Misuzu Hara
| Faculty of Health Care,Department of Nursing | Associate Professor |
| Graduate School of Nursing Science,Master's and Doctoral Programs in Nursing Science | Associate Professor |
Last Updated :2026/08/07
■Researcher basic information
■Career
■Research activity information
Paper
- Learning Outcomes of First-Year Nursing Students through Participation in Community Projects : Qualitative analysis of pre- and post-learning assignments
Misuzu Hara; Anna Kono; Ami Yamaguchi; Rubiko Nishi; Kyoko Doki; Narumi Yanagida
30 Jun. 2026, [Reviewed] - NURSING FACULTY’S PERCEPTIONS OF STUDENTS THROUGH ALTERNATIVE CLINICAL PRACTICUM DURING THE COVID-19 PANDEMIC: EXPECTATIONS FOR SUPPORT OF NEWLY EMPLOYED NURSES
Misuzu HARA; Masako KOIZUMI; Maiko KAWAI; Noriko YAMAUCHI; Mari IKEDA
Journal of Nursing Research Colloquium of Tokyo Women's Medical University, Mar. 2026, [Reviewed] - A LONGITUDINAL;QUALITATIVE STUDY;ON THE;EXPERIENCES OF;NURSING;STUDENTS WHO;FACED CLINICAL;PRACTICUM;RESTRICTIONS;DURING THE;COVID;PANDEMIC AND THEIR TRANSITION;INTO A.;PROFESSIONAL ROLE
Maiko KAWAI; Misuzu HARA; Noriko YAMAUCHI; Masako KOIZUMI; Mari IKEDA
Journal of Nursing Research Colloquium of Tokyo Women's Medical University, Mar. 2026, [Reviewed] - Online International Exchange Classes in Nursing Education During the COVID-19 Era: Development, Implementation, and Educational Significance
Mar. 2021
The COVID-19 pandemic drastically restricted international mobility and disrupted student exchange programs worldwide, forcing higher education institutions to explore alternative models for global learning. In response, the School of Nursing at Tokyo Women’s Medical University developed and implemented an online international exchange class to sustain intercultural learning opportunities for nursing students during travel restrictions. This initiative targeted senior undergraduate students enrolled in the elective course International Nursing, traditionally linked to short-term overseas study programs.
Planning involved aligning course objectives with new online activities, ensuring students’ active learning, and maintaining the mutual educational value for both institutions. Hawaii Pacific University (HPU), an existing partner institution, collaborated to create a real-time, synchronous exchange. Students worked in small groups to investigate COVID-19–related health issues in Japan, prepare English-language presentations, and share findings with HPU graduate students. The program included reciprocal group presentations, interactive discussions about healthcare systems, and a faculty-led lecture on “Ethics, Health Policy & Politics.”
Through this process, students deepened their understanding of Japan’s healthcare response to COVID-19, enhanced their ability to explain domestic health issues in English, and developed curiosity and openness toward other cultures. They also experienced collaborative learning dynamics, including shared goal-setting, monitoring, and negotiation within groups. These outcomes align with components of intercultural competence such as curiosity, openness, and interpretive skills, as well as socially shared regulation of learning.
Organizational support—including flexible curriculum management, institutional endorsement, and technical preparation—was crucial to implementation. This experience demonstrates that online exchange can effectively complement or temporarily replace traditional study-abroad programs, offering sustainable global learning opportunities even under travel restrictions. Further research should evaluate long-term educational impacts and explore ways to integrate online international exchange into post-pandemic nursing curricula. - Career Paths, Community Commitment, and Work Engagement of Nurses in Regional Japan: A Cross-Sectional Study in Kakegawa City
Mar. 2019
Abstract
This study aimed to clarify the career paths of nurses working in healthcare, welfare, and public health facilities in Kakegawa City, Japan, and to explore their emotional attachment to the community (community commitment) and positive work-related attitudes (work engagement). A cross-sectional questionnaire survey was distributed to 1,500 nurses in 244 local facilities, with 714 valid responses (response rate 47.6%). Most respondents were women (93.6%) with a mean of 17.9 years of nursing experience; 72.2% had more than five years of practice. Hospitals were the primary workplaces (81.0%), followed by long-term care facilities (8.0%), clinics (6.0%), visiting nursing stations (3.0%), and public health centers (2.1%). About 34.2% were born in Kakegawa, and 57.4% resided there. More than 60% balanced work with family responsibilities, and proximity to home was the most frequent reason for workplace choice. Career mobility was limited: 36.4% had never changed jobs, and the average number of workplace changes was 1.4. Future career plans were divided, with 36.0% intending to stay in their current workplace and 34.7% reporting no clear plan.
