救急看護認定看護師が考えるフライトナースの職務とコンピテンシー

Occupational Tasks and Competencies of Flight Nurses as Considered by Nurses Certified for Emergency Nursing

要旨

　目的：フライトナースの職務と行動特性に関する救急看護認定看護師の考えを集約しフライトナースが果たす職務の内容とコンピテンシーを構成する行動単位を明らかにする．

　方法：デルファイ法を用いて，救急看護認定看護師1,096名を対象に質問紙調査を3回行った．コンセンサスを示す同意率は81％とした．

　結果：第1調査53名，第2調査32名，第3調査17名から返信があり，「フライトナースが果たすべき職務」は10職務68項目でコンセンサスを得た．「高い成果を上げるフライトナースの行動特性」は，17のコンピテンシーと90の行動単位でコンセンサスを得た．その内，特に高い同意を得た行動単位で構成されるコンピテンシーは7つであった．

　結論：「高い成果を上げるフライトナースの行動特性」でコンセンサスが得られた行動単位は「フライトナースが果たすべき職務の内容」に生かされていることが示唆された．

　Objective: To identify occupational tasks to be fulfilled by flight nurses and the behavioral units comprising their competencies by summarizing opinions of nurses certified for emergency nursing regarding their views on what these tasks actually are and the behavioral traits manifested when effectively performing them.

　Methods: Three surveys (Rounds 1-3) were conducted using a questionnaire and the Delphi methods involving 1,096 nurses certified for emergency nursing. An agreement rate of 81% was deemed to indicate a consensus.

　Results: Responses were obtained from 53 in Round 1, 32 in 2, and 17 in 3. A consensus was built in 68 items representing 10 “occupational tasks to be fulfilled by flight nurses”. As for the “behavioral traits of high-performing flight nurses”, a consensus was built in 17 competencies and 90 behavioral units comprising competencies. Among them, competencies comprised of behavioral units that achieved particularly higher agreement rates were 7.

　Conclusion: The behavioral units building a consensus on “the behavioral traits of high-performing flight nurses” were suggested to be reflected in “the occupational tasks to be fulfilled by flight nurses”.