新人看護師が職場におけるコミュニケーションの困難を経験しながらも就業継続の選択に至った径路

Experiences of Communication Challenges in the Workplace and Pathways to Career Continuation for Novice Nurses

要旨

　目的：本研究の目的は，新人看護師が職場におけるコミュニケーション困難を経験しながらも就業継続の選択に至った径路について明らかにすることである．

　方法：新人看護師5名を対象に半構造化面接を実施し，現象学的方法を基盤にテーマを抽出し，複線径路・等至性モデリングを用いてモデル化した．

　結果：インタビューより，【先輩看護師に自身の存在価値を示せないことがもどかしく苦しい】，【精一杯の虚勢を張る】，【十分に仕事はできない中で自分が目指す看護を模索する】，【〈看護師〉として成長を勝ち取る】の4つの段階のテーマが抽出された．

　結論：新人看護師は先輩とのコミュニケーションに困難を経験しながら，インシデントのような衝撃的な出来事への直面や同期の退職等を契機として，自分の成長や周囲の人間関係，環境の支えを改めて認識し，成長意欲を得て職業継続の選択に至った．この過程は『自己変成』の生起と考えられる．

　Objective: The aim was to elucidate the pathways and experiences of novice nurses who choose to continue working despite experiencing communication difficulties in the workplace.

　Methods: Semi-structured interviews were conducted with five novice nurses. Themes were extracted using phenomenological methods and were subsequently used to model the process through Trajectory Equifinality Modeling.

　Results: From the interviews, four thematic stages were identified: (1) Frustration and distress from being unable to demonstrate one's worth to senior nurses, (2) Putting on a brave front, (3) Struggling to find one's ideal nursing practice despite inadequate job performance, and (4) Achieving growth as a 'nurse'.

　Conclusion: Novice nurses experience communication difficulties with senior members of staff and through incidents and interactions with their peers, recognize their own growth, interpersonal relationships, and support from their environment. This recognition leads to a renewed motivation for growth and the choice to continue in their profession. This process can be considered as the emergence of 'self-transformation'.