卒後1〜3年の看護師が語る手術看護の経験

Operative Nursing Experiences from the Perspectives of Nurses 1-3 Years after Graduation

要旨

　目的：卒後1〜3年の看護師の手術看護の経験を可視化する．

　方法：対象者7名に半構造化面接を行い，リースマンのナラティヴ分析を用いて分析した．

　結果：対象者7名が語る手術看護の経験は，【患者の辛さや不安な思いを気遣う関わり】【患者の思いの理解と信頼関係が大事だという気付き】【患者の立場に立って気付く倫理的配慮の必要性】【受け持ち看護師である自覚】【器械出しが出来ないやりきれなさと患者を救う看護だという気付き】【患者の安全を守る責任と役割を果たすための努力】【手術看護が出来たという実感】【手術看護を行うことで気付いた手術看護の魅力】【患者との関わりから得る達成感と励み】の9テーマであった．

　結論：卒後1〜3年の看護師は，十分に看護が実践出来ないと感じながらも，日々の手術看護の経験を通して，看護の意味を見出し，やりがいを感じながら，手術看護における技術の向上を目指していた．

　Purpose: To visualize operative nursing experiences of nurses in their first to third year after graduation.

　Methods: We conducted a semi-structured interview of seven nurses and analyzed the data using narrative analysis methods by Riessman.

　Results: We identified the following nine themes pertaining to the operative nursing experiences of the enrolled seven nurses: [Caring for the pain and anxiety of a patient] [Careful that understanding and trusting relationships of patient's feelings are important] [A need for assistance with ethical considerations, identified from the patient's point of view Sex] [Awareness of being a nurse] [The pain of not being able to issue the instrument, and the awareness that it is nursing to save the patient] [Responsibilities and responsibilities to fulfill their responsibilities to protect patients' safety] [Feeling that operative nursing was able to be done] [Attraction toward operative nursing developed while providing operative nursing care] [Sense of achievement and encouragement resulting from relationship with patients].

　Conclusions: Nurses 1-3 years after graduation perceive that nursing cannot be practiced adequately. This study explored the meaning of nursing through the experience of daily operative nursing, and was aiming at the improvement of the technique in the surgical nursing while feeling the satisfaction.