Kuwano Noriko, Fukuda Hiromi, Murashima Sachiyo
Oita University of Nursing and Health Sciences, Oita, Japan
Oita University of Nursing and Health Sciences, Oita, Japan.
J Transcult Nurs. 2016 Nov;27(6):567-573. doi: 10.1177/1043659615587588. Epub 2015 May 20.
The study aimed to analyze the professional autonomy of Japanese nurses when caring for non-Japanese patients and to identify its contributing factors.
A descriptive cross-sectional design was used. Participants included 238 clinical nurses working at 27 hospitals in Japan. The Intercultural Sensitivity Scale (Chen and Starosta), and the Scale for Professional Autonomy in Nursing (Kikuchi and Harada) were used to measure intercultural sensitivity and professional autonomy. Stepwise multiple regression analysis was used to identify the most significant factors affecting professional autonomy.
Professional autonomy of Japanese nurses caring for non-Japanese patients was significantly lower than when caring for Japanese patients (142.84 vs. 172.85; p < .001). Contributing factors were intercultural sensitivity (p < .001), length of nurse experience (p < .05), and availability of interpretation service (p < .05).
Incorporating transcultural nursing content into training programs in schools and hospitals could enhance professional autonomy of Japanese nurses by promoting intercultural sensitivity.
本研究旨在分析日本护士在护理非日本患者时的职业自主性，并确定其影响因素。
采用描述性横断面设计。研究对象包括在日本27家医院工作的238名临床护士。使用跨文化敏感度量表（陈和斯塔罗斯塔）和护理职业自主量表（菊池和原田）来测量跨文化敏感性和职业自主性。采用逐步多元回归分析来确定影响职业自主性的最重要因素。
日本护士护理非日本患者时的职业自主性显著低于护理日本患者时（142.84对172.85；p<.001）。影响因素包括跨文化敏感性（p<.001）、护士工作年限（p<.05）和口译服务的可获得性（p<.05）。
将跨文化护理内容纳入学校和医院的培训项目中，可通过提高跨文化敏感性来增强日本护士的职业自主性。
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