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Vol.12 No.2
Note
Vol.12 No.2 pp.36-43
Identifying nursing practices and roles
in radiation emergency medicine
1 Department of Radiation Emergency Medicine, Institute for Radiological Science, National Institutes for Quantum Science and Technology
2 School of Nursing, Tokyo Medical University
3 School of Health Sciences, Kagoshima University
4 Nuclear Safety Research Association
5 Faculty of Nursing, Kwassui Women's University
6 Atomic Bomb Disease Institute, Nagasaki University
7 Emeritus Professor, Nagasaki University
2 School of Nursing, Tokyo Medical University
3 School of Health Sciences, Kagoshima University
4 Nuclear Safety Research Association
5 Faculty of Nursing, Kwassui Women's University
6 Atomic Bomb Disease Institute, Nagasaki University
7 Emeritus Professor, Nagasaki University
Key words : radiation medicine, radiation emergency medicine, nuclear disaster medicine, nursing
In Japan, the criticality accident at a uranium processing plant in 1999 and the 2011 accident at the Fukushima
Daiichi Nuclear Power Station, operated by the Tokyo Electric Power Company, triggered a review of the existing
medical system for radiation exposure and led to the establishment of a new nuclear disaster medical care system in
Japan. This system stipulates the allocation of nurses, however; there is no clear description of the roles and specific
competencies required of nurses in nuclear disaster medical care. The aim of this study was to clarify nursing roles
in nuclear disaster medical care by summarizing descriptions of nursing practices and roles during nuclear disasters
reported in the literature to date. From eight selected articles, 182 data points were extracted and categorized
using the KJ affinity-mapping method. Nursing practices were categorized as "Before Patient Admission" and "After Patient Admission". "Before Patient Admission" was further classified into the categories of "General:
Admission Preparation" and "Nuclear Disaster: Admission Preparation", whereas "After Patient Admission" was
classified into "General: Cure", "Nuclear Disaster: Cure", "General: Care", "Nuclear Disaster: Care", "General:
System Establishment", and "Nuclear Disaster: Radiation Management". Nursing concepts were classified into the
categories of "Leadership Role", "Acquisition of Specialized Knowledge", "Coordination", "Radiation Protection",
and "Risk Assessment and Risk Communication".