Yoko Tokiwa

Circumstances and Challenges in Home Care-oriented Hospital Nurse Training: Using Group Interviews for Nurses Who Engage in Hospital Nursing Administration

Objective: This study aimed to clarify the circumstances and challenges in home care-oriented hospital nurse training on the basis of results of hospital nurse self-evaluations of nursing activities implemented in preparation for home care. Methods: Group interviews were conducted with 13 nurses at 9 different hospitals, and the results were qualitatively and inductively analyzed. Results and Discussion : Six categories for actual nursing activities implemented in preparation for home care were extracted. These categories were “I leave home care to other medical professionals,” “No form of inter-hospital cooperation has been established,” “There is disparity in cooperation with home-visiting nurses,” “Social resources are not being used due to a lack of knowledge,” “Able to develop a perspective of home care through workshop participation, years of experience, and interest,” and “Competency is lacking despite knowledge of home care.” Home care was apparently not being utilized by hospital nurses due to a lack of knowledge of social resources and a lack of interdisciplinary cooperation. Conclusions: Challenges in nurse training implemented in preparation for home care included compensating for the lack of practical knowledge of social resources and devising a duty system and inter-facility exchanges to allow nurses to build experience in other areas and departments. The results of this study suggested the need 群馬大学大学院保健学研究科 著者連絡先:牛久保美津子 群馬大学大学院保健学研究科看護学講座[〒371-8514 群馬県前橋市昭和町 3-39-22] email: ushi2@gunma-u.ac.jp (受付日:2016 年 8 月 18 日,採用日:2016 年 11 月 15 日) C2017 日本プライマリ・ケア連合学会

Study on Self-care by Pregnant Women with No Access to a Medical Institution

【目 的】 妊娠期の女性のヘルスプロモーションを支援するために, 生活圏に医療機関のない女性の妊娠期におけるセルフケアの特徴を明らかにする. 【方 法】 沖縄県の離島の黒島, 波照間島に居住する出産後1年以内の母親9名を対象とし, 半構成的面接法により抽出した妊娠期に行ったセルフケアを, 質的に内容分析した. 【結 果】 離島の女性は自分の健康は自分で管理していこうという意識を持っており, 妊娠期のセルフケアとして, 「妊娠経過において異常を予防し正常を保つために, 自らあらゆる情報源から情報を得て, 自ら考え行動した」という特徴が見出された. 【結 語】 妊娠期の女性のセルフケア能力を高める支援として, 女性が意識的に自分の身体と向き合い自分で判断することを促すかかわり, 専門的視点からのセルフケアについての振り返り, キーパーソンである夫と協働できるような支援, 個別的で具体的な情報提供という4つの支援が示唆された.