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Seishin Igaku Volume 60, Issue 7 （July 2018）

精神医学 60巻7号（2018年7月発行）

Japanese English

研究と報告

ピアスタッフとともに働くこととスタッフの支援態度および職場環境との関連—クロスセクショナル調査 Relationship between Working with Peer Providers and Employees' Attitudes toward Their Services and Their Workplace Environment:A cross-sectional survey 水野雅之 ¹ , 種田綾乃 ² , 澤田宇多子 ³ , 相川章子 ⁴ , 濱田由紀 ⁵ , Naoko Yura Yasui ⁶ , 山口創生 ⁷ Mizuno Masashi ¹ , Taneda Ayano ² , Sawada Utako ³ , Aikawa Ayako ⁴ , Hamada Yuki ⁵ , Naoko Yura Yasui ⁶ , Yamaguchi Sosei ⁷ ¹東京家政大学子ども学部 ²神奈川県立保健福祉大学保健福祉学部 ³東京大学大学院医学系研究科精神看護学分野 ⁴聖学院大学人間福祉学部 ⁵東京女子医科大学看護学部 ⁶School of Education ＆ Human Development, University of Southern Maine ⁷国立精神・神経医療研究センター精神保健研究所地域・司法精神医療研究部 ¹Faculty of Child Studies, Tokyo Kasei University, Saitama, Japan ²Faculty of Health and Social Services, Kanagawa University of Human Services ³Department of Psychiatric Nursing, Graduate School of Medicine, The University of Tokyo ⁴Faculty of Human Welfare, Seigakuin University ⁵School of Nursing, Tokyo Women's Medical University ⁶School of Education ＆ Human Development, University of Southern Maine ⁷Department of Community Mental Health ＆ Low, National Institute of Mental Health, National Center of Neurology and Psychiatry キーワード： Peer provider , Community mental health service , Attitude toward strength oriented support , Burnout , Inclusive workplace Keyword: Peer provider , Community mental health service , Attitude toward strength oriented support , Burnout , Inclusive workplace pp.773-781

発行日 2018年7月15日 Published Date 2018/7/15

DOI https://doi.org/10.11477/mf.1405205640

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抄録　本研究の目的は，ピアスタッフの雇用が他のスタッフの支援態度および職場環境とどのような関連を持つか検討することであった。地域活動支援センターと就労継続支援B型の支援者118名を対象に調査を行い，ストレングス志向の支援態度，バーンアウト，インクルージョンを目的変数，ピアスタッフの雇用を説明変数とし，事業所ごとの傾きを考慮したマルチレベル分析を行った。また，分析の際には，スタッフの年齢および性別，事業所の規模と種別を統制した。分析の結果，ピアスタッフの雇用はスタッフの仕事における達成感や効力感と有意な正の関連を示した。その一方で，スタッフの組織へのインクルージョンと有意な負の関連が示された。

　The purpose of this study was to investigate whether employment of a peer provider in a community agency was associated with employees' attitudes toward their services and their workplace environment. A total of 118 professionals involved in community activity support centers and supports for continuous employment participated in this survey. A multi-level analysis, adjusted for potential confounder variables(e.g., sex, age, and type of agency)as fixed effect and agency variables as random effects, was conducted to test the relationship between employment of a peer provider and staff outcomes including attitudes toward the strength oriented support, as well as views on occupational burnout and inclusiveness at the workplace. Our results showed that while the employment of a peer provider was positively related with the employees' sense of accomplishment and efficacy concerning their respective jobs, there was a negative relationship between the employment of peer supporters and the creation of an atmosphere of inclusiveness in the workplace environment.