Visualization of nursing care of non-obstetric patients admitted to a mixed obstetric ward: for midwife staffing considerations

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19171
• 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: Kyoto University (2021-2023); Kobe University (2020)
• Principal Investigator: Otaki Chifumi 京都大学, 医学研究科, 講師 (50454476)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 産科混合病棟病棟 / 産科病棟 / 看護の可視化 / 人員配置 / タイムスタディ / 位置情報

Outline of Final Research Achievements

This study measured the actual state of nursing care (nursing time and content of nursing care to patients) in obstetrics, surgical, and internal medicine wards using two methods: instrumental measurement and human one-on-one time study methods, and revealed the characteristics of nursing care in each ward. Although the characteristics of the content of nursing actions implemented in each ward differed, the amount of time spent on "nursing planning and recording" was high in all wards. The instrumental measurement method also revealed where nurses and midwives stayed, and they spent more time at nurses' stations. It was considered necessary to devise the staffing of mixed obstetric wards based on the nursing characteristics of each department.

Free Research Field

助産学

Academic Significance and Societal Importance of the Research Achievements

日本の病院における産科混合病棟の看護の実態はほとんど明らかにされておらず、産科混合病棟の助産師の人員配置についての議論も不足している。本研究において、産科混合病棟の看護を検討するうえで必要な産科病棟と産科以外の病棟（外科病棟・内科病棟）の看護の実態を明らかにした。機器測定法とヒトによる1対1タイムスタディ法の2つの方法で各病棟の看護の特徴を明らかにした意義は大きいと考える。機器測定法とヒトによる1対1タイムスタディ法の2つの方法を用いて各病棟の看護を可視化（看護の特徴を明らかに）したことは、画期的であるといえる。