新生児集中治療室（NICU）におけるEnd-of-Life家族支援看護師教育プログラムの開発と満足度の評価

Development and Satisfaction Evaluation of End-of-Life Family Support Nursing Educational Program in Neonatal Intensive Care Units

要旨

　目的：NICUのEnd-of-Life（EOL）家族支援への肯定的な態度と知識，技術の習得を促す看護師教育プログラムを開発し，構成・内容と満足度を評価する．

　方法：1時間半のオンデマンド型e-learningと3時間のオンライン集合研修から成るプログラムを開発した．EOLケア経験のあるNICU/Growing Care Unit看護師を対象にプログラム実施後に満足度に関する12項目と自由記述で回答を得た．

　結果：参加した52名の看護師の8〜9割以上が，満足度に関する全ての項目に「そう思う〜非常にそう思う」と回答した．自由記述では，【知識の深化】と【他施設からの学び】が述べられ，その学びは【実践での活用に対する意欲や自信】【今後の課題の明確化】につながった．

　結論：対象者の満足度は高い傾向にあり，構成と内容は概ね適切であることが確認された．また，看護実践への有効性の認識につながることが示唆された．

　Objective: This study aimed to develop a nursing education program that promotes positive attitudes toward and acquisition of knowledge and skills regarding end-of-life family support in neonatal intensive care units (NICUs), and to evaluate their satisfaction with the program.

　Methods: The Analysis, Design, Development, Implementation, and Evaluation model of instructional design was employed to develop the program, which comprised 1.5 hours of on-demand e-learning video viewing and 3 hours of online group training. The participants were nurses who had completed Clinical Ladder Level II or higher programs working in NICUs or Growing Care Units (GCUs), having experience in end-of-life care in NICU. After completion of the program, participants evaluated it by responding to 12 survey items related to satisfaction with the educational program. Their responses were rated on a 7-point Likert scale. In addition, their opinions were obtained through free-text responses.

　Results: The program included 52 NICU/GCU nurses. Between 80% and 90% of participants answered "agree" or "very much agree" on all items related to their satisfaction with the program. In their free response evaluations, they mentioned "deepening of knowledge" and "learning from other facilities and role-play." This in turn led to "reflection and clarification of own care," "willingness to use in practice and confidence," and "clarification of future issues."

　Conclusions: The participants appeared highly satisfied with the program, confirming that the structure and content were generally appropriate and feasible. This program made it easy for nurses across facilities to participate, and the content was satisfying, suggesting that the program's effectiveness in nursing practice is potentially recognizable.