Mayumi Matsunaga

資料

AIM: This study aimed to identify the current situation of interprofessional collaboration for gestational diabetes mellitus (GDM) management in Japan including the professionals involved, the collaboration methods employed, and the barriers perceived by nurses and midwives. METHODS: This nationwide cross-sectional survey of 1,046 total hospitals facilitating childbirth in Japan used an original 60-item questionnaire to investigate GDM management practice through interprofessional collaboration. The questionnaire required one responder to be a midwife or nurse who was familiar with the management practices for GDM women in their respective hospitals. Quantitative data were analyzed using descriptive statistics, and framework analysis was conducted for qualitative data collected by open-ended questions. RESULTS: All 308 respondents (response rate 29.4%) were included. The professionals included in interprofessional collaboration were limited, and the only strategy used for interprofessional collaboration by a majority (91.5%) of hospitals was medical charts. There were 50.8% of hospitals that provided postpartum GDM follow-ups and 54.5% of hospitals that did not engage in external collaboration for GDM management. The barriers to interprofessional collaboration extracted were seven categories and 23 subcategories, which were aligned within the following units of analysis: individual, team, organization, and community. CONCLUSIONS: This survey shows that interprofessional collaboration, including support for GDM postpartum follow-up in Japan remains insufficient. Furthermore, nurses and midwives perceive numerous barriers to interprofessional collaboration for continuous GDM management at the individual, team, organizational and community levels.

<p>HUG (Help-Understanding-Guidance) Your Baby is an international program, developed by Jan Tedder, a family nurse practitioner from North Carolina, USA. This award-winning program presents the newborn's body languages to new parents and shows them the skills for taking care of their newborn thus allowing them to enjoy the child-raising period. This paper introduces the Japanese version of the "HUG" program. Collaborating with Tedder, the researcher who developed the original "HUG" program, we translated the English program to Japanese then back translated to English thereby confirming the content validity. The materials we translated were: slides used in the program, a leaflet explaining the two "HUG" skills, a leaflet for helping effective breastfeeding, and a DVD that explains the newborn's behavior and the skills we introduce in the program. The "HUG" program consists of the following items: introduction of the two skills to help child-rearing, (understanding the newborn's state and understanding the newborn's Sign of Over-Stimulation), how to respond to the newborn's Sign of Over-Stimulation, cues for effective breastfeeding, and understanding the two sleep cycles. In the last part, we use swaddles and baby dolls and practice the effective way to calm a fussing or crying baby. We also invite a mother or father who is already raising a child to share their difficulties, challenges, and hints for child-rearing with participants. In the program we give the participants handouts and a HUG DVD that explain the skills we presented in the program so that they can utilize it at home whenever needed. Now we are gathering outcome data to measure the achievements of the program aims. By examining these outcomes, we will be able to consider and modify the contents of the Japanese "HUG" program for a better fit with Japanese parents.</p>