ナラティブにおける対人関係の複層性と連続性 : 方言調査の録音データを用いて

本稿は広島大学国語国文学会平成25年度研究集会（平成25年7月6日）での口頭発表（「ナラティブによる対人関係構築」）を修正・加筆のうえ改題したものである

Dental hygienists’ perceptions of professionalism are multidimensional and context-dependent: a qualitative study in Japan

Abstract Background Due to the declining birth rate and aging of Japanese society, the roles and responsibilities of dental hygienists are continuously expanding. Medical professionalism needs to be pursued continuously throughout one’s career in order to improve dental care and treatment. Although conceptualising professionalism is essential to the education of health professionals, professionalism in the field of dental hygiene has not been defined or adequately examined in Japan. The purposes of this study are to investigate dental hygienists’ perceptions of the constituent elements of professionalism and the factors affecting their perceptions. Methods Semi-structured interviews were conducted with 18 dental hygienists in Japan. Drawing on the conceptualisation of professionalism in medicine described by Van de Camp et al., the transcribed data were thematically analysed. Results The dental hygienists in this study perceived 70 constituent elements that were categorised into eight core competencies related to professionalism. These competencies were further classified into three main themes: intrapersonal, interpersonal, and public professionalism. There were three sociohistorical factors that affected their perceptions of the constituent elements, namely academic background (university or technical school), the contexts of any previously provided dental care (university hospital or dental clinic), and their social interactions with their colleagues during their engagement in dental practice (dental team or interprofessional team). Moreover, according to their sociohistorical backgrounds, the dental hygienists saw themselves variously as scholars (university graduates), facilitators (university hospital), skillful artisans (dental clinic), or collaborators (interprofessional team). Conclusions Dental hygienists’ perceptions of professionalism are multidimensional and context-dependent, so culture- and professional-specific elements need to be included in educational curricula and continuing professional development programmes. In particular, the conceptualisation of professionalism in the field of dental hygiene as described in this study can be a springboard for enhancing undergraduate education and clinical training

Additional file 1: of Dental hygienists’ perceptions of professionalism are multidimensional and context-dependent: a qualitative study in Japan

Different outcomes and expectations of the different programmes. (DOCX 17 kb