特別養護老人ホームで作業療法士が介護職と情報共有するための自記式チェックリストの開発

Development of a self-assessment checklist for occupational therapists to share information with nursing care workers at a special nursing home for the elderly

要旨：特別養護老人ホーム（以下，特養）で，作業療法士（以下，OT）が介護職（CW）との情報共有を促進する要因にどの程度関われているかを評価する自記式チェックリストを開発した．方法は，質問紙調査を用いた．全国の特養に勤務するOTに調査票を配布し，チェックリストの19項目について項目反応理論に基づき分析を行った．その結果，223名から回答が得られ，すべての項目が尺度構成に相応しく適切であることが示された．また，チェックリストの測定精度は，情報共有を促進する能力が中程度までの能力を有したOTに実施した場合に保たれており，能力の高いOTに実施した場合には低くなることが確認された．

　We developed a self-assessment checklist to evaluate how occupational therapists (OT) are involved in factors promoting information sharing with nursing care workers (CW) at a special nursing home for the elderly. We conducted a questionnaire on OTs working for special nursing homes for the elderly in Japan. 19 items of the checklist were analyzed by item reaction theory. We got responses from 223 people, and all the items were appropriate for the scale composition. In addition, it was found that the checklist had low measurement accuracy when executed with OTs with high ability to promote information sharing. Furthermore, it was confirmed that the measurement precision was sufficiently maintained when it was carried out on the OTs with moderate ability (somewhat lower).