トランスジェンダーに対する看護師の知識及び理解的態度と看護実践の関連

Association between Nurses' Knowledge and Understanding Attitude of Transgender People and Their Provision of Appropriate Nursing Care Practice

要旨

　目的：トランスジェンダー（TG）に対する看護師の知識および理解的態度と看護実践の関連性について検証すること．

　方法：全国の711病院に勤務する看護師を対象に，無記名自記式オンライン調査を実施した．TGに関する知識・理解的態度，TG に対する看護実践，基本属性等について尋ねた．独立変数を知識および理解の各変数，従属変数をTG に対する理想的な看護実践と現実的な看護実践とし，重回帰分析を用いて偏回帰係数および95％信頼区間を算出した．

　結果：合計528名から回答を得た．TGの知識得点が高いことは，理想的な看護実践・現実的な看護実践ともに得点が高いことと関連していた．TGへの理解的態度の得点も，理想的な実践と有意な関連がみられたが，現実的な実践には関連がなかった．

　結論：TGについて理解的であるだけでなく，正しい知識を持つことがTGへの看護において重要であり，より良い支援につながる可能性がある．

　Objective: The objective of this study was to examine whether nurses' knowledge and understanding attitudes towards transgender (TG) are associated with nursing care provided to TG people.

　Methods: An anonymous self-administered online survey was conducted among nurses working at 711 hospitals across Japan. Participants were asked to complete a questionnaire covering topics such as their knowledge/understanding attitudes towards TG, nursing care provided to TG people, and demographic characteristics. Partial regression coefficients and 95% confidence intervals were calculated using multiple regression analysis with the knowledge and understanding of TG as the independent variables, and ideal nursing care and actual nursing care provided to TG people as the dependent variables.

　Results: A total of 528 people responded to the survey. The high scores in knowledge of TG indicated high scores in both ideal and actual nursing care provided to TG people. The scores on understanding attitudes towards TG were also significantly associated with ideal nursing care, but not with actual nursing care provided to TG people.

　Conclusion: To have a good understanding as well as the correct knowledge about TG is important for nurses in providing their nursing care, and may lead to better support for TG people.