{"created":"2023-07-25T08:14:33.823406+00:00","id":15630,"links":{},"metadata":{"_buckets":{"deposit":"beabc07e-4bf8-43dd-9dad-b795bc8b4a41"},"_deposit":{"created_by":18,"id":"15630","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"15630"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00015630","sets":["228:275:5995","99:103"]},"author_link":[],"item_7_biblio_info_5":{"attribute_name":"収録雑誌名","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"8","bibliographicPageStart":"1","bibliographicVolumeNumber":"30","bibliographic_titles":[{"bibliographic_title":"鹿児島大学医学部保健学科紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University","bibliographic_titleLang":"en"}]}]},"item_7_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2020-03-31","subitem_date_issued_type":"Issued"}]},"item_7_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"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。","subitem_description_language":"ja","subitem_description_type":"Other"},{"subitem_description":"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.\nMETHODS: 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).\nRESULTS: 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.\nCONCLUSION: 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.","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_7_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"鹿児島大学","subitem_publisher_language":"ja"},{"subitem_publisher":"Kagoshima University","subitem_publisher_language":"en"}]},"item_7_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13462180","subitem_source_identifier_type":"PISSN"}]},"item_7_source_id_9":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA11358555","subitem_source_identifier_type":"NCID"}]},"item_7_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_7_version_type_14":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"井上, 尚美","creatorNameLang":"ja"},{"creatorName":"INOUE, Naomi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"兒玉, 慎平","creatorNameLang":"ja"},{"creatorName":"KODAMA, Shinpei","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"吉留, 厚子","creatorNameLang":"ja"},{"creatorName":"YOSHIDOME, Atsuko","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-01-06"}],"displaytype":"detail","filename":"AA11358555_v30_n1_p1-8.pdf","filesize":[{"value":"992.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AA11358555_v30_n1_p1-8","objectType":"fulltext","url":"https://ir.kagoshima-u.ac.jp/record/15630/files/AA11358555_v30_n1_p1-8.pdf"},"version_id":"8d682431-cbb4-4432-ba6c-65684ced0555"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"臨床経験","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"産科救急対応能力","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"キャリア形成","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Clinical experience","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Obstetric emergency response capability","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Career formation","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"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","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"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","subitem_title_language":"ja"},{"subitem_title":"Midwives’ confidence to provide care in harsh medical environments and areas in which they lack competence : training midwives who can work on remote islands","subitem_title_language":"en"}]},"item_type_id":"7","owner":"18","path":["103","5995"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-01-06"},"publish_date":"2021-01-06","publish_status":"0","recid":"15630","relation_version_is_last":true,"title":["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"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2024-01-30T01:36:34.053537+00:00"}