established by the staff of the department is supporting investigator-initiated clinical
trials and large-scale epidemiological studies in respect of data
management, statistics and quality assurance.

• Methodological research• Design of clinical trials• Analysis of correlated data and longitudinal data such as QOL data,
multiple recurrence (events) data
• Causal inference• Collaborative projects• Japan Arteriosclerosis Longitudinal Study• Comprehensive Support Project for Oncology Research- Breast Cancer• Comprehensive Support Project for Adequate Treatment of Osteoporosis• Investigator-initiated clinical trials of cell therapies

Social Gerontology ———————————————————————————————————————————
http://www.sg.m.u-tokyo.ac.jp/informatione.htm

The three major research areas of this department include social gerontology, psychosocial oncology and biomedical ethics. The faculty and graduate students are multidisciplinary and include those
whose primary training is in nursing, medicine, psychology, anthropology and health sciences.
Using the theories and research methods of those disciplines, we aim to suggest practical ways todeal with a wide variety of public health problems.

• Exchange of social support and subjective well-being among the elderly• Psychological well-being among the elderly who have experienced
relocation• Measurement of active life expectancy• Sexuality and body image issues related to cancer treatments• Treatment decision-making process among cancer survivors• Self-help group activities for chronic, life-threatening illnesses• Psychosocial issues related to infertility treatments• Multi-disciplinary collaboration in the clinical setting

Class meeting of the department

Health Promotion Sciences ——————————————————————————————————————
http://www.ethps.m.u-tokyo.ac.jp/

The main research activities of the Department of Health Promotion Sciences are experimental and survey research concerning health behavior and life-style related diseases. Our research results contributeto the proposals of health care systems, and health policy concerning health promotion in the community and the workplace.
Our classes include lectures and practical training and students
are required to understand the methods of planning, implementation and evaluation of the health promotion programs in thecommunity and the workplace.
Specific research topics include:• Development of effective health promotion programs• Assessment of the supportive environments in the community and theworkplace• Evaluation of the supporting methods for health behaviors• Short- and long-term effects of behavior change• Influence of behavior change on medical costs, and cost effectiveness analysis• Social and physical environmental determinants of the adherence ofbehavior change

A scene as part of a community health promotion program45

Biomedical Ethics —————————————————————————————————————————————
http://www.ethps.m.u-tokyo.ac.jp/

The Department of Biomedical Ethics conducts both theoretical and empirical studies in the fieldsof biomedical ethics, research ethics and clinical ethics. Research topics include ethical theories,
informed consent, ethics committees and organ transplantation. The Center for Biomedical Ethics
and Law (CBEL) was recently set up as an adjunct to the Department of Biomedical Ethics.
(http://www.cbel.jp/)• Study of the functions and responsibilities of ethics committeesin Japan• Study of the methods for the formation of social consensus related to advanced medical technology• Comparative study of clinical ethics in the Asian region• Publication of a medical ethics case book for Japan• Acceptability of advance directives in Japan• Development of evaluation methods for biomedical ethics education• Psychosocial and ethical aspects of living related organ transplantation

Outreach Program: CBEL provides training courses for ethics committee members. Participants include physicians, nurses and medical pharmaceutical representatives.

Nursing Administration / Advanced Clinical Nursing ———————————————————
http://nurs-adm.umin.jp/

Our research programs aim to support clinical nurses in providing high quality care for theirpatients in efficient way. Under a nation-wide healthcare reform, improving the efficiency ofhealthcare delivery systems becomes essential. For nursing care, assessing the efficacy and theputting in place of quality assurance systems arerequired. Applying management theories to nursing
administration, we focus on nursing quality improvement, nurse staffing, patient classification systems, budgetary management, staff development and continuing
education.

