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Development and validation of a professional autonomy scale for Japanese midwives

Obata, Satsuki Iriyama, Shigemi 名古屋大学

2023.08

概要

In Japan, outpatient and in-hospital midwifery have increased in recent years, and advanced
midwives1 who can autonomously provide midwifery care are expected to play an active role. One
of the reasons is that the number of obstetricians and obstetric facilities is decreasing in Japan.2
Japanese midwives do not want to practice “autonomous care” independently and tend to prefer
to work under the direction and guidance of a doctor.3 Therefore, Japanese midwives require
education to improve their professional autonomy. For that purpose, it is necessary to visualize
the autonomy required for midwives, and indispensable to develop a professional autonomy scale. ...

参考文献

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Acad Midwif. 2018;32(1):1-2. doi:10.3418/jjam.foreword-32-1.

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midwives in hospitals [in Japanese]. https://www.mhlw.go.jp/file/06-Seisakujouhou-10800000-Iseikyoku/

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system [in Japanese]. Jpn J Matern Health. 2015;56(1):95-103.

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6 Davis DL, Homer CS. Birthplace as the midwife’s work place: how does place of birth impact on midwives?

Women Birth. 2016;29(5):407-415. doi:10.1016/j.wombi.2016.02.004.

7 Bedwell C, McGowan L, Lavender T. Factors affecting midwives’confidence in intrapartum care: a

phenomenological study. Midwifery. 2015;31(1):170-176. doi:10.1016/j.midw.2014.08.004.

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Educ Shizuoka Univ Lib Arts Soc Sci Ser. 1997;47:241-254. doi:10.14945/00008224.

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on midwifery autonomy [in Japanese]. J Jpn Acad Midwif. 2013;27(1):60-71. doi:10.3418/jjam.27.60.

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autonomy at nursing schools, junior colleges, and colleges [in Japanese]. Kango Kenkyu. 1990:23(1):77-88.

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Nagoya J. Med. Sci. 85. 555–568, 2023

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Japanese midwives professional autonomy

APPENDIX

OriginalOriginal

edition edition

of the Japanese

Midwives

Professional

Autonomy

Scale (33

items)

APPENDIX

of the Japanese

Midwives

Professional

Autonomy

Scale

(33 items)

Item

Completely

disagree

Completely

……

agree

I provide midwifery care based on a professional mindset.

I can self-evaluate the midwifery care that I have provided

to the mother, child, and family.

I can provide the information that the mother and family

need to make decisions.

I can explain the rationale for the midwifery care that I

provide.

I can provide midwifery care that respects the values of the

mother and family (culture, religion, etc.).

I can respect reproductive health/rights.

I can express my opinion while respecting the other person's

opinion.

I can provide support according to changes in the responses

of the mother, child, and family.

I can take responsibility for the midwifery care I provided.

10

I can prepare the environment for the safety of the mother

and child.

11

I can promptly report the deviation from the normality of

the mother and child to the doctor.

12

I can play a role as a midwife in the medical team.

13

I can cooperate with other departments in the event of an

emergency.

14

I can collaborate with other professionals (doctors, nurses,

laboratory technicians, pharmacists, etc.).

15

I can coordinate with other professionals (public health

nurses, social workers, etc.) to work toward the discharge of

mothers and children who require support.

16

I can take a leadership role for junior midwives and

students.

17

I can participate in conferences and training outside the

hospital to gain new knowledge and skills on my own.

18

I can work on research for midwifery practice.

Nagoya J. Med. Sci. 85. 555–568, 2023

567

doi:10.18999/nagjms.85.3.555

Satsuki Obata and Shigemi Iriyama

19

I can determine if the health of the pregnant woman and the

fetus is normal.

20

I can provide midwifery care to prevent deviation from the

normal events that could occur during pregnancy.

21

I can judge deviation from the norm during pregnancy

(pregnancy-induced hypertension, fetal growth restriction,

etc.).

22

I can provide midwifery care suited to the mother's stage of

delivery.

23

I can provide midwifery care to allow the mother to actively

participate in childbirth.

24

I can provide midwifery care to prevent deviation from the

normal events that could occur during the progression of

childbirth (prolonged labor, infection, hemorrhage, etc.).

25

I can handle sudden emergencies in the mother or child

(non-reassuring fetal status, atonic hemorrhage, eclampsia,

etc.).

26

I can provide midwifery care to facilitate overall recovery

in new mothers.

27

I can provide midwifery care to support breastfeeding.

28

I can provide midwifery care to help new mothers approach

childcare positively.

29

I can provide midwifery care to prevent deviation from the

normal events that could occur after childbirth.

30

I can provide midwifery care to help newborns adapt to life

outside the womb.

31

I can provide midwifery care that promotes attachment

between mother and child and the family.

32

I can judge deviation from the norm in newborns (neonatal

asphyxia, jaundice, poor suckling, etc.).

33

I can properly care for newborns in need of resuscitation.

References End

Nagoya J. Med. Sci. 85. 555–568, 2023

568

doi:10.18999/nagjms.85.3.555

...

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