The mean community commitment score was moderate (M = 2.7/5), and its direct impact on work engagement was limited; only emotional commitment showed a weak positive association. Work engagement was higher among older nurses, those with spouses or children, clinic staff, and those in managerial positions. Nurses planning to remain in their current workplace reported the highest engagement, while those without future career plans scored lowest.
These findings highlight the importance of supporting work–life balance, career reflection, and locally adaptable employment environments to ensure nurse retention and motivation in regional healthcare. Facilitating career development opportunities and enhancing work resources may foster engagement and contribute to sustainable community health care. - 最期の迎え方セミナープログラムの開発
Mar. 2014 - 入退院を繰り返している関節リウマチ患者の在宅での生活 より良い在宅生活を送るための退院指導に向けて
Mar. 2011, [Reviewed] - A看護系大学卒業生のキャリア成熟に関する実態調査
Mar. 2011, [Reviewed] - プリセプターが役割遂行時に感じる気持ちと自己への気づきの経時的変化
Mar. 2003, [Reviewed]
MISC
- Proposal for Educational Practices in Perioperative Nursing Training: Enhancing Nursing Students Clinical Competence
Misuzu Hara; Momoyo Kawai; Miwako Hirakawa; Hitomi Sato; Kaori Hanzawa; Nahoko Nagai; Masae Oda
26th EAFONS 2026 Abstract, Feb. 2026
Lead, 【Aims】 This report describes an educational practice designed to enhance nursing competency by integrating nursing process exercises with skills training in a perioperative nursing setting. The goal is to outline the approach, educational significance, and remaining challenges.
【Methods】 This educational practice was implemented with third-year nursing students at University A. Previously, perioperative nursing was taught as a lecture in the second year and practiced as technical skills in the third year. Students often struggled to form a realistic image of postoperative patients, limiting their ability to discuss observation items and nursing care with clinical relevance.
To address this, a single perioperative case (postoperative day 1 after rectal cancer surgery) was used concurrently in both the nursing process exercise and skills training. Skills training included postoperative observation, hygiene care, and initial mobilization, each conducted over two sessions. The first focused on basic procedures, while the second incorporated common postoperative conditions such as pain, nausea, and hypotension. The same groups were maintained across both exercises. Each class began with a briefing to refine care plans, followed by role-playing and debriefing to review and adjust actions. Outcomes from skills training were connected to the nursing process exercise for further evaluation.
【Results】 Students actively discussed nursing plans during briefings and debriefings expanding their perspectives by sharing ideas. In sessions with added situational complexity, they recognized the need to judge the feasibility of care based on changes in the patient’s condition. Although students considered more considerations regarding postoperative responses, many continued to find it difficult to develop a concrete patient image.
【Conclusion】 Integrating nursing process and skills training enabled students to view nursing actions as part of patient-centered decision-making. This approach fostered monitoring, clinical reasoning, prioritization, and reflective practice. Challenges included increased student workload, refining the rubric, and linking outcomes to clinical practicums. - セカンドキャリア看護職の看護実践能力と生涯働き続けられるキャリア形成支援を探る－第2弾－
Aug. 2025 - Strategies for Recruiting and Retaining Mid-Career and Rehired Nurses: Roles of Nurse Managers, Nursing Directors, and Human Resource Officers
Misuzu Hara
Misuzu Hara, Mar. 2025
The recruitment and retention of mid-career and rehired nurses have become increasingly important as the number of new nursing graduates shows signs of decline. Unlike newly graduated nurses, mid-career nurses often leave their positions shortly after reemployment due to mismatches between organizational expectations and individual capacities, difficulties in organizational resocialization, or workplace relationship challenges. This paper provides a comprehensive overview of strategies to enhance the recruitment and long-term retention of mid-career nurses, focusing on the collaborative roles of nurse managers, nursing directors, and human resource officers.
The recruitment process can be divided into two phases: “before hiring” and “after hiring.” Nursing directors primarily oversee the pre-hiring phase, which includes strategic workforce planning, public relations, and candidate selection, while nurse managers play a key role in post-hiring adaptation and support. Human resource officers, depending on organizational structure, may contribute expertise in employment and talent development. Effective strategies before hiring include clarifying organizational needs, tailoring recruitment campaigns to reach desired candidates, and establishing realistic mutual expectations to prevent mismatches. After hiring, key retention measures involve individualized support to facilitate workplace adaptation, mentoring and networking, fostering open communication to reduce labeling as “immediate assets,” and providing opportunities for nurses to utilize and further develop their prior experiences.
