卒後2年目看護師の看護実践における成長のプロセス

Growth Process of Nurses Who Graduated Two Years Ago in Practicing Nursing Care

要旨

　目的：本研究の目的は卒後2年目の看護師が，看護実践を通して成長していくプロセスを明らかにすることである．

　方法：病院に勤務する卒後2年目の終わりから3年目当初までの看護師8名を研究協力者とし，半構成的面接で得たデータを質的に分析した．

　結果：卒後2年目看護師は，2年目当初の【戸惑いと解放の混在する時期】を経て【できる気がする】経験をしていた．その後，【できていない自分と向き合う】ことによって【乗り越える力】を付けていき，【乗り越えた感覚】【乗り越えてチームに入れた感覚】を得ていた．最終的には【3年目への準備】に到達していた．また，この1年間【先輩の承認が成長のベース】となり，2年目看護師の成長を支えていた．

　結論：2年目看護師は，2年目当初の不安な時期を経て，数々の課題を乗り越えて成長した自分を実感し，3年目を迎えていた．時期に応じた課題の提供と先輩看護師の支えが重要であることが明らかになった．

　Purpose: The purpose of this study is to clarify how nurses, who graduated two years ago, had grown through their nursing practice.

　Method: We recruited as research collaborators eight nurses, who were between the end of their second year after graduation and the beginning of their third year. We analyzed all the data we obtained from semi-structured interviews.

　Results: Nurses in the 2nd year “felt the ability to cope” through “a mixture of confused inexperience and freedom” early in the 2nd year. After that stage, they experienced multiple times a process of “becoming empowered to overcome fear” by “confronting their lack of abilities” through facing new challenges. As a result, they were able to reach “the feeling of overcoming fear” and “the feeling of becoming a team member”. In the end, they achieved “readiness for the 3rd year”. In addition, growth of nurses through the year had been “supported by their seniors” during this 2nd year.

　Conclusions: It was found that nurses in the 2nd year looked ahead to the 3rd year of their careers and noticed the growth they had achieved by trying to overcome many challenges themselves, through the period of anxiety experienced early in the 2nd year. We understood, therefore, that the provision as appropriate of both challenge and support by senior nurses had been very important for growth of nurses in the 2nd year.