Nasuno junko

A search function of web version 4 of Japan Medical Abstracts Society was used for searching original articles and reports published in Japan from 1983 to 2011. As the result, 48 documents of articles and reports relating to “unbooked delivery” were hit and all of the literatures were obtained through libraries and the like. Reported years, occupations of authors and contents of the 48 literatures were classified and summarized. 【Results&Discussion】Firstly, they were unaffordable for medical expenses due to economic difficulties. Secondly, they were careless about health to the extent being unable to notice their own pregnancy with lack of medical knowledge. Finally, they had lower basis of value against significance of consultation behavior since their previous pregnancy was resulted in easy delivery which made them excuse that checkup was thought to be unnecessary for the second time, that they neglected checkups in spite of recognition of pregnancy and that they were busy.

新生児訪問・乳児家庭全戸訪問において、より質の高いサービスの提供のために、訪問スタッフに必要とされているスキルとは何かを明らかにすることを目的として、訪問の効果測定調査に協力が得られた看護職9名に、半構成的面接を行い、質的帰納的分析を行った。訪問の経験年数により《コミュニケーション力》で違いが見られた。自己の活動を振り返る機会の有無は、専門性を確立・開発する能力習得に効果的であり、〈振り返る〉は重要なスキルの1つと考えることができる。