自殺予防におけるソーシャルキャピタルを醸成する保健師活動尺度の開発  [in Japanese] A Development of Scales Illustrating How Public Health Nurses Nurture Social Capital for Suicide Prevention  [in Japanese]

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Abstract

目的:自殺予防におけるソーシャルキャピタル(以下,SC)を醸成する保健師活動を測定する尺度(自殺予防SC醸成尺度)を開発し,その信頼性,妥当性を検討する.方法:文献検討とインタビューをもとに,22項目の質問紙を作成した.2007年の自殺死亡率が27.0以上ある9県内すべての市町村(271か所)で自殺対策を担当している保健師に対し,郵送法による質問紙調査を行った.有効回答が得られた129自治体を分析対象に,主因子法,Promax回転による因子分析を行い,尺度の信頼性と妥当性の検討を行った.結果:16項目3因子「実効性のある関係者との連携」「個別ニーズを共有し,住民の主体的な取り組みへつなげる」「住民同士が気遣いあえるネットワークづくり」からなる尺度を作成した.尺度全体のCronbach's αは,0.91,3因子各項目は,0.79〜0.88であった.既知グループ法で有意差がみられ,外部指標とは有意な相関がみられたが,0.7以上の相関ではなかった.考察:基準関連妥当性に検証の余地は残ったが,尺度の内的整合性,構成概念妥当性は支持され,自殺予防SC醸成尺度として使用可能であることが示唆された.

Objective : We developed scales for demonstrating how public health nurses in charge of preventing suicides foster social capital (hereinafter called SC) : scales fostering SC for suicide prevention; and examined their reliability and validity. Procedure : We made a questionnaire consisting of 22 items extracted from literature examination and interviews. We mailed the questionnaires to 271 public health nurses in charge of preventing suicides in every municipality in 9 prefectures which had a suicide death rate of 27.0 and over in 2007. 129 valid responses were analyzed by factor analysis (principal factor analysis, promax rotation), and reliability and validity were examined. Result : We obtained 16 valid items, and from these made scales consisting of three factors: "Workable cooperation with the parties concerned," "Shared individual needs and their connection with residents' independent approach," and "Networking where everyone takes care of everyone else." Cronbach's α in the whole of the scales was 0.91, and that of each item was from 0.79 to 0.88. A significant difference was shown using the known-groups technique, and a significant correlation with external indexes was indicated, but coefficient of correlation was not 0.7 and over. Discussion : Our scales remained a matter of verification in criterion-related validity, but their internal consistency and construct were validated. It was suggested that they were available as scales fostering SC for suicide prevention.

Journal

  • Journal of Japan Academy of Community Health Nursing

    Journal of Japan Academy of Community Health Nursing 16(3), 53-64, 2014

    Japan Academy of Community Health Nursing

Codes

  • NII Article ID (NAID)
    110009810265
  • NII NACSIS-CAT ID (NCID)
    AA11362530
  • Text Lang
    JPN
  • ISSN
    1346-9657
  • NDL Article ID
    025432218
  • NDL Call No.
    Z74-B543
  • Data Source
    NDL  NII-ELS  J-STAGE 
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