Developing an interpersonal reactivity index for nurses to provide effective and quality mental care

• Project/Area Number: 18K17518
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Hamamatsu University School of Medicine
• Principal Investigator: Aoki Yoshimi 浜松医科大学, 医学部, 助教 (70781376)
• Project Period (FY): 2018-04-01 – 2021-03-31
• Project Status: Completed (Fiscal Year 2020)
• Budget Amount: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000); Fiscal Year 2019: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000); Fiscal Year 2018: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
• Keywords: 共感 / 臨床対人反応性指標 / 視点取得 / 無条件の肯定的理解 / 看護師 / 尺度 / 対人反応性指標

Outline of Final Research Achievements

This study aimed to determine the validity and reliability of the Clinical Interpersonal Reactivity Index in Japanese nurses. Participants were regular nurses belonging to a national university hospital and nursing researchers in Japan.
A postal questionnaire was conducted. Construct validity was analyzed by exploratory and confirmatory factor analysis, and correlation analysis was conducted using the Interpersonal Reactivity Index. Clinical Interpersonal Reactivity Index has an 18-item, two-factor structure. Correlation analysis between a clinical interpersonal reactivity index and Interpersonal Reactivity Index indicated the factors had a significant correlation for empathic concern and perspective taking. The Clinical Interpersonal Reactivity Index had adequate validity and reliability in Japanese nurses. The two factors evaluated perspective taking and unconditional positive regard.

Academic Significance and Societal Importance of the Research Achievements

臨床反応対人性指標の信頼性と妥当性が確認され、看護師に求められる共感を評価できることが確認された。臨床対人反応性指標では、視点取得（相手の立場に立って考えること）と無条件の肯定的理解（如何なる場合であっても相手を理解しようとすること）の2つであり、いずれも臨床心理学者のRogersが提唱している効果的なカウンセリングを行うための条件に含まれている。
臨床対人反応性指標は、看護師の共感に関する教育の評価に用いることができ、看護師の共感能力を向上させる一助になると考えられる。また、看護師の共感能力が、看護師自身のメンタルヘルス等にどのような影響を及ぼすかなども明らかにすることができる。

Research Products

• [Journal Article] Development of a Draft Clinical Interpersonal Reactivity Index to Evaluate Empathy in Nurses (2019)
  • Author(s): Yoshimi Aoki, Harumi Katayama
  • Journal Title: Asian Journal of Human Services Volume: 16 Issue: 0 Pages: 14-28
  • DOI: 10.14391/ajhs.16.14
  • NAID: 130007640102
  • ISSN: 2186-3350, 2188-059X
  • Peer Reviewed / Open Access
• [Presentation] Consideration of reliability of a draft Clinical Interpersonal Reactivity Index to evaluate empathy in nurses (2021)
  • Author(s): Yoshimi Aoki, Harumi Katayama
  • Organizer: East Asian Forum of Nursing Scholars (EAFONS) 2021 Virtual Conference
  • Int'l Joint Research
• [Presentation] Relationship between a draft clinical interpersonal reactivity index (CIRI-D) to evaluate nurses’ empathy and state of self-compassion (2019)
  • Author(s): Yoshimi Aoki, Harumi Katayama
  • Organizer: 2019 AAPINA(Asian American /Pacific Islander Nurses Association, Inc) Conference Planning Committee
• [Presentation] 看護師の共感を評価する臨床対人反応性指標（原案）の統計学的検証 (2019)
  • Author(s): 青木好美，片山はるみ
  • Organizer: 日本看護科学学会
• [Presentation] Relationship between a draft clinical interpersonal reactivity index to evaluate nurses’ empathy and state of self-compassion (2019)
  • Author(s): Yoshimi Aoki, Harumi Katayama
  • Organizer: 2019 AAPINA Conference Planning Committee
  • Int'l Joint Research
• [Presentation] Are different types of empathy required for nurses and therapists? (2018)
  • Author(s): Yoshimi Aoki, Harumi Katayama
  • Organizer: The 4th International Conference on Prevention and Management of Chronic Conditions : Innovations in Practice, Education, and Research
  • Int'l Joint Research
• [Presentation] 看護師に求められる共感を評価する指標の作成と視点取得の重要性 (2018)
  • Author(s): 青木好美 片山はるみ
  • Organizer: 第38回日本看護科学学会