@article{oai:kanazawa-u.repo.nii.ac.jp:00016186,
 author = {Ouchi, Takashi},
 issue = {2},
 journal = {金沢大学つるま保健学会誌 = Journal of the Tsuruma Health Science Society Kanazawa University},
 month = {Jan},
 note = {In order to identify the factors that nurses having experienced medical errors considered likely to lead to medical errors and to find out the inter-relations among factors and explain their perception formation by model construction, we surveyed 1,053 nurses who were working in eight randomly-selected hospitals each having more than one clinical department. 　We conducted exploratory factor analysis to find out a small number of latent background factors from a large number of items that are manifest factors, and also used Structural Equation Models. For the identification of factors, 23 items were input to extract factors by factor analysis; multiple linear regression analysis was applied. Data analysis used for factor analysis and multiple linear regression analysis; moreover SEM which is able to show cause and effect relations in phenomena and concept structures, was used. 　As the result of verifying the independence between the years of nursing experience with five years set as the separator and the experience or nonexperience of medical accidents by the Chi-square test showed a significant difference between nurses with less than five years and nurses with five years or more of experience. With less than five years of experience working as a nurse, five factors of “Poor physical conditions,” “Unable to concentrate,” “Inferior working environment,” “Tasks which easily lead to confusion,” and “Looking- Back” were extracted from nurses, while the four factors of “Management of health,” “Variant services,” “Difficult judgment,” and “Demotivation” were extracted from nurses with five years or more of experience working. 　In the adopted models, factors are divided into ones associated with the individual aspects of a nurse and ones associated with working environments. In both models for nurses with or without at least five years of experience, a cause-and-effect relation is drawn from factors associated with working environment through to factors associated with personal aspects. It was presumed that nurses with less than five years of experience perceived the factors of medical errors to lie in the very working environment in which they were working, while nurses with five years or more of experience perceived medical errors to be attributable to interpersonal relations. It is important to, based on the results of this study, not only attempt to improve the work environment and interpersonal relations but also be thoroughly committed to the creation of smooth relationships.　本研究は、医療事故または過誤経験のある看護師を対象に、看護師の医療事故または過 誤に対する意識を探索することにより、その要因の特定と要因間相互の関連性およびその 構造をモデル作成によって説明することを目的にする。 　方法は、潜在的な要因を探索的因子分析を用いて見出し、その背後にある要因の関係は、 共分散構造分析（SEM）を用いて示した。対象は中部、中国地方から医療事故または過誤 防止のための対策を講じている複数診療科をもつ８病院を選定し、そこに勤務する看護師 に行った。有効回答数は１０５３名であった。データの解析には因子分析と重回帰分析を行い、 さらに現象や構成概念の因果関係を示す共分散構造分析を用いた。 　結果、看護師経験５年未満と以上の医療事故の意識に有意差が見られた。５年未満は心 身不調、集中不可能、労働環境不良、錯誤業務、振り返りが抽出され、５年以上は体調管 理、業務変動、状況判断不能、士気消失が抽出された。モデルは、５年未満、５年以上と も労働環境から個人要因に関わる要因に因果関係が導かれ、５年未満は、自分の働く労働 環境そのものに、５年以上は対人関係に医療事故または過誤の要因のあると意識していた。 本結果をふまえ、職場環境の改善や人的交流を図り、スムーズな人間関係作りを徹底して 行うことが重要であることが示唆された。, [原著]},
 pages = {37--49},
 title = {An analysis of the factors of medical errors perceived by nurses : Factor exploitation and model construction},
 volume = {34},
 year = {2011}
}