Kyushu University Academic Staff Educational and Research Activities Database
List of Papers
Ayaka Fujita Last modified date:2020.07.26

Assistant Professor / Pediatric Nursing, Division of Nursing Science Department of Health Sciences, School of Medicine / Department of Health Sciences / Faculty of Medical Sciences

1. Ayaka Fujita, Yuko Hamada, Bereavement care in Japanese pediatrics
Pediatrician awareness in practice, Pediatrics International, 10.1111/ped.13891, 61, 7, 658-663, 2019.07, Background: A child's death affects not only family members but also the health-care professionals involved in patient care. The education system for bereavement care in Japan, however, is not set up in a systematic way, and the care provided is based on the individual experience of the health-care professional. The aim of this study was to investigate pediatrician awareness of and actual circumstances involved in bereavement care in Japan. Methods: A qualitative descriptive study was conducted at four facilities in Japan. Data collected using semi-structured interviews of 11 pediatricians were assessed using inductive qualitative analysis. Results: Pediatrician recognition of the elements of bereavement care was categorized as follows: (i) developing relationships with families before a child's death is important in bereavement care; (ii) after the child dies, family involvement is left to the doctor's discretion; (iii) coping with a child's death myself through past experience is essential; (iv) doctors involved in a child's death also experience mental burden; and (v) a system for the family's bereavement care must be established. Two categories were established according to actual circumstances involved in bereavement care: (i) attention must be given to the emotions of the families who lost a child; and (ii) doctor involvement with bereaved families depends on doctor awareness and expertise. Conclusion: Japanese pediatricians provided bereavement care to families who lost their children in a non-systematic manner. This is necessitates improvement of the self-care of health-care professionals with regard to grief by improving bereavement care-related education. Additionally, health-care professionals must be trained, and a national-level provision system must be established to provide high-quality bereavement care to families who lose a child..
2. Ayaka Fujita, Daily lives of pre-adolescents/adolescents and their parents after liver transplant, Japan Journal of Nursing Science, 2015.04.