臨床看護師の学習ニードと個人要因および環境要因との関連

A Study on the Personal/Environmental Factors Related to the Actual Conditions of the Learning Needs of Clinical Nurses

要旨

　本研究は，①臨床看護師（以下，看護師）の学習ニードと個人要因・環境要因の関連を明らかにし，②継続教育について検討すること，の2点を目的に，A地区に勤務する看護師と看護管理者に対して，学習ニードに関連する個人要因・環境要因，および学習ニードアセスメントツールから成る質問紙調査を実施した．有効回答719名を分析対象とした結果，学習ニード得点と関連が認められたのは，「キャリアアップを望む意思」「学位・資格取得を目指す意思」「院内研修参加状況」「過去の研修受講経験」の個人要因4項目，ならびに「病院の種類」の環境要因1 項目であった．キャリアアップや資格取得を能動的に目指す者は学習ニード得点が高く，継続教育には，看護師個々のキャリア開発へのサポート体制の強化が有効と思われた．また，療養病床に勤務する看護師の学習ニード得点は低い傾向にあり，自施設内での自助努力に加え，近隣地域での教育資源の模索や教育体制のネットワーク構築の必要性も示唆された．

Abstract

　The purpose of this study was to clarify the personal/environmental factors related to clinical nurses' learning needs and to discuss the concept of continuing education. The investigation was carried out with the nurses and the nurse administrators using a questionnaire that included personal and environmental factors and learning needs assessment tools. Valid responses were received from 719 of the subjects, and they were analyzed.

　Statistically significant differences were found four personal factors and one environmental factor as follows. The personal factor items, which consisted of: (1) the desire for career advancement, (2) the acquisition of academic degrees and qualifications, (3) the level of participation in in-hospital programs, and (4) the experience of participation in education programs. The environmental factor item consisted of the type of hospital.

　Nurses who aimed for career advancement or for the acquisition of academic degrees and qualifi-cations had high learning needs; and in terms of continuing education, a reinforcement of the support system for the development of individual career advancement programs seems to be effective. In addition, nurses working in convalescent wards tended to have low learning need scores.

　It is suggested the necessity of improving an educational system at their facility, using the educational resource and establishing the education network in the neighborhood.