看護師が多職種のエラーを指摘する行動に影響を与える要因の検討

Consideration of Factors Affecting Nurses' Attitudes in Pointing out Inter-professional Errors

要旨

　目的：看護師が多職種のエラーを指摘する行動に影響を与える要因を明らかにする．

　方法：全国の特定機能病院に勤務する看護師1,834人に郵送法による質問紙調査を行った．問題指摘態度尺度，ノンテクニカルスキル等84項目を調査し，問題指摘態度尺度得点を目的変数，経験年数や職位などの個人属性とノンテクニカルスキル等の性格特性を分けて説明変数として重回帰分析を行った（強制投入法）．

　結果：質問紙の回収数は412部（回収率22.5％）．重回帰分析の結果，看護師の問題指摘行動に影響を与える要因は，経験年数や職位よりも個人の性格特性であるノンテクニカルスキルの「アサーティブネス」（β = .34, p < .001）と「リーダーシップ」（β = .21, p < .001）でより強い影響が示された．

　結論：看護師の問題指摘行動には，「アサーティブネス」，「リーダーシップ」などのノンテクニカルス キルが影響していた．

　Objective: To identify factors affecting nurses' attitudes in pointing out inter-professional errors.

　Method: A mail-in questionnaire survey was conducted on 1,834 nurses who work for advanced treatment hospitals throughout Japan. The questionnaire consisted of 84 items, including a scale for measuring the nurses' attitude toward pointing out problems and non-technical skills. Multiple regression analyses were conducted with the score on the scale for attitude toward pointing out problems as the objective variable, and personal attributes such as years of experience and job titles, and personality traits of individuals such as non-technical skills, as separate explanatory variables (simultaneous forced entry).

　Result: The number of responses to the questionnaire was 412 (response rate: 22.5%). As a result of the multiple regression analyses, factors that affect nurses' attitudes toward pointing out problems were affected more strongly by “assertiveness” (β = .34, p < .001) and “leadership” (β = .21, p < .001), which fell under non-technical skills that are personality traits of individuals, than by basic attributes including years of experience and job titles.

　Conclusion: Nurses' non-technical skills, such as “assertiveness” and “leadership” that are personality traits of individuals, had an effect on the attitudes in which they pointed out problems.