看護組織における組織文化の概念分析

A Concept Analysis of Organizational Culture in Nursing Organization

要旨

　昨今，医療現場では組織変革を迫られるなか，組織文化がその鍵であると言われているが，その概念は，まだ十分明確にされているとは言い難い．そこで，今回，「看護組織における組織文化」の概念を明らかにすることを目的に研究を行った．

　概念分析の方法は，Hybrid Model法を用いた．最初に人類学・経営学・看護学の文献検討を行い，次に2総合病院で6カ月間のフィールド調査を行い，最後にそれらを総合した分析を行った．

　その結果，組織文化は，「人工物―価値・規範―基本的仮定」のレベルをもっており，その本質は「基本的仮定」であることが明らかになった．そして，看護組織における組織文化は，「集団の基本的仮定」，「仕事の基本的仮定」，「看護師の基本的仮定」の3つの領域から成り立ち，それらは相互に重なり合っていた．

Abstract

　Today, health care facilities are expected to innovate in their organizations. It is said that success of the innovation depends on understanding organizational culture. But, in fact, the concept is not yet fully understood. Here, I tried to identify a concept of organizational culture in nursing organization.

　I used Hybrid Model in this work. In the first phase, I reviewed articles on anthropology, business and nursing. In the second phase, I did field work at two general hospitals for six months. And then, I integrated the results from the two phases.

　As the result, it has been found that the organizational culture is composed of three levels: artifacts, values / norms, and basic underlying assumptions, which is the essence. And nursing organizational culture has three aspects: basic underlying assumptions on the groups, basic underlying assumptions on the jobs, and basic underlying assumptions on the nurse, and those three aspects are overlapping.