クリティカルケア領域初期キャリア看護師の看護実践能力評価のためのルーブリックの開発

Development of Rubric for Evaluation of Nursing Competency of Early Career Nurses in Critical Care

要旨

　目的：クリティカルケア領域初期キャリア看護師を対象とする看護実践能力を評価するためのルーブリックを開発することである．

　方法：「集中治療に携わる看護師のクリニカルラダー」をもとに，指導者看護師との相互評価を前提とするルーブリック素案を開発し，専門家会議で評価観点の内容妥当性確認と評価基準等の表現を検討した．続いて初期キャリア看護師とその指導者看護師を対象とした試行調査を実施し，最後に専門家へ評価観点の確認を依頼した．

　結果：専門家会議の結果，内容妥当性のない評価観点を削除し12項目，3段階の基準を持つルーブリックとなった．試行調査は1組のみの実施となったが，ルーブリックを使用した相互評価のみでは能力開発につながりにくい可能性が明らかとなった．

　結論：12項目の評価観点からなるルーブリックの妥当性は確認できたが，相互評価を課題発見につなげるためのツールを作成する必要性が見出された．

　Objective: This study aimed to develop a rubric to evaluate nursing competency for early career nurses in the critical care area.

　Methods: First, we developed a draft rubric for peer review by instructor nurses and early career nurses based on the "Clinical Ladder for Nurses in Intensive Care". Next, we discussed the validity of the content of the evaluation perspectives and the expression of the evaluation criteria at an expert meeting. Then, we conducted a trial survey with an early career nurse and an instructor nurse, and finally, we asked the experts to confirm the evaluation perspectives.

　Result: As a result of an expert meeting, we developed the rubric with 12 items and three criteria levels by eliminating the evaluation points that did not have content validity. Although we conducted the pilot study with only one pair of an early career nurse and an instructor, it became clear that peer review using the rubric was unlikely to lead to skill development.

　Conclusion: Although we confirmed the validity of the rubric consisting of 12 evaluation items, we identified the need to create a tool to link peer review to the discovery of issues.