臨床看護師が成長に向かう動機づけの構造

The Structure of Motivation for Growth of Clinical Nurses

要旨

　目的：臨床看護師が成長に向かう動機づけの構造を明らかにする．

　方法：経験3年目以上の看護師13名に半構成的面接を行った．

　結果：8つのカテゴリーが見出された．看護師は【看護職として仕事に向かうための基盤】を築くことで【看護という仕事への取り組み】を容易にし，仕事の中で【専門職としての未熟な自己への気付き】に至り【未熟さの克服への努力】を行っていた．他者との関わりが増すことで【他者との関わりを通した自己の在り方への関心】を強く抱きながら【他者への配慮を心にとめた自己の探究】を続け，経験を積み重ねる中で【看護職に対する誇りと他者貢献への欲求】が培われ，【仕事に対する自律性と協調性の融合】した行動へと繋がった．

　結論：看護師が成長に向かう動機づけは，一人前の専門職を目指す中で他者へ向かう思考と自己の内面に向かう思考がバランスを取り，協調的で自律的な行動を見出す構造であることが示唆された．

　Purpose: The purpose of this study was to clarify the structure of motivation for growth of clinical nurses.

　Method: Thirteen nurses with more than three years of clinical experience were interviewed using a semi-structured interview.

　Results: Eight categories were extracted. Laying a “foundation for working as a nurse” facilitated nurses to “tackle nursing work”, and developing “awareness of immaturity as a professional” while working helped nurses to make an “effort to overcome immaturity”. As nurses developed relationships with others, they gradually strengthened their “interest in what I should be through relationships with others”, and they “reflected on themselves with consideration for others”. “Pride in nursing and a desire to contribute” was cultivated with accumulation of experience, leading to “fusion of autonomy and cooperation at work”.

　Conclusion: These results suggest that motivation for growth of clinical nurses requires establishment of both cooperative and autonomous behaviors by maintaining a balance of thoughts for others and the inner self, with the aim of becoming a fully-fledged professional.