Japanese

Title	看護職と患者の人間関係と看護技術の効果への影響
Subtitle	原著
Authors	菱沼典子1), 加藤木真史2)
Authors (kana)
Organization	1)前三重県立看護大学, 2)神奈川県立保健福祉大学保健福祉学部
Journal	聖路加看護学会誌
Volume	26
Number
Page	1-10
Year/Month	2022 /
Article	原著
Publisher	聖路加看護学会
Abstract	「和文抄録」「目的」 : 看護職と患者との人間関係が, 看護技術の効果にどのように影響しているかを, 看護職の認識から明らかにする. 「方法」 : 自記式無記名の質問紙調査と, 面接調査を組み合わせた記述研究である. 看護職165人に, 相性がいい・悪い, ケアの関係性を感じた経験の有無と, それが看護技術の効果に影響すると思うかとその理由をたずねた. また相性がケアの関係の形成に影響するかをたずねた. 協力を得られた看護職8人に, 半構造的面接を行い, 同様の内容を具体的な経験から詳細に聞き取りを行った. 「結果」 : 95.2%の看護職は, 患者との相性がいいと感じた経験があり, 92.7%は相性が悪いと感じた経験があった. 85.5%はケアの関係性になれる・なれないを感じたことがあった. 相性がいい場合の67.5%, 相性が悪い場合は59.5%, ケアの関係性では64.5%が, 関係性が看護技術の効果に影響すると認識していた. 関係性がいいときは, 看護職に緊張がなく患者とコミュニケーションがとれ, その場合はスムーズに看護技術が提供され, 技術の効果に加え, 患者には気持ちよさやセルフケアの向上をもたらし, 看護職にも満足や意欲の向上がもたらされていた. 新人時代は関係性がとれないのは自分が悪いと思っていたが, 経験によって相性が悪い患者にも対応できるようになることも示された. 「結論」 : 看護師は患者と相性の善し悪しがあることを認識しており, この関係性はケアの関係性の構築に影響し, 人間関係は看護技術の提供方法と効果に影響することが示された. また, 経験によって相性が悪い患者にも対応できるようになることも示された.
Practice	看護学
Keywords	相性, ケアの関係性, 看護技術の効果, 質問紙と面接調査, compatibility, caring relationship, effectiveness of nursing skills, questionnaires and interviews

English

Title	Nurses' Relationships with Patients and Its Impact on Effectiveness of Nursing Skills
Subtitle
Authors	Michiko Hishinuma1), Masashi Katogi2)
Authors (kana)
Organization	1)Former Mie Prefectural College of Nursing, 2)Faculty of Health and Social Services Kanagawa University of Human Services
Journal	Journal of St. Luke's Society for Nursing Research
Volume	26
Number
Page	1-10
Year/Month	2022 /
Article	Original article
Publisher	St. Luke's Society for Nursing Research
Abstract	[Object :] To clarify how the relationships between nurses and their patients impact on the effectiveness of nursing skills, as reported by nurses. [Method :] This descriptive study relied on self-administered anonymous questionnaires and interviews. A total of 165 nurses completed a questionnaire that inquired whether having good or bad compatibility with their patients impacted on the effectiveness of their nursing skills and the reasons why they thought so, and whether compatibility influenced the formation of caring relationship. In addition, eight of the nurses participated in semi-structured interviews covering the same content as that of the questionnaire, to which they added more depth with their concrete examples. [Results :] 95.2% of nurses had experienced feeling good compatibility with their patients ; 92.7% had experienced feeling bad compatibility with patients. 85.5% of nurses had experienced both being able to and not being able to form caring relationships with patients. In good relationships 67.5%, in bad relationships 59.5%, and in caring relationships 64.5% of nurses responded that the relationship status influenced their nursing skills. When a good relationship did form, nurses were not nervous and communicated easily with patients, nurses were able to provide their nursing skills smoothly, patients felt good and took better care of themselves, and nurses got higher levels of satisfaction and motivation. When they were beginning nurses, they blamed themselves for bad relationships, but experience enabled them to deal with patients with whom they did not get along. [Conclusion :] Nurses recognize that they are compatible with some patients and not with others. They realize that this compatibility leads to formation of caring relationships and these relationships have an impact on their performance of nursing skills, thus also impacting on their effectiveness. Experience as a nurse and life events enabled them to deal with patients with whom they did not get along.
Practice	Nursing
Keywords	compatibility, caring relationship, effectiveness of nursing skills, questionnaires and interviews

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