Long-term retention requires creating flexible work arrangements, developing educational systems that support diverse career trajectories, and building inclusive workplace environments. By recognizing the heterogeneity of mid-career nurses and supporting both their professional development and work–life balance, healthcare organizations can strengthen organizational stability and patient care quality. Ultimately, fostering a supportive environment where nurses and institutions can grow together is essential for addressing workforce challenges in contemporary healthcare. - 新人看護師支援として実施した「意図的な対話」についての看護管理者の認識
Aug. 2024 - 病院でも訪問でもどこでも活用できる！学び続ける看護職のための「意図的な対話」の可能性～コロナ禍の学びを活かして～
Aug. 2024 - 看護学科1年生が地域事業への参加を通して得た学び
Dec. 2023 - 「意図的な対話の場」を活用した新人看護師支援 コロナ禍での経験を踏まえて
Jul. 2023 - COVID-19の影響で臨床実習が制限された新人看護師に対する先輩看護師の認識と新人看護師への支援
Jul. 2023 - COVID-19の影響で臨床実習が制限された新人看護師の経験
Jul. 2023 - 働く場を移動した看護職の看護実践能力融合メカニズム
Jul. 2023 - New nurses’ perceptions on the impact of clinical practicum restriction during the COVID-19
Maiko Kawai; Misuzu Hara; Noriko Yamauchi; Masako Koizumi; Mari Ikeda
Mar. 2023
Objective:
This study aimed to compare the perceptions of students, teachers, and senior nurses regarding the practical nursing skills of students whose clinical practice was restricted due to COVID-19, and to explore ways to support new nurses.
Method:
Individual and group semi-structured interviews were conducted from December 2021 to March 2022 with three groups: students who were scheduled to graduate and become new nurses in 2022, teachers in basic nursing education, and senior nurses responsible for training new nurses. Their perceptions of students’ and novice nurses’ nursing practice skills were analyzed, and the extracted categories were compared to identify commonalities and differences.
Ethical considerations:
This study was approved by the Ethics Committee of University A. Participants were provided with an explanation of the study and signed a written informed consent form.
Results:
All three groups recognized that clinical practice had been restricted during COVID-19 and expressed a desire for further growth as nurses. However, their views on the students’ abilities and future potential differed. Students and senior nurses tended to worry that the nursing techniques and communication skills necessary for care were underdeveloped, whereas teachers perceived potential in the students’ ability to think beyond the confines of traditional clinical practice—demonstrated particularly in substitute practical training—and in their willingness to learn despite limited opportunities, leading teachers to be more optimistic about the long term.
