外来看護師の輸入感染症初療対応能力尺度の開発研究

輸入感染症患者への適切な初療対応は，適時の医療提供，感染の拡大防止や職業感染防止において重要である．本研究は看護師の輸入感染症初療対応能力を測定する尺度の開発を目的とした．看護師に求められる輸入感染症初療対応能力について，旅行医学，感染症看護，感染管理，公衆衛生学などの文献を網羅的に検討し，尺度の項目プールを作成した．項目プールの内容妥当性・表面妥当性の検証の後，是認率・判別能を検証し，尺度項目候補95項目からなる質問紙を作成した．無作為抽出した450病院の初療部門に勤務する看護師1,350名を対象に質問紙調査を実施し，回答320通を分析対象とした．天井-床効果，項目-全体相関，項目間相関の検...

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Published in日本環境感染学会誌 Vol. 39; no. 4; pp. 92 - 103
Main Authors 森, 那美子, 関口, 和宏, 西岡, みどり
Format Journal Article
LanguageJapanese
Published 一般社団法人 日本環境感染学会 25.07.2024
Subjects
初療
尺度開発
看護師
輸入感染症
Online AccessGet full text
ISSN1882-532X
1883-2407
DOI10.4058/jsei.39.92

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Abstract 輸入感染症患者への適切な初療対応は，適時の医療提供，感染の拡大防止や職業感染防止において重要である．本研究は看護師の輸入感染症初療対応能力を測定する尺度の開発を目的とした．看護師に求められる輸入感染症初療対応能力について，旅行医学，感染症看護，感染管理，公衆衛生学などの文献を網羅的に検討し，尺度の項目プールを作成した．項目プールの内容妥当性・表面妥当性の検証の後，是認率・判別能を検証し，尺度項目候補95項目からなる質問紙を作成した．無作為抽出した450病院の初療部門に勤務する看護師1,350名を対象に質問紙調査を実施し，回答320通を分析対象とした．天井-床効果，項目-全体相関，項目間相関の検証を経て探索的因子分析を実施した．以上により第1因子「輸入感染症リスクの知識」（18項目），第2因子「感染症看護実践と感染管理」（18項目），第3因子「感染症アセスメントと看護計画立案」（11項目），合計47項目からなる「看護師の輸入感染症初療対応能力尺度Ver1.0」を開発した．尺度全体のクロンバックα係数は0.958であり，内的一貫性による信頼性を確認した．確認的因子分析の結果，モデル適合度は良好であり，構造概念妥当性があると判断した．
AbstractList 輸入感染症患者への適切な初療対応は，適時の医療提供，感染の拡大防止や職業感染防止において重要である．本研究は看護師の輸入感染症初療対応能力を測定する尺度の開発を目的とした．看護師に求められる輸入感染症初療対応能力について，旅行医学，感染症看護，感染管理，公衆衛生学などの文献を網羅的に検討し，尺度の項目プールを作成した．項目プールの内容妥当性・表面妥当性の検証の後，是認率・判別能を検証し，尺度項目候補95項目からなる質問紙を作成した．無作為抽出した450病院の初療部門に勤務する看護師1,350名を対象に質問紙調査を実施し，回答320通を分析対象とした．天井-床効果，項目-全体相関，項目間相関の検証を経て探索的因子分析を実施した．以上により第1因子「輸入感染症リスクの知識」（18項目），第2因子「感染症看護実践と感染管理」（18項目），第3因子「感染症アセスメントと看護計画立案」（11項目），合計47項目からなる「看護師の輸入感染症初療対応能力尺度Ver1.0」を開発した．尺度全体のクロンバックα係数は0.958であり，内的一貫性による信頼性を確認した．確認的因子分析の結果，モデル適合度は良好であり，構造概念妥当性があると判断した．
Author 森, 那美子
関口, 和宏
西岡, みどり
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  fullname: 西岡, みどり
  organization: 国立看護大学校研究課程部
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References 11) 厚生労働省「感染症の予防及び感染症の患者に対する医療に関する法律等の一部を改正する法律」の公布及び一部施行について (通知): https://www.mhlw.go.jp/content/10900000/001103100.pdf: 2023年10月20日現在.
37) Falk CF, Savalei V: The relationship between unstandardized and standardized alpha, true reliability, and the underlying measurement model. J Pers Assess 2011; 93: 445-53.
34) WHO Travel advice: https://www.who.int/travel-advice. accessed October 23, 2023.
17) Bauer I, Hall S, Sato N: Providing travel health care--the nurses' role: an international comparison. Travel Med Infect Dis 2013; 11: 214-24.
