子ども虐待発生予防に向けた看護実践自己評価尺度—産科病棟看護職版—の開発

Development of the Nursing Evaluation Scale for Child Maltreatment Prevention—Maternity Ward Nurses Version—

要旨

目的：産科病棟勤務の看護職が活用できる子ども虐待発生予防に向けた看護実践の自己評価尺度（NES-CMP）—産科病棟看護職版—を開発することを目的とした．

方法：全国の産科医療機関から半数を無作為抽出した．そのうち同意が得られた79施設の産科看護職1,568名を対象として，郵送による無記名自記式質問紙調査を実施した．

結果：739名（有効回答率47.1％）のデータを使用し信頼性と妥当性を検討した．探索的因子分析の結果，「多職種支援体制のための調整」，「信頼関係の構築」，「育児支援必要度の査定」，「チームケアの実践」の4因子30項目となった．尺度全体のクロンバックα係数は0.97であった．

結論：本尺度は構成概念妥当性と内的整合性が確認でき，子ども虐待発生予防に向けた看護実践の自己評価に活用できる．

Purpose: To develop a nursing evaluation scale for child maltreatment prevention (NES-CMP)—maternity ward nurses version—that can be utilized by obstetric nurses.

Methods: We randomly selected half of obstetric medical institutes nationwide. As a research target of which 1568 people of obstetric nurses of the 79 facilities that were obtained consent; an anonymous self-administered questionnaire was sent by mail.

Results: Reliability and validity were examined using data from 739 respondents (valid response rate 47.1%). With the help of results from an exploratory factor analysis, a 4-factor scale comprising 30 items was completed. The 4 factors are “Coordination for an interprofessional care system,” “Building of trusting relationships,” “Assessment of necessity of child care support,” and “Team-care practices.” Cronbach's α was 0.97.

Conclusion: The NES-CMP was confirmed the validity of construct and internal consistency of this scale. That it can be utilized for self-evaluation of nursing practices for the prevention of child maltreatment.