回復期リハビリテーション病棟看護師の多職種連携実践力に影響する要因

Factors Affected with the Ability of Nurses Working in a Convalescent Rehabilitation Ward to Collaborate with an Interdisciplinary Team

要旨

　目的：回復期リハビリテーション病棟（以下，リハ病棟）に勤務する看護師の多職種連携実践力に影響する要因を明らかにすることである．

　方法：リハ病棟看護師245名に，インタープロフェッショナルワーク実践能力評価尺度（CICS29）を用いて質問紙調査を実施した．単変量解析で有意差がみられた変数を独立変数とした二項ロジスティック回帰分析を行った．

　結果：CICS29に影響する要因は，「連携に関する現任教育の受講（Exp = 10.591）」，「療法士がチームリーダー（Exp = 19.455）」，「コミュニケーション能力（Exp = 1.157）」，「バックアップ能力（Exp = 1.180）」であった．

　結論：多職種連携実践力を高めるためには，連携に関する現任教育および療法士をチームリーダーとするチームの構築，多職種の理解を深めコミュニケーション能力およびバックアップ能力を高めることの必要性が示唆された．

　Purpose: To identify the factors that are affected with the ability of nurses working in a convalescent rehabilitation ward (hereafter the “rehab ward”) to collaborate with an Interdisciplinary team.

　Method: A questionnaire survey was administered to 245 nurses working in rehab wards in the Hokuriku area by using the Readiness for Chiba Interprofessional Competency Scale (CICS29). Binomial logistic regression analysis was performed by using the variables that had shown significant differences in a univariate analysis as independent variables.

　Results: The following variables were extracted as factors affected with the ability of nurses working in rehab wards to collaborate with an Interdisciplinary team: “in-service training programs to encourage collaboration”, “appointment of a therapist as a team leader”, “communication ability”, and “ability to support co-workers”.

　Conclusions: This research is to ensure that nurses working in the rehabilitation ward improve their ability to work with interdisciplinary teams, it suggests to build an in-service education program on collaboration, build a team with a therapist as a leader, in addition, improve communication skills and backup skills by deepening the understanding of other job types