乳がん看護認定看護師の臨床看護実践から形成されるプロフェッショナリズム

The Professionalism of Certified Breast Cancer Nurses Formed by Their Clinical Nursing Practice

要　旨

　目的：乳がん看護認定看護師の，臨床看護実践から形成されるプロフェッショナリズムを明らかにする．

　方法：日本看護協会の資格認定制度において資格認定された乳がん看護認定看護師を研究対象者とし，半構造化面接法によりデータ収集を行い，帰納的内容分析を行った．

　結果：対象者は17名であった．乳がん看護認定看護師のプロフェッショナリズムは，【乳がん看護の本質の認識】【秀抜な乳がん看護の実践】【乳がん看護の涵養への寄与】【組織発展への貢献】【専門看護職にふさわしい態度の保持】【向上する努力と自己研鑽】【乳がん看護の価値の承認】に集約された．

　考察：乳がん看護認定看護師のプロフェッショナリズムは，看護職全体のプロフェッショナリズムを基盤として，乳がん看護のプロフェッショナルとしての経験を積み重ねることにより形成し，醸成，改新されていく．乳がん医療の発展にともない，この看護師がプロフェッショナリズムを形成し，プロフェッショナルであり続けるためには，本人の努力と相まって職場環境や看護管理者の支援が寄与する．この看護師のプロフェッショナリズムを医療者や看護の対象となる人への認識を深めるには，社会に向けてこの看護師の意義や有用性を可視化して発信することが重要である．

　Purpose: To identify the professionalism of certified nurses in breast cancer nursing, which is formed bytheir clinical nursing practice.

　Methods: The study participants were certified nurses in breast cancer nursing who had been certified by　the Japanese Nursing Association’s certification system. Data were collected by semi-structured interviews　and inductive content analysis was conducted.

　Result: There were 17 participants. The professionalism of certified nurses in breast cancer nursing was　summarized as: recognition of the essence of breast cancer nursing, excellent breast cancer nursing practice,　contribution to the cultivation of breast cancer nursing, contribution to organizational development, maintenance　of an attitude appropriate for professional nursing, efforts to improve and self-improvement, and recognition　of the value of breast cancer nursing.

　Discussion: The professionalism of certified nurses in breast cancer nursing is formed, fostered, and renewed　through their accumulated experience as breast cancer nursing professionals, based on the professionalism　of the nursing profession as a whole. In order for these nurses to form and maintain their professionalism　as breast cancer care develops, the support of the work environment and nursing management, coupled　with their own efforts, will contribute to their professionalism. In order to deepen awareness of the professionalism　of these nurses among health care providers and those who are the target of nursing care, it is important　to visualize and communicate the significance and usefulness of these nurses to society.