医療用ュニフォームの採用条件の違いが 看護師の心理やチーム医療にもたらす効果

摘要

大学病院に勤務する看護師20名を対象に，通常のユニフォーム，各自好きなユニフォーム，病棟 内の話し合いで決定したユニフォームを着用した場合の3条件で職務を遂行してもらい，ュニフォ ームの採用条件の違いが看護師の心理やチーム医療にもたらす効果を比較した.(1) 病棟内の話し合いにより決定したユニフォームを着用した場合の看護師の仕事に対するやりが ぃ感は，通常のユニフォームを着用した場合より有意に高かった.患者や同僚への声かけ，ストレ ス，緊張感については，ユニフォームの採用条件の違いによる差はみられなかった.(2) チーム医療に関する評価では，ユニフォームの採用条件の違いによる差はみられなかった.し かし，病棟内の話し合いにより決定したユニフォームを着用した場合においてのみ，「目標達成と向 上心」が高い看護師は，患者や同僚への声かけが多く，やりがい感が高かった.「職務協働性」が高 い看護師は，同僚への声かけが多かった.%The authors instructed twenty university hospital nurses to perform their daily tasks under the following conditions: wearing a standard uniform, wearing uniforms that they like, and wearing a uniform that was adopted through discussion among hospital ward staff, and compared the effects of differences in how medical uniforms were adopted on the psychological status of nurses and team-based medicine.(1) Nurses wearing a uniform adopted through discussion among hospital ward staff showed a significantly higher level of work satisfaction than those wearing a standard uniform. No difference was observed in communication with patients or colleagues, stress levels, or a feeling of tension among the three conditions.(2) In addition, no significant difference was observed in the evaluation of team-based medicine among the three conditions. However, only when wearing a uniform that was adopted through discussion among hospital ward staffs, nurses with a strong "purpose and aspirations" more frequently communicated with patients or colleagues, and showed a higher level of work satisfaction. Those with a strong sense of "workplace cooperation" also frequently communicated with their colleagues.