精神科看護師の看護実践能力の自己評価に関連する要因の検討

Factors Related to Psychiatric Nurses' Self-Assessment of Nursing Competence

要旨

　目的：精神科看護師の看護実践能力の自己評価に関連する要因を明らかにする．

　方法：国立病院機構の精神科病院7施設392人の病棟看護師を対象に，質問紙調査を実施した．精神科看護師の看護実践能力の自己評価を従属変数とし重回帰分析を行った．

　結果：168人（有効回答率42.9％）を分析対象とした．重回帰分析の結果，精神科看護職者の看護実践能力評価尺度および下位尺度の得点と，精神的エンパワメント，リカバリー志向性，精神科経験年数，院外研修参加回数との関連が示された．

　結論：精神科看護師の看護実践能力の自己評価を高めるためには，自身の看護実践の意味や仕事上の能力への自信，自己決定権を自覚することで仕事のコントロール感を感じられること，リカバリーを支援しようとする態度を高めることが重要である．

　Objective: This study explored the factors associated with psychiatric nurses' self-assessment of their nursing competence.

　Methods: A questionnaire survey was administered to 392 ward nurses employed at seven psychiatric hospitals operated by the National Hospital Organization. Multiple regression analysis was conducted, considering psychiatric nurses' self-assessment of their nursing competence as the dependent variable.

　Results: Data obtained from 168 participants were analyzed(valid response rate: 42.9%). Multiple regression analysis indicated that participants' self-assessment of their nursing competence was associated with psychological empowerment, recovery orientation, years of psychiatric experience, and the number of times they participated in out-of-hospital training.

　Conclusion: To increase psychiatric nurses' self-assessment of their nursing competence, it is important that they feel in control of their work by recognizing the meaning of their nursing practice, confidence in their competence, and the right to self-determination in their work. Additionally, it is important to improve attitudes toward supporting patients' personal recovery.