1.The current status of the demonstration of competencies by nurse managers and the issues of their support for the improvement in Hospital A
Mariko SOMIYA ; Yukie FURUZAWA ; Mayuri HASHIMOTO ; Miki YASUDA ; Tomoka SOMIYA
Journal of the Japanese Association of Rural Medicine 2025;74(1):45-55
This study aimed to examine the nursing management behaviors of nurse managers at Hospital A and to identify challenges in developing nurse managers capable of implementing nursing management behaviors based on the competency model. Individual interviews were conducted twice with nine nurse managers. Newly appointed nurse managers demonstrated competencies related to supporting others, such as “self-improvement and learning ability”. The competencies requiring further development included “interpersonal influence”, which also relates to supporting others. Among nurse managers with more than 4 years of experience, both the competencies they exhibited and those requiring further improvement included “commitment to the organization”, with references to contributing to the overall benefit of the hospital. Newly appointed nurse managers need support in reflecting on their nursing management behaviors by observing and learning from others. Meanwhile, nurse managers with over 4 years of experience require assistance in collaborating with other departments to contribute to the hospital as a whole.
2.Changes in the recommended age for rubella-containing vaccine and rubella seroprevalence among pregnant women
Yasutaka Kuniyoshi ; Azusa Kamura ; Sumie Yasuda ; Makoto Tashiro ; Miki Saito ; Rikako Hashimoto
An Official Journal of the Japan Primary Care Association 2014;37(2):99-103
Objectives : To investigate the prevalence of rubella HI antibody among pregnant women in relation to changes in the recommended age for rubella-containing vaccination.
Methods : A total of 659 primiparous women were included in this study. All subjects were ≥20 years old at the time of delivery in our hospital during the 5-year period from January 2008 to December 2012. Rubella HI antibody titers were measured. Subjects were divided into four groups according to their date of birth and retrospectively analyzed : i) single-dose mass vaccination in junior high school generation ; ii) “interim measures generation” ; iii) single-dose vaccination in infancy generation ; and iv) infancy plus catch-up MR two-dose vaccination generation. HI antibody titers ≤1 : 16 was defined as a low antibody titer.
Results : The percentage of cases with low antibody titers in the total study population was 20.2%. The percentages of cases with low antibody titers in each group were : i) 20.4%, ii) 18.2%, iii) 30.6%, and iv) 31.6%.
Conclusion : The percentage of low antibody titers among all cases was comparable to other reports. The results suggested that rubella seroprevalence was low among those in the generation including and subsequent to the single-dose vaccination in infancy generation.


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