在日勤務3年後に職場変更した中国人看護師が新たに職場適応する際に抱える困難

The Challenges Faced by Chinese Nurses Who Changed Their Workplace After 3 Years of Working in Japan in the Process of New Workplace Adaptation

要旨

　目的：在日勤務3年後に職場変更した中国人看護師において新たに職場適応する際に抱える困難を明らかにすることである．

　方法：来日を斡旋した受け入れ病院で3年間勤務した後に職場変更した中国人看護師13名を研究対象者とし，半構造化面接で得られたデータを質的記述的に分析した．

　結果：職場変更した中国人看護師において新たに職場適応する際に抱える困難として，【求められる日本語のレベルが高く適切に意思疎通を図れない】【既卒看護師としてのキャリアは認められず職業的な自己肯定感が低下する】【急性期看護の高いワークロードに効率的に対処できない】等7つのカテゴリーが抽出された．

　結論：在日勤務3年後に職場変更した中国人看護師の医療現場適応における困難はコミュニケーション能力の不足および職場による教育的支援の不足が根底にある．職場による切れ目のない教育的支援の必要性が示唆された．

　Purpose: The purpose of this study is to clarify the challenges faced by Chinese nurses who changed their workplace after 3 years of working in Japan in the process of new workplace adaptation.

　Method: We conducted a qualitative and descriptive analysis of the data obtained in a semistructured interview with 13 Chinese nurses who changed their workplace after having worked in Japan for three years.

　Result: Seven core categories were extracted as challenges of new workplace adaptation faced by Chinese nurses who changed their workplace, such as "The level of Japanese required is high and it is difficult to communicate properly," "The career of a second-career nurse is not recognized, leading to a decrease in professional self-esteem," "Cannot efficiently cope with the high workload of acute care nursing." etc.

　Conclusion: The difficulties in adapting to the medical practice for Chinese nurses who changed workplaces after working in Japan for three years were due to a lack of communication skills and insufficient educational support from the workplace. This suggests the need for seamless educational support from the workplace.