パートナーシップ・ナーシング・システム導入，非導入における看護実践能力とSelf-Compassionの比較

Comparison of the Ability to Practice Nursing and Self-Compassion in the Introduction and Non-introduction of the Partnership Nursing System

要旨

　目的：PNS導入の有無における看護実践能力とSelf-Compassionを比較する．

　方法：看護師1,081名に自記式質問紙を配布した．質問紙は基本属性，看護実践の卓越性自己評価尺度病棟看護師用（NES）およびSelf-Compassion尺度日本語版短縮版（SCS-J-SF）で構成した．傾向スコアを用いて交絡因子を調整後，t検定を行った．

　結果：890名の有効回答を得た（PNS群209，非PNS群681）（有効回答率82.3％）．傾向スコアによる調整後，サンプル数はPNS群70名，非PNS群70名であった．NES得点は両群で有意差はなかった．PNS群はSelf-Compassionの自分へのやさしさ（p＝.021）と，共通の人間性（p＝.003）が非PNS群より有意に高かった．

　結論：PNSにおいてSelf-Compassionの肯定的側面が高まる可能性が示唆された．

　Aims: To compare the ability to practice nursing and Self-Compassion between Partnership Nursing System(PNS) implementation and non- PNS implementation.

　Methods: Self-administered questionnaires were distributed to 1,081 nurses. The questionnaire consisted of basic attributes, the Nursing Excellence Scale in Clinical Practice(NES) and the Short Form of the Japanese version of the Self-Compassion Scale(SCS-J-SF). Participants were divided into two groups, those who implemented PNS(PNS group) and those who did not(non-PNS group). The t-test was conducted after adjusting for confounding factors using propensity scores.

　Results: We obtained 890 valid responses from participants(209 in the PNS group, 681 in the non-PNS group) (valid response rate, 82.3%). After adjustment for propensity score, the sample size was 70 in PNS group and 70 in the non-PNS group. NES scores were not significantly different between the two groups. The PNS group was significantly higher than the non-PNS group in Self- Kindness(p = .021) and Common Humanity(p = .003).

　Conclusion: The results suggest that PNS may increase positive aspects of Self-Compassion.