Discussion:
As all three groups prioritized the growth of nurses, encouraging trainers to share their perceptions and expectations regarding students’ potential may help in supporting new nurses. - セカンドキャリア看護職の看護実践能力と生涯働き続けられるキャリア形成支援を探る
Aug. 2022 - Covid-19の影響で臨床実習が制限された新人看護師に対する先輩看護師の認識と新人看護師への支援
Jul. 2022 - Covid-19の影響で臨床実習が制限された看護学生(現:新人看護師)の経験と望む支援
Jul. 2022 - 【定着につながる中途採用】看護職の中途採用の実態(解説)
Aug. 2020 - 回復期リハビリテーション病棟における退院支援の実態
熊谷 希恵; 工藤 真澄; 原 美鈴
日本リハビリテーション看護学会学術大会集録, Nov. 2015
(NPO)日本リハビリテーション看護学会 - 臨地実習を担うことから得られる看護職としてのキャリア形成
原 美鈴; 潮田 千寿子; 小川 久貴子; 草柳 かほる; 佐藤 紀子; 那須 実千代; 成澤 明; 山内 英樹; 吉田 澄恵
日本看護学教育学会誌, Jul. 2015
(一社)日本看護学教育学会 - 人工膝関節置換術後の離床期にある患者の不安や緊張の緩和についての研究 アロマセラピー実施による効果
藤森 雪美; 原 美鈴
日本アロマセラピー学会誌, Nov. 2014
(一社)日本アロマセラピー学会 - 整形外科における患者参加型看護計画を用いた退院指導の実践と評価
石川 梢; 船橋 智子; 原 美鈴
日本リハビリテーション看護学会学術大会集録, Oct. 2014
(NPO)日本リハビリテーション看護学会 - 自宅へ退院した脳血管障害患者の夜間排泄介助の実態 家族介護者の睡眠確保の観点から
鈴木 美由紀; 佐々木 かおる; 原 美鈴
日本リハビリテーション看護学会学術大会集録, Oct. 2014
(NPO)日本リハビリテーション看護学会 - 高次脳機能障害患者の自宅での外出実態
杉山 早苗; 福田 純子; 原 美鈴
日本リハビリテーション看護学会学術大会集録, Oct. 2014
(NPO)日本リハビリテーション看護学会 - 越境学習での学びの経験 関連領域からみえた看護
草柳 かほる; 原 美鈴; 石田 佐地子; 小元 まき子; 佐藤 京子; 鈴木 朋子; 西川 瑞希; 野村 陽子; 宮本 郁子; 森 俊昭; 保田 江美; 八幡 成美
日本看護学教育学会誌, Jul. 2014
(一社)日本看護学教育学会 - Challenge to Support Nurses' Lifelong Career -a Report of Career Counseling for Nurses by Nurse Career Counselors
Oct. 2013 - （口演）キャリアの変化を乗り越えるための支援―転機にある看護職のためのキャリアセミナー開催の試み―
Oct. 2013 - 回復期リハビリテーション病棟における離院・離棟事例の実態調査
上野 裕貴; 坂井 千代子; 原 美鈴
日本リハビリテーション看護学会学術大会集録, Oct. 2012
A回復期リハ病棟における2008〜2010年の離院・離棟に関するインシデントレポート50件(43名)について分析を行った。43名の内訳は男性39名、女性4名、年齢は平均56.2歳であった。疾患の内訳は脳梗塞が最も多く16名(37%)、次いで脳出血10名(23%)であった。離院・離棟の発生時間帯は日勤帯(9〜17時)が最も多く35件(70%)、次いで準夜10件(20%)、深夜5件(10%)であった。離院・離棟の理由は「買い物・散歩・喫煙」が最も多く16件(32%)、次いで「外出届を知らない・必要だと思わなかった・面倒だった」「ナースステーションに誰もいなかった」とするものが合わせて9件(18%)であった。このほか、「家に帰りたい」4件(8%)、「家族に会いたい」2件(4%)、「訓練の成果を試そうとした」2件(4%)などであった。離院・離棟の発見状況は、職員または帰宅中の家族が発見したケースが28件(56%)と半数以上を占め、このほか、職員が患者の不在に気づいたものが12件(24%)、患者・家族からの申告で気づいたものが8件(16%)、離院センサーによって気づいたものが2件(4%)であった。, (NPO)日本リハビリテーション看護学会 - 回復期における脳血管障害患者の整容に関する意識
鷹島 春奈; 青田 忍; 原 美鈴
日本リハビリテーション看護学会学術大会集録, Oct. 2012
回復期リハ病棟に入院中の脳血管障害患者で整容の介助を受けている患者4名に半構成的面接を行い、「発症前の整容習慣」「現在介助を受けている整容の内容」「本当は受けたいが現在は受けていない整容の内容」「整容の介助を受けるときの気持ち」「発症前後で整容に対する気持ちは変わったか」などについて尋ね、語られた内容を質的帰納的に分析した。その結果、次のようなカテゴリーが抽出された。【整容は大人としての最低条件】【整容は個人の事】【できる限り自分で行いたい】【本当は今も整髪をしたい】【美容院に行って整えたい】【病気だからと諦めている】【病気だからこそ、いつも清潔にしていたい】【整容は一日の始まり】【介助を依頼でき、不足の気持ちはない】【頼むのは申し訳なく思う】【整容を行う場所があるといい】【今でも以前はとは違う方法できちんと身だしなみを整えている】【部屋の洗面台は同室者に気を遣う】。, (NPO)日本リハビリテーション看護学会 - リハビリテーション病院で働く看護師の災害対策に対する意識
