Journal Article A県内の看護師の医行為の実態と特定行為研修に関する認識 : 100~299床施設の特徴
Growing clinical practice roles among Japanese nurses : Performance of specialized nursing skills and the need for training

中根, 薫  ,  中村, 悦子  ,  清水, 理恵  ,  Nakane, Kaoru  ,  Nakamura, Etsuko  ,  Shimizu, Rie

8 ( 1 )  , pp.45 - 54 , 2015-09 , 新潟青陵学会
ISSN:1883-759X
NCID:AA12412634
Description
In order to examine the growing roles of clinical practice for nurses, this study aimed to elucidate the performance of specialized nursing skills that are required to carry out prescribed medical therapies among Japanese nurses and the need for additional training to accomplish thesecomplex tasks. An anonymous self-administered questionnaire that comprised 38 items wasdistributed to 637 nurses from 8 different facilities in prefecture A who had at least 5 years of clinical experience. Analysis of the data revealed that specialized nursing skills, such as administration of special drugs, were performed by more than 60% of nurses at 100-299-bed facilities. Five items were performed by more nurses at 100-299-bed facilities than nurses at 300-499-bed facilities. In terms of awareness of the need for specific training, at 100-299-bed facilities, about 20% of nurses believed that nurses who received specific training could perform specialized nursing skills. These findings suggest that proactive participation in specific training is needed in order for nurses to safely perform specific skills for complex procedures.
本研究では、看護師の役割拡大について臨床現場の視点から検討するために、A県内の医療施設に勤務する看護師の医行為の実態と特定行為研修に関する認識を明らかにすることを目的とした。A県内の8医療施設に勤務する臨床経験5年以上の看護師637名を対象に無記名自記式質問紙調査を行い、分析の結果、以下のことが明らかとなった。1.100~299床施設の看護師が実施している医行為については、臨時薬剤の投与の3項目が6割を超え、38項目のうち5項目については、300~499床施設の看護師よりも実施している割合が高かった。2.100~299床施設の看護師の特定行為研修に関する認識については、指定研修を受けた看護師が実施可能とする医行為は、最も割合が高い項目「急性血液浄化に係る透析・透析濾過装置の操作・管理」等も2割程度であった。今後、特定行為を安全に行うために特定行為研修の積極的な受講の必要性が示唆された。
Full-Text

http://nirr.lib.niigata-u.ac.jp/bitstream/10623/53648/1/sg_0801_05.pdf

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