患者-看護師関係におけるルール意識 : 臨床看護師と看護学生の比較  [in Japanese] Comparison of Nurse and Nursing Students' Views Regarding Rules for Patient-Nurse Relationships  [in Japanese]

本研究の目的は,臨床看護師と看護学生の患者-看護師関係におけるルール意識を比較することにある。質問紙調査により,臨床看護師71名,看護学生106名が「そうすべきだ」「そうすべきでない」と考えるルールを評定した。その結果,両者が選んだルールは類似していたが,一部に有意差がみられた。看護師側のルールとして,臨床看護師は「親密さ」「自己開示」「金品の交換」を規制するルールを看護学生よりも強く支持したが,看護学生は「情緒的関与」を促進するルールを強く支持した。また患者側のルールとして,臨床看護師は「親密さ」「金品の交換」を規制するルールを強く支持したが,看護学生は「自己開示」を促進するルールを強く支持した。

The purpose of this study was to examine the difference in the rules of patient-nurse relationships between clinical nurses and senior nursing students. Seventy-one nurses and 106 students were asked to rate on a 9-point scale how important they believed each rule was in the patient-nurse relationship, firstly, as applied to the patient, and secondly, as applied to the nurse. Both participants highly endorsed a similar number of rules. Using a t-test, we found significance (p<.001) in endorsed rules between nurses and students. For rules for nurses, nurses more strongly endorsed rules concerning regulating intimacy, regulating self-disclosure, and regulating exchange of rewards. However, students more strongly endorsed rules concerning promoting emotional commitment. Regarding rules for patients, nurses more strongly endorsed rules concerning regulating intimacy, and regulating exchange of rewards. Students more strongly endorsed rules concerning promoting patient self-disclosure.