18) 医事日報: 2015年版病院情報, 医事日報, 東京, 2015.
29) Murphy DM, Hanchett M, Olmsted RN, Farber MR, Lee TB, Haas JP, et al.: Competency in infection prevention: a conceptual approach to guide current and future practice. Am J Infect Control 2012; 40: 296-303.
12) Chan-Yeung M: Severe acute respiratory syndrome (SARS) and healthcare workers. Int J Occup Environ Health 2004; 10: 421-7.
21) Foo CL, Tham KY, Seow E: Evolution of an emergency department screening questionnaire for severe acute respiratory syndrome. Acad Emerg Med 2004; 11: 156-61.
22) Wisniewski R, Dennik-Champion G, Peltier JW: Emergency preparedness competencies: assessing nurses' educational needs. J Nurs Adm 2004; 34: 475-80.
24) Haas S, Swan BA, Haynes T: Developing ambulatory care registered nurse competencies for care coordination and transition management. Nurs Econ 2013; 31: 44-9.
27) Landers T, Davis J, Crist K, Malik C: APIC MegaSurvey: Methodology and overview. Am J Infect Control 2017; 45: 584-8.
7) WHO Coronavirus (COVID-19) Dashboard: https://covid19.who.int/. accessed September 6, 2023.
28) Liu LM, Curtis J, Crookes PA: Identifying essential infection control competencies for newly graduated nurses: a three-phase study in Australia and Taiwan. J Hosp Infect 2014; 86: 100-9.
32) Hill DR, Ericsson CD, Pearson RD, Keystone JS, Freedman DO, Kozarsky PE, et al.: The practice of travel medicine: guidelines by the Infectious Diseases Society of America. Clin Infect Dis 2006; 43: 1499-539.
9) Yaita K, Sakai Y, Iwahashi J, Masunaga K, Hamada N, Watanabe H: Post-Travel Consultations in a Regional Hub City Hospital, Japan. Intern Med 2016; 55: 739-43.
4) Abushouk AI, Negida A, Ahmed H: An updated review of Zika virus. J Clin Virol 2016; 84: 53-8.
23) Olson D, Hoeppner M, Larson S, Ehrenberg A, Leitheiser AT: Lifelong learning for public health practice education: a model curriculum for bioterrorism and emergency readiness. Public Health Rep 2008; 123: 53-64.
6) WHO Director-General/Speeches/Detail; WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020/. accessed August 15, 2023.
35) Aw B, Boraston S, Botten D, Cherniwchan D, Fazal H, Kelton T, et al.: Travel medicine: what's involved? When to refer? Can Fam Physician 2014; 60: 1091-103.
3) WHO Fact sheets Ebola virus disease: https://www.who.int/en/news-room/fact-sheets/detail/ebola-virus-disease/. accessed October 20, 2023.
8) Spira AM: Assessment of travellers who return home ill. Lancet 2003; 361: 1459-69.
31) Issel LM, Baldwin KA, Lyons RL, Madamala K: Self-reported competency of public health nurses and faculty in Illinois. Public Health Nurs 2006; 23: 168-77.
5) WHO Newsroom/Events/Detail; International Health Regulations Emergency Committee on novel coronavirus in China: https://www.who.int/news-room/events/detail/2020/01/30/default-calendar/international-health-regulations-emergency-committee-on-novel-coronavirus-in-china/. accessed August 15, 2023.
16) Sofarelli TA, Ricks JH, Anand R, Hale DC: Standardized training in nurse model travel clinics. J Travel Med 2011; 18: 39-43.
19) 黒田恵美, 西岡みどり: 未知の感染症発生時のリスクコミュニケーション. 国立看研会誌 2012; 8: 14-21.
13) 国立感染症研究所: 2015年韓国におけるMERSの流行: https://www.niid.go.jp/niid/ja/iasr-sp/2320-related-articles/related-articles-430/6111-dj4303.html: 2023年10月23日現在.
26) Brusaferro S, Cookson B, Kalenic S, Cooper T, Fabry J, Gallagher R, et al.: Training infection control and hospital hygiene professionals in Europe, 2010: agreed core competencies among 33 European countries. Euro Surveill 2014; 19: 20985.
2) Cheng VC, To KK, Tse H, Hung IF, Yuen KY: Two years after pandemic influenza A/2009/H1N1: what have we learned? Clin Microbiol Rev 2012; 25: 223-63.
15) 森那美子: 看護師の生物災害に対する準備性および継続教育に関する研究. 日集団災医会誌 2009; 14 (2): 164-73.
