看護管理者の食生活の実態と、患者の食への援助の看護管理の実態を明らかにするため、100床以上の全国の一般病院(108施設)の看護管理者を対象に食意識・食行動・食への援助に関する自記式質問紙と簡易型自記式食事歴法質問票(BDHQ)を用いた調査を行った。調査に協力が得られた看護部長89人(回収率82.4%)、看護師長554人(回収率60.9%)のデータを分析した結果、看護部長と看護師長は、ともに食意識が高く、食意識は食行動や食物摂取にも関連していることが明らかになった。患者の食への援助では、看護部長・看護師長ともに食への援助の意識が高く、食が患者の健康や疾病治癒に及ぼす影響を認識していた。看護師長の入院患者に対する食への援助では、患者個々に見合った食事指導の確認や、食に関する勉強会や研修会開催への働きかけ、看護師が行う食事準備・食事介助・後始末の確認の実施割合が低いことが分かった。一方、食意識と食への援助とは関連が見られ、良好な食生活を送っていると自負している看護師長は、食への援助の看護管理に積極的な傾向が見られた。本研究では、看護管理者が自分自身の食生活を整えることが患者の食への援助に関する看護管理にも好影響を与えることが示唆された。十分とは言えなかった食への援助に関する看護管理をどのように日常業務の中に組みこんでいくかが今後の課題である。The aim of the research is to investigate the patterns and the degree of dietary awareness of nursing administrators. The target nursing administrators included directors of nursing and head nurses from 108 hospitals with more than 100 beds for the general patient population. The survey was conducted using a questionnaire of attributed information; the way of thinking about food, dietary behavior, and a brief-type self-administered diet history questionnaire (BDHQ) for food and nutritional intake. The number and rate of responding were 89 (82.4%) for directors of nursing and 554 (60.9%) for head nurses. The result showed that nursing administrators had high levels of dietary awareness which also significantly supports the correlation between their higher standards of dietary/eating habits and behaviors. Regarding the patients nutritional assistance, it is clear that nursing administrators were aware that diet is deeply related to the patients\u27 overall health and recovery. Although nursing administrators recognize the importance of dietary/nutritional assistance, "unsatisfactory performance in the supervision of actual dietary intervention by nurses for the patients", "inadequate number of training workshops on diets", and "poorly-supervised meal services and assistance/cleanups by nurses" have been observed. On the one hand, those who had higher awareness levels of their own eating habits and dietary routines, showed that they also tend to have good dietary habits, and better attitudes and were more diligent toward the management of a nursing practice of diets. The research suggests that, by revising the dietary habits of the nursing administrators, it will create a more positive impact on patient dietary support. It should now be our future objective to engage in adequate dietary support within daily nursing administrative routines
