人々との関わりを通した母子保健推進員の役割認識の特徴 ―母子保健推進協議会の役員経験者の役割認識の考察から―

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  • Characteristics of role recognition by community health workers through interactions with community people: a study on former directors of maternal and child health promotion councils
  • ヒトビト ト ノ カカワリ オ トオシタ ボシ ホケン スイシンイン ノ ヤクワリ ニンシキ ノ トクチョウ : ボシ ホケン スイシン キョウギカイ ノ ヤクイン ケイケンシャ ノ ヤクワリ ニンシキ ノ コウサツ カラ

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[要旨]目的:本研究の目的は,母子保健推進協議会の役員経験者の役割認識について明らかにし,人々との関わりを通した母子保健推進員の役割認識の特徴を考察し推進員への支援を検討することである。方法:母子保健推進員等(以下,推進員)を市長より委嘱され,推進協議会の役員経験者16名を対象とし,半構成的面接により,母子保健推進員の役割を認識するきっかけとなった出来事やその時の思いや行動を聴取した。調査内容から研究対象者毎に,推進員の役割認識が表れている語りを抽出し,推進員の役割認識の内容を委嘱初期,推進協議会の役員経験前,現在の時期ごとに質的記述的に分析した。結果:母子保健推進員の役割認識の内容は,12カテゴリー見出された。委嘱初期は【自分でできることを考えて行う】等2つ,推進協議会の役員経験前は【個別の母子への支援を通して地域に目を向ける】等5つ,現在は【住民に喜んでもらえる活動を自分の喜びにする】等5つであった。考察:推進員の役割認識は,受動的な委嘱初期の役割認識から,地域に暮らす育児中の母と子,家族に対する関わりを通して地域に目を向け,推進員の仲間や他組織に属する地域住民と共に活動することで,個人の自己成長にとどまらず,仲間と共に自己成長し,活動を自身の喜びにすることで,リーダーシップを発揮しながら質の高い活動を行う推進員の役割認識が明らかになった。地域における互助・共助の推進とソーシャル・キャピタルの核となる人材育成につながるような支援の重要性が示唆された。

[SUMMARY] Purpose: This study aims to clarify role recognition for Community Health Workers through their interactions with people in the community and considers measures to support these workers. Methodology: Sixteen people appointed by the mayor who served on the promotion council as Community Health Workers (“promoters”) responded to questions as part of semi-structured interviews. The questions focused on events that led respondents to recognize their role as well as their thoughts and actions at that time. Narratives about role recognition were extrapolated from these interviews and the contents were analyzed with respect to three phases in the participants’ careers: the initial period, the period before their directorial experience, and the present. Results: We classified the role recognition of promoters into 12 categories. The initial period had two categories, including items such as “thinking about what I can do on my own.” The period before their directorial experience had five categories, including items such as “being attentive toward the community’s needs by supporting individual mothers and children.” In the present period, there were five categories, including items such as “taking pleasure in activities that bring happiness to local residents.” Discussion: The promoters recognized their role initially as being more passive. Over time, this perspective shifted toward a greater involvement with the community by engaging with the mothers, children, and families living there, as well as cultivating their own enjoyment through leading activities carried out with fellow promoters and community residents belonging to other organizations. This suggests the importance of providing support for promoters to advance recognition of their role.

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