10) Yoshimura Y, Miyata N, Miyajima M, Sakamoto Y, Amano Y, Tachikawa N: Diseases affecting patients returning from abroad: Experience of a travel clinic in Japan from 2004 to 2014. J Infect Chemother 2017; 23: 35-9.
33) Freedman DO, Weld LH, Kozarsky PE, Fisk T, Robins R, von Sonnenburg F, et al.: Spectrum of disease and relation to place of exposure among ill returned travelers. N Engl J Med 2006; 354: 119-30.
36) Streiner DL, Norman GR, Cairney J: 木原雅子, 加治正行, 木原正博監訳, 医学的測定尺度の理論と応用-妥当性, 信頼性からG理論, 項目反応理論まで, メディカル・サイエンス・インターナショナル, 東京, 2016.
20) Swider SM, Krothe J, Reyes D, Cravetz M: The Quad Council practice competencies for public health nursing. Public Health Nurs 2013; 30: 519-36.
14) 五味晴美: 医学と医療の最前線 感染症教育の現状 グローバル化時代の感染症教育のあり方. 日内会誌 2011; 100 (5): 1401-8.
25) Zingg W, Mutters NT, Harbarth S, Friedrich AW: Education in infection control: A need for European certification. Clin Microbiol Infect 2015; 21: 1052-6.
1) Cao C, Chen W, Zheng S, Zhao J, Wang J, Cao W: Analysis of spatiotemporal characteristics of pandemic SARS spread in mainland China. Biomed Res Int 2016; 2016: 7247983.
30) Carrico RM, Rebmann T, English JF, Mackey J, Cronin SN: Infection prevention and control competencies for hospital-based health care personnel. Am J Infect Control 2008; 36: 691-701.
References_xml – reference: 9) Yaita K, Sakai Y, Iwahashi J, Masunaga K, Hamada N, Watanabe H: Post-Travel Consultations in a Regional Hub City Hospital, Japan. Intern Med 2016; 55: 739-43.
– reference: 33) Freedman DO, Weld LH, Kozarsky PE, Fisk T, Robins R, von Sonnenburg F, et al.: Spectrum of disease and relation to place of exposure among ill returned travelers. N Engl J Med 2006; 354: 119-30.
– reference: 18) 医事日報: 2015年版病院情報, 医事日報, 東京, 2015.
– reference: 7) WHO Coronavirus (COVID-19) Dashboard: https://covid19.who.int/. accessed September 6, 2023.
– reference: 10) Yoshimura Y, Miyata N, Miyajima M, Sakamoto Y, Amano Y, Tachikawa N: Diseases affecting patients returning from abroad: Experience of a travel clinic in Japan from 2004 to 2014. J Infect Chemother 2017; 23: 35-9.
– reference: 32) Hill DR, Ericsson CD, Pearson RD, Keystone JS, Freedman DO, Kozarsky PE, et al.: The practice of travel medicine: guidelines by the Infectious Diseases Society of America. Clin Infect Dis 2006; 43: 1499-539.
– reference: 19) 黒田恵美, 西岡みどり: 未知の感染症発生時のリスクコミュニケーション. 国立看研会誌 2012; 8: 14-21.
– reference: 25) Zingg W, Mutters NT, Harbarth S, Friedrich AW: Education in infection control: A need for European certification. Clin Microbiol Infect 2015; 21: 1052-6.
– reference: 30) Carrico RM, Rebmann T, English JF, Mackey J, Cronin SN: Infection prevention and control competencies for hospital-based health care personnel. Am J Infect Control 2008; 36: 691-701.
– reference: 37) Falk CF, Savalei V: The relationship between unstandardized and standardized alpha, true reliability, and the underlying measurement model. J Pers Assess 2011; 93: 445-53.
– reference: 14) 五味晴美: 医学と医療の最前線 感染症教育の現状 グローバル化時代の感染症教育のあり方. 日内会誌 2011; 100 (5): 1401-8.
– reference: 11) 厚生労働省「感染症の予防及び感染症の患者に対する医療に関する法律等の一部を改正する法律」の公布及び一部施行について (通知): https://www.mhlw.go.jp/content/10900000/001103100.pdf: 2023年10月20日現在.
– reference: 4) Abushouk AI, Negida A, Ahmed H: An updated review of Zika virus. J Clin Virol 2016; 84: 53-8.
– reference: 2) Cheng VC, To KK, Tse H, Hung IF, Yuen KY: Two years after pandemic influenza A/2009/H1N1: what have we learned? Clin Microbiol Rev 2012; 25: 223-63.
– reference: 34) WHO Travel advice: https://www.who.int/travel-advice. accessed October 23, 2023.
– reference: 6) WHO Director-General/Speeches/Detail; WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020/. accessed August 15, 2023.
