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  1. 掲載誌一覧
  2. 鹿児島大学医学部保健学科紀要
  3. vol. 30(1)
  1. 医学部
  2. 医学部・紀要論文

助産師の厳しい医療環境下で行うケアへの自信と不足していると感じる能力 : 離島で活動できる助産師の育成を目指して

http://hdl.handle.net/10232/00031518
http://hdl.handle.net/10232/00031518
57871cec-ab1d-4dbc-83e5-a365f600f050
名前 / ファイル ライセンス アクション
AA11358555_v30_n1_p1-8.pdf AA11358555_v30_n1_p1-8 (992.9 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2021-01-06
タイトル
タイトル 助産師の厳しい医療環境下で行うケアへの自信と不足していると感じる能力 : 離島で活動できる助産師の育成を目指して
タイトル
タイトル言語 en
タイトル Midwives’ confidence to provide care in harsh medical environments and areas in which they lack competence : training midwives who can work on remote islands
タイトルよみ
タイトルよみ ジョサンシ ノ キビシイ イリョウ カンキョウカ デ オコナウ ケア エノ ジシン ト フソク シテイルト カンジル ノウリョク : リトウ デ カツドウデキル ジョサンシ ノ イクセイ オ メザシテ
著者 井上, 尚美

× 井上, 尚美

WEKO 138245

井上, 尚美

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兒玉, 慎平

× 兒玉, 慎平

WEKO 138246

兒玉, 慎平

Search repository
吉留, 厚子

× 吉留, 厚子

WEKO 138247

吉留, 厚子

Search repository
著者よみ
姓名 イノウエ, ナオミ
著者よみ
姓名 コダマ, シンペイ
著者よみ
姓名 ヨシドメ, アツコ
別言語の著者
姓名 INOUE, Naomi
別言語の著者
姓名 KODAMA, Shinpei
別言語の著者
姓名 YOSHIDOME, Atsuko
言語
言語 jpn
キーワード
主題Scheme Other
主題 臨床経験
キーワード
主題Scheme Other
主題 産科救急対応能力
キーワード
主題Scheme Other
主題 キャリア形成
キーワード
主題言語 en
主題Scheme Other
主題 Clinical experience
キーワード
主題言語 en
主題Scheme Other
主題 Obstetric emergency response capability
キーワード
主題言語 en
主題Scheme Other
主題 Career formation
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
要約(Abstract)
内容記述タイプ Other
内容記述 助産師が自信をもって離島で活動できるようになるために必要な能力と取り組みを明らかにすることを目的とした。A 助産師養成機関の卒業生508名を対象に横断的質問紙調査法を用いて行った。回収された178名中173名を分析対象とした(有効回答率34.1%)。結果,離島の産科医療施設で働く自信がある助産師は8.1%であった。離島で働く自信と最も関連が認められたのは,妊娠期と分娩期のケアの自信であった。妊娠期のケアの自信は様々な医療レベルでの経験を積むことで高まるが,分娩期のケアの自信を高めるためには1)新生児蘇生法が実施できる 2)正常範囲を超える出血への処置を行う能力 3)異常状態と他施設搬送の必要性を判断する能力を向上させる必要があった。以上より,離島で活動できるためには,異なる医療レベルでの経験を組み込んだキャリア形成と前述の3つの能力を向上させる教育的な取り組みが必要であることが示唆された。
要約(Abstract)
内容記述タイプ Other
内容記述 PURPOSE: B prefecture is located in southern Japan and includes 28 remote islands that suffer from a shortage of doctors and midwives. This study was conducted to elucidate midwives’ confidence to provide care on remote islands and the areas in which they lack competence.
METHODS: This study involved a cross-sectional questionnaire survey. Subjects were 508 graduates of midwifery training institution A. The survey period was from October to December, 2014 and the survey consisted of a questionnaire created by the researchers that was distributed by mail. The survey form was composed of the question about confidence to work at the solitary island. This study was approved by Ethics Committee of the Faculty of Medicine, Kagoshima University (no.170366(374)E-M2).
RESULTS: There was an answer from 173 midwives (34.5%). Three midwives who were working at the solitary island were included. (1.7%). Only 8.1% of midwives had the confidence to work at maternity clinics on remote islands. Confidence to provide midwifery care on remote islands was lowest (1.8%) during the intrapartum period. Respondents selected “ability to can the resuscitation method of the newborn”, “treatment ability of hemorrhage that exceeds reference range” and “ability to judge abnormal state and necessity of transportation to another facilities” as competencies related to intrapartum care in which they lacked confidence.
CONCLUSION: Midwives were very uneasy with working on remote islands due to the weight of responsibility that is felt. To increase the number of midwives on remote islands, we found that a systematic career path and the ability to respond to intrapartum abnormalities were necessary.
収録雑誌名 鹿児島大学医学部保健学科紀要
en : Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University

巻 30, 号 1, p. 1-8, 発行日 2020-03-31
ISSN
収録物識別子タイプ ISSN
ISSN 13462180
NII書誌ID(雑誌)
収録物識別子タイプ NCID
NC ID AA11358555
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
NDC
主題Scheme NDC
主題 490
公開者・出版者
出版者 鹿児島大学
公開者よみ
公開者よみ カゴシマ ダイガク
公開者別名
公開者別名 Kagoshima University
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