看護職者の役割移行—概念分析

A Concept Analysis of Nurses' Role Transition

要約

　目的：本研究は看護職者の役割移行に関する文献を探究し，役割移行という概念の特徴を識別し定義することを目的とする．

　方法：研究方法にはRodgersの概念分析アプローチ法を用いた．データ収集にはCINAHL Plus with Full Text，MEDLINE，医中誌Webなど9つのデータベースを使用し，検索用語は「role transition」「nurse」「役割移行」とした．最終的に適切と判断された40文献を対象に分析を行った．

　結果：属性として7カテゴリ；【新たな領域で活動することへの意味づけ】【新たな行動様式を獲得するための取り組み】【新たな活動への期待と成功の希求】【職業的アイデンティティの模索】【情緒的反応】【困難との直面】【時間の枠組み】，先行要件として7カテゴリ，帰結として4カテゴリが抽出された．

　結論：看護職者の役割移行とは，看護専門職としての発達を志向する看護職者が，新たな領域での活動に意味を見出し，一定期間の活動継続を経て新たな行動様式を獲得していく過程であると定義された．

　Purpose: The purpose of this concept analysis was to define the concept of “nurses' role transition” by reviewing the literature and examining its characteristics within the context of the nurses' new role.

　Method: Searched were nine databases: CINAHL Plus with Full Text, MEDLINE, PsycINFO, SocINDEX, ERIC, Ichushi Web, Saishinkangosakuin Web, JMEDPlus and CiNii. Search terms were: “role transition” “nurse” and “yakuwari-ikō” (relating to role or duties). Forty published articles meeting the criteria were analyzed using Rodgers' evolutionary method of concept analysis.

　Results: Seven attributes of the concept “nurses' role transition” were identified: 1) the meaning of activities in new nursing fields; 2) approach to acquiring new activities; 3) expectations for new activities and desire for success; 4) searching for their professional identity; 5) emotional responses; 6) difficulties faced and 7) timeframe. Similarly, seven antecedents and four consequences were identified.

　Conclusion: The nurses' role transition was defined as a process of continuing to acquire new behavior patterns through new nursing activities or functions, which continued over a period of time and where nurses, committed to develop as nursing professionals, had found meaning in the activities and functions of new nursing fields.