– reference: 21) Foo CL, Tham KY, Seow E: Evolution of an emergency department screening questionnaire for severe acute respiratory syndrome. Acad Emerg Med 2004; 11: 156-61.
– reference: 27) Landers T, Davis J, Crist K, Malik C: APIC MegaSurvey: Methodology and overview. Am J Infect Control 2017; 45: 584-8.
– reference: 13) 国立感染症研究所: 2015年韓国におけるMERSの流行: https://www.niid.go.jp/niid/ja/iasr-sp/2320-related-articles/related-articles-430/6111-dj4303.html: 2023年10月23日現在.
– reference: 28) Liu LM, Curtis J, Crookes PA: Identifying essential infection control competencies for newly graduated nurses: a three-phase study in Australia and Taiwan. J Hosp Infect 2014; 86: 100-9.
– reference: 12) Chan-Yeung M: Severe acute respiratory syndrome (SARS) and healthcare workers. Int J Occup Environ Health 2004; 10: 421-7.
– reference: 16) Sofarelli TA, Ricks JH, Anand R, Hale DC: Standardized training in nurse model travel clinics. J Travel Med 2011; 18: 39-43.
– reference: 22) Wisniewski R, Dennik-Champion G, Peltier JW: Emergency preparedness competencies: assessing nurses' educational needs. J Nurs Adm 2004; 34: 475-80.
– reference: 36) Streiner DL, Norman GR, Cairney J: 木原雅子, 加治正行, 木原正博監訳, 医学的測定尺度の理論と応用-妥当性, 信頼性からG理論, 項目反応理論まで, メディカル・サイエンス・インターナショナル, 東京, 2016.
– reference: 1) Cao C, Chen W, Zheng S, Zhao J, Wang J, Cao W: Analysis of spatiotemporal characteristics of pandemic SARS spread in mainland China. Biomed Res Int 2016; 2016: 7247983.
– reference: 5) WHO Newsroom/Events/Detail; International Health Regulations Emergency Committee on novel coronavirus in China: https://www.who.int/news-room/events/detail/2020/01/30/default-calendar/international-health-regulations-emergency-committee-on-novel-coronavirus-in-china/. accessed August 15, 2023.
– reference: 8) Spira AM: Assessment of travellers who return home ill. Lancet 2003; 361: 1459-69.
– reference: 20) Swider SM, Krothe J, Reyes D, Cravetz M: The Quad Council practice competencies for public health nursing. Public Health Nurs 2013; 30: 519-36.
– reference: 29) Murphy DM, Hanchett M, Olmsted RN, Farber MR, Lee TB, Haas JP, et al.: Competency in infection prevention: a conceptual approach to guide current and future practice. Am J Infect Control 2012; 40: 296-303.
– reference: 17) Bauer I, Hall S, Sato N: Providing travel health care--the nurses' role: an international comparison. Travel Med Infect Dis 2013; 11: 214-24.
– reference: 24) Haas S, Swan BA, Haynes T: Developing ambulatory care registered nurse competencies for care coordination and transition management. Nurs Econ 2013; 31: 44-9.
– reference: 26) Brusaferro S, Cookson B, Kalenic S, Cooper T, Fabry J, Gallagher R, et al.: Training infection control and hospital hygiene professionals in Europe, 2010: agreed core competencies among 33 European countries. Euro Surveill 2014; 19: 20985.
– reference: 23) Olson D, Hoeppner M, Larson S, Ehrenberg A, Leitheiser AT: Lifelong learning for public health practice education: a model curriculum for bioterrorism and emergency readiness. Public Health Rep 2008; 123: 53-64.
– reference: 31) Issel LM, Baldwin KA, Lyons RL, Madamala K: Self-reported competency of public health nurses and faculty in Illinois. Public Health Nurs 2006; 23: 168-77.
– reference: 35) Aw B, Boraston S, Botten D, Cherniwchan D, Fazal H, Kelton T, et al.: Travel medicine: what's involved? When to refer? Can Fam Physician 2014; 60: 1091-103.
– reference: 15) 森那美子: 看護師の生物災害に対する準備性および継続教育に関する研究. 日集団災医会誌 2009; 14 (2): 164-73.
– reference: 3) WHO Fact sheets Ebola virus disease: https://www.who.int/en/news-room/fact-sheets/detail/ebola-virus-disease/. accessed October 20, 2023.
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SubjectTerms 初療
尺度開発
看護師
輸入感染症
Title 外来看護師の輸入感染症初療対応能力尺度の開発研究
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ispartofPNX 日本環境感染学会誌, 2024/07/25, Vol.39(4), pp.92-103
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