紀要論文 東海市における災害に強いまちづくりに向けた支援-潜在看護職のマンパワーを活用した災害支援共助システムの構築に向けて-
Supporting Tokai City to Create a City that is Resilient to Disasters -To establish a mutual disaster support system using manpower of locally residing potential nurses-

新美, 綾子 / 後藤 文枝 / 加藤 恵子 / 肥田 佳美 / 山本 克彦 / 佐藤 大介 / 稲坂 博

内容記述
 There is only a limited number of local doctors in Tokai city. In order to strengthen the mutual support function to save as many lives as possible between the time immediately after a large-scale disaster and the arrival of external assistance, the authors implemented a program to develop local nurses for a mutual support system in case of a disaster in Tokai city. The subjects of the program were locally residing potential nurses who live in Tokai city. In the previous year, a test program consisted of 3 courses was implemented. Based on the program evaluation, it was revised, and the following 3 courses were newly added: "Listening to the experiences of disaster sites", "Assisting childbirth at shelters", and "Creating a network among latent nurses". The overall understanding of each course among the participants was high. However, one of the newly added courses, "Assisting childbirth at shelters", presented lower results compared with the other courses, indicating a need to repeat the training. At the "Creating a network among locally residing potential nurses", the participants carried out a group work for each residential area. Knowing their peers' existence in the area created a sense of security and willingness to act at the time of a disaster and contributed to forming a foundation that will result in building a mutual disaster support system. The study results indicate that the program should be continued and further developed. 地域に在住している開業医師が少ないという特徴をもつ東海市において, 大規模災害発生直後から外部の救助者が到着するまでの間, 一人でも多くの命を救うための共助機能を強化するために, 市内在住の潜在看護職を対象に地域在住災害支援ナース育成プログラムを実施した. このプログラムは, 前年度に3 回コースとして実施した試案を評価し, 新たに, 「災害現場での実体験を聴く」, 「避難所での分娩に対応する」, 「潜在看護職間のネットワークづくり」を内容に加えて, 全6 回コースに改編したものである. 研修の各回の理解度では, 全体的に高い評価が得られたが, その中でも, 新たに加えた「避難所での分娩に対応する」の回が他の回に比べて低い結果となり, 繰り返し研修を実施する必要性を認めた. 「潜在看護職間のネットワークづくり」では, 参加者が居住地域別にグループワークを行い, 仲間の存在を知ったことが安心感と災害時の行動に対する意欲に結び付き, 災害支
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