Development of midwifery competency model in home visit business

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K19651
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Fukuoka International University of Health and Welfare (2023); International University of Health and Welfare (2019-2022)
• Principal Investigator: SHINDO Yukiko 福岡国際医療福祉大学, 看護学部, 教授 (90321306)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 家庭訪問事業 / 助産師の家庭訪問 / 家庭訪問コンピテンシー / 助産師の専門性

Outline of Final Research Achievements

The first step was to conduct a ‘fact-finding survey regarding the newborn baby visitation program and the home visitation program for infants’. The most common project commissioned by municipalities was neonatal visits, and home visit project training was carried out by all midwifery associations that contracted out projects as midwifery associations. On the other hand, management costs, remuneration, and a lack of manpower were issues.
The second stage was a survey of midwives contracted by municipalities to visit newborns. When midwives make home visits, in addition to ethical sensitivity and professional autonomy, they had used an approach that gives mothers confidence, an approach that also targets the family, and an approach that takes into account reproductive health/rights.Finally, midwives' competencies in home visiting projects were extracted from the behaviors extracted from the midwife survey.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

新生児訪問および乳児家庭全戸訪問事業に関する実態調査により、市町村から家庭訪問事業を受託する助産師会は、家庭訪問事業研修を実施していた。これにより、助産師会が受託する家庭訪問事業は適切な対応と、適切な支援につなげることに向けた一定水準が維持されており、社会的信頼が得られる活動であるといえる。
助産師調査により、市町村から受託した家庭訪問時に助産師は、助産師のコアコンピテンシーである倫理的感応力・専門的自律能力を発揮していることが確認できた。助産師の家庭訪問事業においては11のコンピテンシーが明らかとなり、一定水準での適切な対応により、産後うつ病の早期発見や子どもの虐待防止に貢献できる。