看護職者と看護補助者が共に看護補助者役割の認識を共有する介入プログラムの開発と評価

Development and Evaluation of an Intervention Program for Nurses and Nursing Assistants to Recognize the Roles of Nursing Assistants

要旨

　目的：看護職者と看護補助者を対象とした看護補助者役割の認識を共有する介入プログラムを開発し，双方の看護補助者役割認識および看護チームに関する認識への介入効果を検証する．

　方法：部署の看護職者と看護補助者が合同で参加する1回1時間の介入プログラムを開発し，2020年8月〜12月に3施設各1病棟で介入を実施した．看護職者と看護補助者の看護補助者役割認識および看護チームに関する認識を介入前，直後，1ヶ月後に測定した．

　結果：看護職者32名と看護補助者14名を分析対象とした．看護職者は介入前と介入1ヶ月後で看護補助者役割認識の得点に差はなかったが，チームに関する認識の得点が高まった．看護補助者はいずれも変化を認めなかった．

　結論：介入プログラムにより，看護職者と看護補助者の看護補助者役割認識に変化は見られなかったが，看護職者のチームに関する認識が高まる可能性が示唆された．今後は対象者数を増やして検証が必要である．

　Aim: To develop an intervention program for nurses and nursing assistants to recognize nursing assistant roles and examine the effects of the program on their perceptions of these roles and the nursing team approach.

　Methods: An intervention program was developed in which nurses and nursing assistants participated together for one hour per session. It was conducted in one ward in each of three facilities from August to December 2020. Nurses and nursing assistants received questionnaires to assess their perceptions of the roles of nursing assistants and their team approach before, immediately after, and one month after the intervention.

　Results: The analysis included 32 nurses and 14 nursing assistants who responded to the survey. The nurses' scores for their perceptions of the nursing assistant roles did not differ between before and one month after the intervention, but their scores for their team approach increased. There was no significant change for the nursing assistants.

　Conclusion: The intervention program developed in this study was implemented, and it was suggested that while the program does not change the nurses' perception of the roles of nursing assistant, it can enhance their perception of their team approach. Further research with a larger number of nurses and nursing assistants is needed to verify the results of this study.