特定機能病院に勤務する看護師の援助規範意識と付き添い家族のケアの傾向

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URI http://shark.lib.kagawa-u.ac.jp/kuir/metadata/27412
Title
特定機能病院に勤務する看護師の援助規範意識と付き添い家族のケアの傾向
Title Alternative
Helping Norm of Nurses Working in Special-function Hospitals, and Care Trends Towards Families
File
Description

 本研究の目的は,看護師の援助規範意識の程度によって,家族への看護ケアが異なるか,異なるとすればどのような要因が関連しているのかについて検討することである.
 特定機能病院に勤務する看護師60 名を対象に自記式質問紙調査を実施した.調査内容は,基本属性の他,援助規範意識尺度(29 項目5 件法),独自に作成した家族援助場面図版(4 項目4 件法)であった.
 援助規範意識は臨床経験月数37 から60 か月の看護師で低下し,その後高く維持された.また,家族援助場面図版の4 場面の内,図版1「妻に頼る患者」を除けば,家族に対するケアを行う際に援助規範意識は影響しなかった.
 37 から60 か月の看護師で援助規範意識が低下する理由に,バーン・アウトが関与する可能性がある.情緒的な反応が乏しくなった結果,他者への援助行動が困難になり,援助規範意識が低下したと考えられる.
 家族援助場面図版の特徴から,家族に対するケアは援助規範意識よりも専門職としての経験が関与する部分が大きいことが分かった.

 This study aimed to elucidate whether nursing care for families attending patients differs in accordance with the strength of the nurse’s helping norm, and if there are differences, to evaluate what factors are associated in nursing care.
 A self-administered written questionnaire was distributed to 60 nurses who work at special-function hospitals. In addition to basic characteristics, the survey items included a Helping Norm Scale (5-point scale with 29 items), and illustrations of family helping scenes (4-point scale with 4 items) created by the authors.
 The helping norm declined for nurses with clinical experience from 37 months to 60 months, then remained high for longer clinical experience. Among the 4 family helping scenes, with the exception of Scene 1, ‘Patient relying on wife’, the helping norm had no effect when the nurse provided care to the family.
 A possible reason for a weaker helping norm of nurses with clinical experience from 37 months to 60 months is that burn out is involved. The nurse’s helping norm may be weakened due to a decline in emotional reactions, and due to helping behavior towards other persons becoming difficult.
 The characteristics of the family helping scenes elucidated that care towards the patients’ family is affected more by experience as a specialist than by the nurse’s helping norm.

Author
著者 山本 麻理奈
著者(ヨミ) ヤマモト マリナ
著者(別表記) Yamamoto Marina
著者 清水 裕子
著者(ヨミ) シミズ ヒロコ
著者(別表記) Shimizu Hiroko
Publication Title
香川大学看護学雑誌
Publication Title Alternative
Nursing journal of Kagawa University
Volume
16
Issue
1
Start Page
65
End Page
73
Publisher
香川大学医学部看護学科
Published Date
2012-03-01
ISSN
1349-8673
NCID
AA12029628
Resource Type
Departmental Bulletin Paper
Language
jpn
Text Version
publisher
Set
香川大学
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