病院に勤務する看護師のインタープロフェッショナルワークに関するコンピテンシーの文献検討

Japanese Literature Review on Competency Related to the Interprofessional Work of Nurses in the Hospital

要旨

目的：わが国の病院に勤務する看護師のInterprofessional Work（以下IPW）コンピテンシーに関する国内文献の知見を整理すること．

方法：医学中央雑誌Web版（Ver. 5）とCiNii，Google Scholarを用いて，「協働」「コンピテンシー」「病院」「IPW」をキーワードとして文献を検索し，最終的に22件の原著論文を分析対象とした．

結果：22文献の知見の要約は，【看護臨床能力に含まれるIPW能力】【看護の卓越性としての調整力】【職種間コミュニケーション】【看護教育と実践によるIPWの能力育成】に分類された．

結論：わが国の病院に勤務する看護師のIPWに関するコンピテンシーは，様々な看護活動に必要であり，看護の卓越性に重要な要素であった．また，職種間のアサーティブなコミュニケーションが重要であった．今後は，関係職種側からの評価やコンフリクト解決について，より実践的な検討が課題であることが示唆された．

Purpose: The aim of this research is to organize knowledge of domestic literature on Interprofessional Work (IPW) competencies for nurses working in a hospital in Japan.

Method: A search was done on the literature in various databases including the Japan Medical Abstract Society (JAMAS) Web Edition (Ver. 5), National Institute of Informatics Scholarly and Academic Information Navigator (CiNii), and Google Scholar, using the following keywords: “Interprofessional human relations/Team healthcare/Doctors-Nurses professional relationships/cooperation,” “Clinical abilities/competencies” and “Hospitals.” As a result of having searched it, we finally intended for 22 original papers.

Results: The results of content analysis showed “Clinical abilities of nurses regarding their IPW ability,” “Coordination ability of nursing excellence” “Inter-disciplinary communication,” “Nursing education and IPW ability training” and only one piece of literature dealt with Competency Evaluations.

Discussion: The competency regarding the IPW of nurses in hospitals was necessary for various nursing activities and was an essential factor in the excellence of nursing. Moreover, assertive communication between the different job types was important.

It was suggested that more pragmatic investigations into such issues as conflict resolution and evaluations from the perspective of various disciplines are research problems for competency studies related to the IPW in our nation.