救命救急センター初療室で患者の家族対応をする救急看護師の共感疲労とレジリエンスの関連

Association Between Compassion Fatigue and Resilience in Emergency Nurses Who Deal with Patients' Families in the First Treatment Room of an Emergency and Critical Care Center

要旨

　目的：救命救急センター初療室で患者の家族対応をする救急看護師の共感疲労とレジリエンスの関連を明らかにする．

　方法：救急看護師を対象に，基本属性，Japanese version of the Professional Quality of Life Scale for Nurses[ProQOL-JN]」，「看護師レジリエンス尺度」の自記式質問紙調査を郵送法により実施した．

　結果：186名を分析対象とした（有効回答率31.1％）．レジリエンスと共感疲労に有意差はなく（p＝.162，OR＝.499（95％CI＝[.189，1.322]）），有意差があったのは共感満足（p＜.001，OR＝7.368（95％CI＝[2.587, 20.983]））であった．

　結論：レジリエンスと関連がみられたのは共感満足であり，自身の看護を肯定的に捉える共感満足は，救急看護師のレジリエンス能力に影響を与えていたことが示唆された．

　Objective: This study aimed to clarify the association between compassion fatigue and resilience in emergency nurses who deal with patients' families in the first treatment room of an emergency and critical center.

　Methods: The ER nurses' demographics of subjects, and scores of the Japanese version of the Professional Quality of Life Scale for Nurses(ProQOL-JN), and scores of the Resilience Scale for Nurses were collected.

　Results: Data from a total of 186 nurses were analyzed(valid response rate: 87.7%). There was no significant association between resilience and compassion fatigue(p = .162, OR = .499(95%CI = [.189, 1.322])). However, resilience was significantly associated with compassion satisfaction(p ＜ .001, OR = 7.368(95%CI = [2.587, 20.983])).

　Conclusion: Resilience was closely associated with compassion satisfaction, suggesting that compassion satisfaction, a positive perception of one's own nursing care, influenced the resilience of emergency nurses.