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ID 116885
Title Alternative
Relationship between assertiveness of new nursing staff and their perceptions of their working environment : Systematic Review
Author
Sato, Yuko Tokushima University
Keywords
アサーティブ
新人看護師
職場環境認識
システマティックレビュー
assertiveness
new nursing staff
perceptions of working environment
systematic review
Content Type
Journal Article
Description
本研究は,新人看護師のアサーティブと職場環境認識の関係性を明らかにすることを目的にシステマティックレビューを行った.
システマティックレビューは,PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-Analyses)ガイドラインに従って行った.医中誌(医学中央雑誌),PubMed(PubMedⓇ)にて「新人看護師」「アサーティブ」「職場環境」又は「new nurses」「assertive communication」「work environment」を検索キーワードに用いた.抽出された2721件(医中誌82件,PubMed2639件)から,採択基準を満たした10文献を分析した.
新人看護師のアサーティブを測定している尺度は2つあった.日本独自の看護師のアサーティブを捉えることや分析結果の解釈が難しいことが課題であった.職場環境認識において特定の尺度は使用されておらず,相談相手の有無や仕事量などについて調査していた.
アサーティブ下位尺度得点の「個人的達成」が低い新人看護師は,オッズ比(OR)が2.62倍高く,リアリティショックのOR は1.87であり,非職業コミットメントは1.55であった.このような新人看護師は,他者の意見を優先し自分の意見を堪える傾向があるため,精神的負担がかかりバーンアウトに陥りやすい.またアサーティブな態度の一つである受け入れるという行動が苦手なために職場環境も受け入れにくく仕事への意味を見出しにくい可能性が指摘された.さらに,職場環境において職場に相談相手がいない新人看護師の職場環境認識とバーンアウト,リアリティショック,非職業コミットメントとの関連があった.
新人看護師のアサーティブと職場環境認識の関連を調べた論文はなかった.しかし,バーンアウトやリアリティショック,非職業コミットメントには新人看護師のアサーティブもしくは新人看護師の職場環境認識が関係していたことから,新人看護師がアサーティブになれるかどうかは職場環境認識と関係している可能性が示唆された.
Description Alternative
This review clarifies the relationship between assertiveness of new nursing staff and their perception of the work environment. A systematic review was described in Ichushi(Igaku Chuo Zasshi, Japan Medical Abstracts Society) and PubMed (PubMedⓇ) in 2020 in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses)guidelines. The search keywords used were “new nurses,” “assertiveness,” and “work environment.” From the 2721 articles extracted(82 Ichushi cases and 2639 PubMed cases), ten met the selection criteria and were analyzed. While there are two existing scales to measure the assertiveness of new nursing staff, measuring the assertiveness unique to Japanese nurses and interpreting the analyzed results is difficult. Moreover, there is no specific scale to evaluate their work environment. Therefore, questionnaires were used to inquire about their amount of work and whether they had advisers. New nurses with low assertiveness scores on “personal accomplishment” showed high burnout scores, with an odds ratio of 2.62, reality shock score of 1.87, and non-occupational commitment score of1.55. Such new nurses tend to prioritize the opinion of others while holding back their own, which is considered mentally burdensome and makes them prone to burnouts. Furthermore, their poor acceptance skill—one of the assertive attitudes—-makes it difficult for them to accept their work environment and find meaning in their work. In addition, an association was observed among the work environment perception of new nursing staff who had no advisers, burnout, reality shock, and non-occupational commitment. This review suggests that the assertiveness of new nursing staff may be related to their perception of the work environment.
Journal Title
The Journal of Nursing Investigation
ISSN
24342238
Publisher
徳島大学医学部
Volume
19
Issue
2
Start Page
1
End Page
13
Sort Key
1
Published Date
2022-03-25
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences