Aim: The purpose of the present study is to examine the relationship between gender role attitudes of nurses and burnout, perceptions of physician–nurse collaboration, evaluation of care, and intent to continue working.

Methods:  The subjects of the study were 798 full-time female nurses working in non-managerial positions at three large hospitals. We analyzed five key survey items – gender role attitudes, burnout, perceptions of physician–nurse collaboration, evaluation of care, and intent to continue working – and showed how these items are related using structural equation modeling.

Results:  Whether nurses' gender role attitudes were egalitarian or conservative, we found a direct positive effect on burnout. However, a conservative gender role attitude not only showed a direct positive effect on burnout, but also exhibited a direct negative effect on the intent to continue working and on the collaboration constructs cooperativeness with physicians. Conservative gender role attitudes thus have an indirect positive effect on burnout through the corollaries cooperativeness and intent to continue working. We found that cooperativeness not only has a direct negative effect on burnout, but also an indirect negative effect on burnout through evaluation of care.

Conclusions:  It was found that nurses harboring conservative gender role attitudes are more vulnerable to burnout, and also less likely to improve their quality of care.

https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1742-7924.2010.00138.x

Gender role attitudes of hospital nurses in Japan: their relation to burnout, perceptions of physician-nurse collaboration, evaluation of care, and intent to continue working.

https://www.jstage.jst.go.jp/article/japmhn/7/1/7_KJ00006916617/_pdf

患者の精神的諸問題に関する看護研究の動向 : 日本看護学会集録「成人看護」の分析

Objective: This study aims to develop and validate the Nursing Practice Rating Scale for Hospitalized Pregnant Women with Threatened Preterm Labor (NPRS-HTPL) instrument for clinical Japanese nurses. Design: Cross-sectional study. Setting: General hospitals in Japan with perinatal medical centers. Participants: This study collected a total of 744 nurse participants who experienced caring for pregnant women hospitalized with threatened preterm labor from 88hospitals. Methods: The items in the Nursing Practice Rating Scale for Hospitalized Pregnant Women with Threatened Preterm Labor (NPRS-HTPL) were extracted from previous research. The reliability and validity of the newly developed scale were assessed through the split-half method, internal consistency, criterion-related validity, and construct validity. The construct validity was examined by conducting a factor analysis and using the structural equation modeling (SEM). Results: The final NPRS-HTPL contained 45 items, and factor analysis identified five factors: Care That Enhances Self-care Ability (13 items), Care That Changes Depending on the Situation (7 items), Care That Respects the Wishes of Pregnant Women With Threatened Preterm Labor (9 items), Care Related to Information to Predict the Future Lives of Pregnant Women With Threatened Preterm Labor (8 items), and Practical Care for Continued Pregnancy (8 items). Cronbach’s alpha coefficient of reliability for the five factors ranged from 0.85 to 0.92 and was 0.96 for the 45 items. Confirmatory factor analysis was performed, using SEM. Analysis revealed a goodness-of-fit index (GFI) of 0.808 and the root mean square error of approximation was 0.06, which means an acceptable goodness of fit for this model. Conclusion: The reliability of the NPRS-HTPL was supported. The scale may be a useful tool with which to evaluate nursing practice to support pregnant women with threatened preterm labor while they are in hospital.

/pdf/development-of-a-nursing-practice-rating-scale-for-5u9jualf35.pdf

Development of a Nursing Practice Rating Scale for Hospitalized Pregnant Women with Threatened Preterm Labor

【背景・目的】 中国においては, 社会構造の変化に伴い患者が求める看護は量から質へと変化している. 本研究の目的は, 日本で開発された看護師に対する看護ケアの質質問紙 (QNCQ-NS) の中国語版 (中国語訳QNCQ-NS) を作成・検討し, 中国語訳QNCQ-NSを用いて中国の看護職者による看護ケアの質評価を行うことである. 【対象と方法】 中国語訳QNCQ-NSを作成・検討し, 中国の3つの総合病院の病棟に勤務する看護職者に対して無記名自記式の質問紙調査を実施した. 【結 果】 有効回答 (281名) における因子分析の結果, 日本語版QNCQ-NSの40項目のうち32項目が選ばれ, その中から7つの因子が抽出された. また, 中国語訳QNCQ-NS 32項目でのCronbach'sαは0.92であり, 32項目での総得点の平均値の比較では, 職位別で有意差が認められた. 【結 語】 中国語訳QNCQ-NSを作成・検討した結果, 32項目7因子が選ばれ (信頼性を確認), 日本語版との構成概念の違いが見られた. また, 中国の看護師の職位別QNCQ-NSの総得点の平均値の比較で有意差があった.

Quality of Nursing Care in China Evaluated by the Nurses

看護ケアの質を評価する尺度開発に関する研究 信頼性・妥当性の検討

看護婦が「困る」患者に出会う頻度、困難度と燃え尽き、サポートとの関連

看護ケアの質の測定用具 (患者用) の開発 (1)

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看護ケアの質を評価する尺度開発に関する研究信頼性・妥当性の検討

看護婦が「困る」患者に出会う頻度、困難度と燃え尽き、サポートとの関連

看護ケアの質の測定用具 (患者用) の開発 (1)

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看護ケアの質を評価する尺度開発に関する研究 信頼性・妥当性の検討

看護婦が「困る」患者に出会う頻度、困難度と燃え尽き、サポートとの関連

看護ケアの質の測定用具 (患者用) の開発 (1)

南裕子

看護ケアの質を評価する尺度開発に関する研究信頼性・妥当性の検討