• Evaluation and improvement of quality of nursing care
• Benchmarking of nursing quality indicators• Outcome management for nursing practice• Risk management• Human resources management• Nursing case management and critical pathways• Effect of care environment on patients• International comparison of nursing quality indicators• Nursing policy and economics

Promoting quality nursing care

Family Nursing ———————————————————————————————————————————————
http://www.hn.m.u-tokyo.ac.jp/dept/famn/indexj.htm

Hand-in-hand with the changes occurring in society, the formation and the function of the family isalso changing. Current Japanese society expects not only client-centered perspective but also family-centered perspective from nursing research. We are especially focusing on the childrearing andchildbearing family nursing research issues.

• Late effects of treatment and posttraumatic stress disorder in children with cancer• Psychological preparation for children undergoing minor surgery• Prevention of child abuse and neglect• Care of dying children and their families• Childbearing family formation process• Postnatal depression and difficulties in childrearing46

Community Health Nursing —————————————————————————————————————
http://park.itc.u-tokyo.ac.jp/chn/english/index.html

Our research focuses on the development of health care programs, and establishment and evaluation of community health care systems, in response to the health care needs of individuals, families, aggregates and the communities. Also, we are performing research on standardization of skills of publichealth nurses.

• Establishment and evaluation of community health care systems• Around-the-clock in-home care system• Expansion of the target of visiting nurse• Hospital discharge planning• Comprehensive community care, care-networking• Development of health care programs• Support for people with diseases or disabilities• Support for families with babies and children• Elderly care
• Occupational health• Definition and standardization of skills of public health nurses/
Development of community health program

Concepts of the Community Health Nursing

Adult Nursing / Palliative Care Nursing —————————————————————————————
http://www.adng.m.u-tokyo.ac.jp/indexe.htm

Mainly for subjects in their adulthood, we have been performing research in a variety of domains
including prevention of diabetes and several chronic illnesses, support for coexistence with disease, and palliative care. Focal points in our research, which we conduct under a team approach, arestrategies in education and provision of relevant information based on the findings of molecularbiology, and the team-approach nursing care system.

• Prevention and self care support for chronic illness• Development of HR-QoL scale for patients with chronic illness• Physical activity in middle- aged / elderly• Nursing care system for transplantation recipient / donor• Genetic counseling in nursing• Evaluation of palliative care services• Continuity and dissemination of palliative care
• Nursing care system for out patients

Midwifery and Women's Health ——————————————————————————————————
http://park.itc.u-tokyo.ac.jp/midwifery/index1eng.htm

Having been in place since June, 2002, our research activities focus onmaternal-child health care as well as health promotion to achieve an allround good life for the well woman.

• Life style and oxidative stress during pregnancy• Maternal body composition during pregnancy and infant birth weight• Nutrition and weight management during pregnancy and postpartum• Assessments of quality of life among pregnant and postpartum women• Promotion of women's health care after delivery• Change of posture and the local muscle system during pregnancy and postpartum• Stress urinary incontinence and inner-unit in postpartum and middle-aged women• Evaluating the predictive ability of biomarkers related to uterine contraction for theprogress of labor

Photo by Sakae Kikuchi

47Gerontological Nursing / Wound Care Management ———————————————————
http://www.rounenkango.m.u-tokyo.ac.jp/english/index-e.html

The goal of our department is to achieve “Evidence-based practice and development of gerontological nursing and wound care management”, where we are striving to develop new techniques, instruments, and assessment skills in accordance of nursing science and engineering and clinical nursing.
Especially, translational research is our focus in which the basic science will be translated into clinical science. We are featuring the development of evidence-based skin care for improving skin function in theelderly.

• Development and evaluation of wound management technology
and devices• Elucidation of pathophysiology and its diagnosis technology ofwound• Development of technology and devices for wound management andprevention• Evaluation of new technology and devices• Development and evaluation of evidence-based skin care methodology• Investigation of bioengineering aspect of elderly skin
• Exploring of objective parameter of skin status• Development of intervention methodology for improving skin function48

Example of translation research in our department