神経難病患者のケアに携わる看護師のバーンアウトに影響を及ぼす職場環境ストレッサーの探索  [in Japanese] Finding Out the Work-Related Environmental Stressor Influencing Burnout Among Nurses Caring for Patients with Neurological Intractable Illness  [in Japanese]

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Abstract

本研究は,バーンアウトを予防するための具体的な介入策を考案するため,共分散構造分析を用いて,神経難病患者のケアに携わる看護師のバーンアウトに影響を及ぼす職場環境ストレッサーを明らかにすることを目的とした。国立系で病床数300以上の総合病院の神経難病病棟に勤務する看護師284名を対象に質問紙調査を実施した。分析の結果,神経難病患者のケアに携わる看護師のバーンアウトに最も強い影響を及ぼす職場環境ストレッサーは,「看護における不全感」であり,次いで「同僚との葛藤」であった。「医師不信」「上司との葛藤」「患者の死体験」は有意な影響を及ぼしていなかった。以上の結果より,看護師が患者支援に伴う気持ちを表出でき,同僚との良好な関係を促進していける職場環境作りがバーンアウトの予防において重要であることが示唆された。

The purpose of this study is to clarify the work-related environmental stressor influencing Burnout by utilizing a Covariance Structure Analysis in order to plan concrete measures for preventing Burnout. The subjects were nurses caring for patients with neurological intractable illness. Questionnaire investigation was carried out to 284 nurses working in ward for these patients of national and general hospitals with 300 beds or more.<br> Findings were as follows, the first work-related environmental stressor influencing Burnout is the factor of "impossibility on nursing". The second, that of "conflict with colleagues". The factors of "distrustfulness of doctors", "conflict with bosses" and "experience of patients' death" did not significantly influence Burnout. These findings indicated the importance of the work-related environment in which nurses are easy to express their feelings during patients's care and to establish comfortable relations among colleagues

Journal

  • Journal of Japan Society of Nursing Research

    Journal of Japan Society of Nursing Research 29(1), 1_45-1_55, 2006

    Japan Society of Nursing Research

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