{"created":"2023-06-19T09:22:28.415283+00:00","id":1713,"links":{},"metadata":{"_buckets":{"deposit":"a050f0d3-bd6c-47de-b0e0-d1af8fd36c9a"},"_deposit":{"created_by":4,"id":"1713","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"1713"},"status":"published"},"_oai":{"id":"oai:auhw.repo.nii.ac.jp:00001713","sets":["52:244"]},"author_link":["9497","9505","9508","9496","9502","9509","9512","9514","9500","9499","9507","9501","9515","9498","9506","9510","9503","9504","9511","9513"],"item_10002_alternative_title_1":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Diffusion of Innovative Practice in Nursing (Part VI) : Correlations Between the Degree of Innovative Nursing Practices and Innovative Charactristics"}]},"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"400","bibliographicPageStart":"391","bibliographicVolumeNumber":"6","bibliographic_titles":[{"bibliographic_title":"青森県立保健大学雑誌"},{"bibliographic_title":"Journal of Aomori University of Health and Welfare","bibliographic_titleLang":"en"}]}]},"item_10002_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"看護師がイノベーションと認識し、かつ、研究的根拠が明白な看護技術の採用程度と、スタッフナースおよび看護部責任者の革新性との関連、さらにスタッフナースの革新性について探求することを目的に、病床規模別に無作為抽出した看護部責任者141名、及び、各病院10名のスタッフナース計1410名を対象に調査した。スタッフナースには、根拠のあるイノベーティブ看護技術22項目について、E.M.Rogersの普及決定過程における段階モデルを用いて質問し、採用度を算出した。また、スタッフナースの革新性は、イノベーションの採用・普及の促進に影響を与える「個人的な感情」や、組織の体制、上司の姿勢、意思決定プロセス、人間関係など個人がとらえる「所属する組織の文化や風土」を総称したもので、31の質問項目からなる、スタッフナース用革新性質問紙を用い調査した。看護部責任者の革新性については、組織の風土、看護部のパワー、人材の戦略的活用などの22項目からなる看護部責任者用革新性質問紙を用いた。返送された127部(90.1%)中、有効回答124施設のスタッフナース886名と看護部責任者の回答を分析した結果、以下のことが明らかになった。スタッフナースの採用度と革新性31項目との相関を求めた結果、p<0.001で相関のある項目の概要は、関心領域やテーマを持ち、専門性の高い知識・情報・技術を習得したいという希望がある、研修や見学に参加してきた場合は、得た内容を伝達しなればならないと感じる、文献やデータを用いて説明するなどであり、意欲をもった人材が、イノベーションの採用・普及の促進に大きな影響を及ぼすと考えられた。病棟責任者の姿勢、病棟の雰囲気・協力体制、専門性の高い看護師の存在、情報収集と伝達への役割意識、受け入れにくさに影響するエビデンス、医師との関係性などがスタッフナースの革新性を説明する因子として抽出され、感情的抵抗感は普及を阻害するものと考えられた。看護部責任者の革新性と採用度との関連はみられなかった。\nThe purpose of this study is to analyze the relationship between the degree of adoption of nursing practices, recognized as innovative skills, and innovative characteristics seen among nurses and nursing department managers. Furthermore, this study explores the innovative characteristics of staff nurses. Nursing and nursing department managers were randomly selected from 141 hospitals of varying size (10 staff per hospital), and asked to complete a questionnaire regarding 22 different innovative nursing practices. Questions utilize the model of stages in the diffusion decision process developed by E.M. Rogers by which the degree of adoption of innovative nursing practices was determined. Hospitals responding totaled 127 (90.1%) and analysis was conducted on valid responses from 124 institutions (886 responses). Analysis of the relationship between the degree of innovative nursing practice and 31 questions regarding innovative characteristics revealed that innovative personnel have a great influence on promoting the adoption and diffusion of innovative practice. Also, attitudes of hospital ward managers, atmosphere and cooperation systems, nurses with great expertise, awareness of roles in information collection and communication, evidence affecting unacceptability, relationships with physicians, and emotional bias were found as factors explaining the innovative characteristics of staff nurses.","subitem_description_type":"Abstract"}]},"item_10002_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"国立情報学研究所の「学術雑誌公開支援事業」により電子化されました。","subitem_description_type":"Other"}]},"item_10002_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24552/00001704","subitem_identifier_reg_type":"JaLC"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1349-3272","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"佐藤, 真由美"},{"creatorName":"サトウ, マユミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9496","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"坂江, 千寿子"},{"creatorName":"サカエ, チズコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9497","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"上泉, 和子"},{"creatorName":"カミイズミ, カズコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9498","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"藤本, 真記子"},{"creatorName":"フジモト, マキコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9499","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"木村, 恵美子"},{"creatorName":"キムラ, エミコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9500","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"福井, 幸子"},{"creatorName":"フクイ, サチコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9501","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"角濱, 春美"},{"creatorName":"カドハマ, ハルミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9502","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小山, 敦代"},{"creatorName":"コヤマ, アツヨ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9503","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"秋庭, 由佳"},{"creatorName":"アキバ, ユカ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9504","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"杉若, 裕子"},{"creatorName":"スギワカ, ヒロコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9505","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sato, Mayumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9506","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sakae, Chizuko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9507","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kamiizumi, Kazuko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9508","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fujimoto, Makiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9509","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kimura, Emiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9510","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fukui, Sachiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9511","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kadohama, Harumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9512","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Koyama, Atuyo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9513","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Akiba, Yuka","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9514","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sugiwaka, Hiroko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9515","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-02-11"}],"displaytype":"detail","filename":"KJ00004442030.pdf","filesize":[{"value":"1.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00004442030.pdf","url":"https://auhw.repo.nii.ac.jp/record/1713/files/KJ00004442030.pdf"},"version_id":"83a16bb9-b061-4e4d-b161-a7ebb21c0118"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"看護技術","subitem_subject_scheme":"Other"},{"subitem_subject":"イノベーション","subitem_subject_scheme":"Other"},{"subitem_subject":"革新性","subitem_subject_scheme":"Other"},{"subitem_subject":"Nursing Practices","subitem_subject_scheme":"Other"},{"subitem_subject":"Innovation","subitem_subject_scheme":"Other"},{"subitem_subject":"Innovative Characteristics","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin 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