中堅看護師におけるキャリア・プラトーと現部署での就業継続意思との関連

Association Between Career Plateau and Intention to Continue Working in the Current Position Among Mid-Career Nurses

要旨

　目的：中堅看護師におけるキャリア・プラトー測定尺度の得点と現部署での就業継続意思との関連を明らかにする．

　方法：中堅看護師528名を対象に就業継続意思とキャリア・プラトー測定尺度を用いて調査した．継続意思に対する尺度のカットオフ値をROC分析にて算出，プラトー群と非プラトー群に分け，継続意思を従属変数，プラトーの有無または尺度の得点と潜在的交絡因子を説明変数とした二項ロジスティック回帰分析を行った．

　結果：キャリア・プラトーは現部署での就業継続意思と有意に関連していた（調整済みオッズ比2.70，95％CI 1.83〜3.98，p＜0.001）．また，尺度得点も有意に関連していた（調整済みオッズ比0.97,95％CI 0.95〜0.98，p＜0.001）．

　結論：中堅看護師のキャリア・プラトー測定尺度における得点は現部署における就業継続意思と関連する有用な評価指標である可能性がある．

　Objective: To find an association between career plateau measurement scale scores and the intention to continue working in the current position among mid-career nurses.

　Methods: A total of 528 mid-career nurses underwent a survey on the intention to continue working in the current position and career plateau. The career plateau measurement scale for midcareer nurses was used to measure career plateau. The cutoff score of the scale for the intention to continue was calculated through receiver operating characteristic analysis and used to divide the nurses into "plateau group" and "non-plateau group." Then, a binomial logistic regression analysis was conducted using the intention to continue working in the current position as a dependent variable and the presence or absence of a plateau or scale score and potential confounding factors as explanatory variables.

　Results: The career plateau was significantly associated with the intention to continue working in the current position (adjusted odds ratio 2.70, 95% confidence interval [CI] 1.83-3.98, p＜0.001). The scale scores were also significantly associated with the intention to continue working in the current position (adjusted odds ratio 0.97, 95% CI 0.95-0.98, p＜0.001).

　Conclusion: The career plateau measurement scale score for mid-career nurses may be a useful measure associated with the intention to continue working in the current position.