梶村 英孝; 原 美鈴
日本災害看護学会誌, Jul. 2012
(一社)日本災害看護学会編集委員会 - 半側空間無視・注意力障害患者に対する注意力向上のための援助
新保 道代; 佐藤 亜矢; 原 美鈴
日本リハビリテーション看護学会学術大会集録, Oct. 2010
半側空間無視・注意力障害患者に対する注意力向上のための援助として、発症後3ヵ月以内の当該患者5名(脳梗塞(右中大脳動脈損傷)による左片麻痺)を対象に、誘目性が高いとされる赤色のカラーバンドを患側上下肢に4週間にわたって使用し注意喚起を促し、その効果を、「線分抹消テスト」「文字抹消テスト」「星印抹消テスト」「FIM」および独自スケールから検討した。その結果、独自スケールの起き上がり状況の点数化において、5名中4名で得点が上昇しており、起き上がり動作における患側の上下肢の意識付けにカラーバンド装着が奏功したと考えた。, (NPO)日本リハビリテーション看護学会 - 非利き手で歯磨きをしている患者の磨き残しの実態と口腔ケア介入の効果
五島 小百合; 真野 優美; 原 美鈴
日本リハビリテーション看護学会学術大会集録, Oct. 2010
利き手が麻痺し、非利き手で歯磨きを行っている脳卒中患者へ、磨き残しがないよう各人に合わせたブラッシング指導を2週間にわたって行い、その効果を、当該患者3名(男性2名、女性1名。平均年齢54歳)の指導前後の歯磨き方法の観察、歯垢、食物残渣状況などの比較から検討した。その結果、非利き手で歯磨きを行っている対象は力加減や細かい動作が困難であるため、下前歯裏側に全く歯ブラシが当たっておらず、磨きづらいところに手を添えて当て方や力加減、歯ブラシの持ち方を指導したことで、磨けていない所を自覚するようになり、歯垢の除去につながった。, (NPO)日本リハビリテーション看護学会 - 看護学部卒業生のキャリア形成に対する思い
Oct. 2009 - Important factors at the early stage in career development for university-educated nurses
Sep. 2009 - 看護学部卒業生のキャリア成熟に関する調査
小川 久貴子; 海老澤 睦; 太田 祐子; 原 美鈴; 日沼 千尋; 諏訪 茂樹; 佐藤 紀子; 久田 満
日本看護学教育学会誌, Sep. 2009
(一社)日本看護学教育学会 - プリセプター支援に関する研究(第4報) プリセプターの認識するプリセプターの役割と周囲からの支援
佐藤 紀子; 諏訪 茂樹; 久田 満; 海老澤 睦; 小川 久貴子; 日沼 千尋; 原 美鈴; 太田 祐子
日本看護学教育学会誌, Aug. 2007
(一社)日本看護学教育学会 - プリセプター支援に関する研究(その5) やる気につながった一言
原 美鈴; 太田 祐子; 久田 満; 海老澤 睦; 小川 久貴子; 諏訪 茂樹; 佐藤 紀子; 日沼 千尋
日本看護学教育学会誌, Aug. 2007
(一社)日本看護学教育学会 - プリセプター支援に関する研究(第6報) やる気をなくした一言
小川 久貴子; 日沼 千尋; 佐藤 紀子; 原 美鈴; 海老澤 睦; 太田 祐子; 諏訪 茂樹; 久田 満
日本看護学教育学会誌, Aug. 2007
(一社)日本看護学教育学会 - プリセプター支援に関する研究(その1) 初めてのプリセプター経験の意味
海老澤 睦; 小川 久貴子; 佐藤 紀子; 原 美鈴; 日沼 千尋; 諏訪 茂樹; 太田 祐子; 久田 満
日本看護学教育学会誌, Aug. 2006
(一社)日本看護学教育学会 - プリセプター支援に関する研究(その2) プリセプター制度に関するプリセプターの認識
日沼 千尋; 諏訪 茂樹; 原 美鈴; 太田 祐子; 海老沢 陸; 久田 満; 小川 久貴子; 佐藤 紀子
日本看護学教育学会誌, Aug. 2006
(一社)日本看護学教育学会 - プリセプター支援に関する研究(その3) プリセプターの蓄積的疲労徴候
原 美鈴; 太田 祐子; 久田 満; 海老澤 睦; 小川 久貴子; 諏訪 茂樹; 佐藤 紀子; 日沼 千尋
日本看護学教育学会誌, Aug. 2006
(一社)日本看護学教育学会 - プリセプターが役割遂行時に感じる気持ちと自己への気付きの経時的変化
Aug. 2003
Books and other publications
Affiliated academic society
Research Themes
- 看護職の生涯学習を促進する「意図的な対話を通じた学び合いプログラム」の開発
01 Apr. 2024 - 31 Mar. 2027 - Exploring the nursing practice ability of the second career nurse and career development support that can continue working for a lifetime
Grant-in-Aid for Scientific Research (C)
Teikyo Heisei University
01 Apr. 2022 - 31 Mar. 2026 - COVID19で実習経験が不足した看護師への現場型新人看護師教育プログラムの開発
01 Apr. 2021 - 31 Mar. 2024 - 働く場を移動した看護職の臨床実践能力再開発支援プログラムの構築にむけて
01 Apr. 2017 - 31 Mar. 2023 - 診療所に勤務する看護職のキャリア支援ニーズ―施設をこえた支援システム構築に向けて
Apr. 2013 - Mar. 2017
