2023 Fiscal Year Final Research Report

Developing an assessment index to examine inappropriate nurturing behaviors of parents of infants who need medical care be

Research Project

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Project/Area Number	20K10890
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58070:Lifelong developmental nursing-related
Research Institution	Osaka Shin-Ai Gakuin University (2022-2023) Osaka Prefecture University (2020-2021)
Principal Investigator	Naragino Hiromi 大阪信愛学院大学, 看護学部看護学科, 教授 (90285320)
Co-Investigator(Kenkyū-buntansha)	岡崎裕子大阪公立大学, 看護学研究科, 講師 (00382250)
Project Period (FY)	2020-04-01 – 2024-03-31
Keywords	医療的ケア児 / 不適切養育 / アセスメント指標
Outline of Final Research Achievements	When studying nurturing behaviors among parents of infants who require medical care, it is easy to focus on the acquisition of medical care techniques. Accordingly, this study aimed to develop an assessment index that holistically captures inappropriate nurturing behaviors of parents of infants who need medical care for use by professionals in the community and medical institutions. The research method referenced techniques for scale development. First, inappropriate nurturing behaviors were selected from an interview survey with professionals who work with parents of infants who need medical care; a preliminary index was drafted; and the preliminary index’s face and content validity were verified to create the proposed index. Then, the index’s reliability and validity were verified with a sample of 1,020 professionals. Lastly, a four-subscale, 20-item assessment index was created with an analysis set of 322 individuals, and its general reliability and validity were confirmed.
Free Research Field	小児看護学
Academic Significance and Societal Importance of the Research Achievements	本研究の目的は、医療的ケアを要する乳幼児をもつ親に対して不適切養育をアセスメントする指標を開発する。医療的ケアを要する乳幼児をもつ親の養育では、医療的ケアの習得に着目されやすい。その現状から、子ども虐待予防・子どもの育ちへの視点を転換させること、医療機関・地域の専門職が、共通の指標で親の不適切養育をホリスティックに捉えることができるようになる指標であり、学術的意義がある。また、この親の不適切養育アセスメント指標を開発し、親子に関わる専門職共通の指標で親の抱える不適切養育の内実を捉えられる。養育支援の構築に繋がり、親子に関わる看護職のアセスメントの力を培うことに繋がることは社会的意義がある。