産科医療機関における子ども虐待発生予防の看護実践意識化プログラムの効果検証：無作為化比較試験

Effectiveness of a Nursing Practice Awareness Program for the Prevention of Child Maltreatment in Obstetric Medical Institutions: A Randomized Controlled Trial

要旨

　目的：産科医療機関の看護職を対象に，子ども虐待発生予防に向けた看護実践意識化プログラムの効果を検証することを目的とした．

　方法：無作為化比較試験を介入群31名，対照群30名を対象に実施した．介入群にはEラーニングとグループワークによるプログラムを実施した．効果評価には，NES-CMP（子ども虐待発生予防に向けた看護実践自己評価尺度）と看護実践の意識，モチベーション，自信の割合および変化量を用いた．

　結果：介入群28名（脱落率9.7％），対照群26名（脱落率13.3％）のデータを分析した．NES-CMPスコアでは両群に有意差はなかったが，看護実践の意識，モチベーション，自信の変化量では，介入群が対照群を有意に上回った．

　結論：本プログラムは，看護実践における意識，モチベーション，自信の向上に有効であったが，より広範な対象者や効果の持続性を検討する必要がある．

　Objective: This study aimed to evaluate the effectiveness of a nursing practice awareness program designed to prevent child maltreatment, targeting nurses working in maternity wards at obstetric medical institutions.

　Methods: A randomized controlled trial was conducted with 61 participants—31 in the intervention group and 30 in the control group. The intervention group received a program consisting of the combination of e-learning and group work. The effectiveness of the program was evaluated using the NES-CMP (Nursing Evaluation Scale for Child Maltreatment Prevention), as well as through the observation of changes in their awareness, motivation, and confidence related to nursing practice.

　Results: Data belonging to 28 participants in the intervention group (attrition rate: 9.7％) and 26 in the control group (attrition rate: 13.3％) were analyzed. Although there was no significant difference in NES-CMP scores between the groups, the intervention group displayed significantly higher changes in awareness, motivation, and confidence in comparison to the control group.

　Conclusion: The program was effective in enhancing awareness, motivation, and confidence in nursing practice. However, further research is needed to explore the sustainability of these effects and the applicability of the program to a broader range of nursing professionals.