跨专业协作在日本助理护士道德敏感性与工作满意度间的调节作用:一项横断面研究OA

Objectives:This study aimed to examine the moderating effect of interprofessional collaboration(IPC)on the association between moral sensitivity and job satisfaction among nursing assistants(NAs)in Japan. Methods:A cross-sectional survey was conducted.We recruited 375 NAs using a convenient sampling method from 14 hospitals in Okinawa,Japan,from June to July 2024.Data were collected using a self-administered questionnaire including demographic and work-related variables,the 20-item short form of the Minnesota Satisfaction Questionnaire,the Japanese version of the Revised Moral Sensitivity Questionnaire,and the 24-item Revised Otsuka Interprofessional Work Competency Scale.Hierarchical multiple regression analysis and simple slope analysis were used to investigate moderating effects. Results:The mean scores for job satisfaction and IPC were 59.50±10.86 and 52.75±15.08,respectively.The mean scores for moral responsibility,moral strength,and sense of moral burden were 7.38±1.49,11.43±2.85,and 16.60±3.42,respectively.Job satisfaction was positively correlated with IPC(r=0.31,P＜0.001),moral strength(r=0.40,P＜0.001),and sense of moral burden(r=0.39,P＜0.001),but not with moral responsibility(r=0.01,P＞0.05).Hierarchical multiple regression analysis revealed that moral strength(β=0.25,P＜0.001)and sense of moral burden(β=0.21,P=0.003)significantly associated with job satisfaction.A significant interaction effect was observed between sense of moral burden and IPC(β=0.13,P=0.022).A simple slope analysis revealed that at high levels of IPC,sense of moral burden was positively associated with job satisfaction(P＜0.001). Conclusions:A sense of moral burden may enhance job satisfaction when supported by strong IPC.Enhancing both moral sensitivity and IPC may improve job satisfaction among NAs and support patient-centered care in Japan's rapidly aging society.