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Japanese

Title 地域包括ケアシステムにおける看護師への役割期待の構成要素の検討
Subtitle 論文 原著
Authors 坂本仁美
Authors (kana)
Organization 長崎県立大学看護栄養学部看護学科
Journal 日本在宅看護学会誌
Volume 13
Number 2
Page 6-17
Year/Month 2025 / 2
Article 原著
Publisher 日本在宅看護学会
Abstract 「要旨」「目的」 : 役割理論に基づき, 地域包括ケアシステムにおける看護師への役割期待の構成要素を検討する. 「方法」 : 社会的規範および役割観念から役割期待を抽出し, 地域包括ケアシステムにおける看護師への役割期待を測る尺度を作成し, 地域包括ケアに携わる看護師以外の職種に対し, 期待度および実践度を調査した. 分析は, 項目分析, 妥当性の検討として因子分析, ω係数を採用した信頼性分析, Wilcoxonの符号付順位検定を用いた役割期待度と実践度の分析を行った. 「結果」 : 社会的規範と役割観念から導き出された役割期待を構成する要素は, 55項目から36項目に集約され, 《患者を包括的にとらえその人権を尊重するとともに, 患者が希望する生活を継続できるよう支援体制を構築する》, 《患者に必要な支援がいきわたるようにあらゆる事態を想定し支援のコーディネートをする》, 《患者が必要とする看護ケアを実施する》の3つの役割期待が抽出された. 「結論」 : 役割期待を構成する要素の検討結果から, 集約された36項目は役割期待を反映すると判断した.
Practice 看護学
Keywords 地域包括ケアシステム, 看護師, 役割期待, 役割行動, Community-based integrated care systems, Nurse, role expectations, role behavior

English

Title Components of Nurses' Role Expectation in Community-Based Integrated Care Systems
Subtitle
Authors Hitomi Sakamoto
Authors (kana)
Organization University of Nagasaki, Department of Nursing Science, Faculty of Nursing and Nutrition
Journal Journal of Japan Academy of Nursing for Home Care
Volume 13
Number 2
Page 6-17
Year/Month 2025 / 2
Article Original article
Publisher Japan Academy of Nursing for Home Care
Abstract [Abstract] [Purpose] : The purpose of this study was to examine the elements of role expectations for nurses in a community-based integrated care systems using role theory as a framework. [Methods] : Role expectations, including role rules, were extracted from social norms and role concepts. A scale was developed to measure role expectations for nurses in c Community-based integrated care systems, and non-nursing professionals involved in community-based integrated care systems were surveyed about their level of expectation and practice. The analysis included item analysis, factor analysis for validity, reliability analysis employing the co coefficient, and analysis of role expectations and practice using Wilcoxon's signed rank test. [Results] : A total 55 role expectations were derived from the social norms and role conceptions and consolidated into 36 items, and three role rules were extracted : (a) "Respecting patients comprehensively and upholding their human rights, while building a support system that enables patients to continue living the life they want," (b) "Coordinating support to assume all possible situations so that patients can receive the necessary support," and (c) "Providing the nursing care the patient needs." [Conclusion] : The review of the components of role expectations revealed that the aggregated 36 items, including the three role expectations, accurately reflect the role expectations of nurses in Community-based integrated care systems.
Practice Nursing
Keywords Community-based integrated care systems, Nurse, role expectations, role behavior
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