A Study on Prevention of Occupational Stress and Review of Work Styles of Nurses Working Two Shifts

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10678
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58050:Fundamental of nursing-related
• Research Institution: Himeji University
• Principal Investigator: Hiramatsu Sachiko 姫路大学, 看護学部, 准教授 (80867309)
• Co-Investigator(Kenkyū-buntansha): 川崎 幹子 宇部フロンティア大学, 看護学部, 准教授 (50562683) ; 西村 伸子 姫路大学, 看護学部, 教授 (90515800) ; 菅野 夏子 姫路大学, 看護学部, 教授 (90293290)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 職業性ストレス / 看護師 / 二交代制勤務 / 自律神経活動

Outline of Final Research Achievements

Physical fatigue index (PSI), sympathetic activity index (LF), parasympathetic activity index (HF), and sympathetic/parasympathetic balance index (LF/HF) were measured after work in 500 nurses working two shifts at University Hospital A. The proportion of LFs working day shift and night shift and the non-standard group of PSI was high, suggesting that the patients were physically fatigued and stressed regardless of their work zone. The same subjects were then given a focus group interview (FGI) on improving their work environment with the aim of promoting behavior change. The nurses were able to review their own work style, consider what could be improved in their work, and enhance their personal lives according to their lifestyles.

Free Research Field

看護教育

Academic Significance and Societal Importance of the Research Achievements

二交代制勤務をする看護師のストレスについて，生理学的評価による客観的評価と質問紙による主観的評価を連携し，明らかにしたところに学術的意義がある。また，看護師の過重労働の軽減のための効果的な対策について，大学病院に勤務する看護師集団自らが，働き方を見直し改善を目指し行動を変容させ，ストレス予防への示唆を得たところに社会的意義がある。