小規模町村離島における保健師の就職と離職の理由

The Reason for Taking a Job and Turnover among Public Health Nurses on Remote Islands

要旨

　目的：小規模町村離島における保健師の離島への就職を決めた理由や辞めたいと思った出来事，離職の理由を明らかにする．

　方法：小規模町村離島を離職した保健師と現職の保健師，計10人に半構造化面接を行い，質的記述的に分析した．

　結果：離島での就職を決めた理由は【島の住環境や交通の便の良さ】【離島の生活や保健師活動への興味】等の7つのカテゴリで構成されていた．現職保健師の辞めたいと思った出来事は【改善が困難な業務の忙しさ】【家族のライフイベントを大切にした選択】等4つのカテゴリで構成されていた．保健師の辞めた理由は【島が閉鎖的で見られているような感じ】【自身や家族のライフイベントを大切にした選択】等6つのカテゴリで構成されていた．

　結論：保健師が小規模町村離島に就職を決めた理由は，島の環境の良さや交通の便，島の保健活動への興味等であった．現職保健師の辞めたいと思った出来事，離職保健師の辞めた理由は，改善が困難な業務の忙しさ，離島の閉鎖的でプライバシーがない感じや自身や家族のライフイベントだった.

　Purpose: This study aimed to clarify that taking a job and turnover reasons, the event that they want to resign their job among public health nurses on remote islands.

　Method: The researcher qualitatively analyzed data generated through semi-structured formal interviews with 10 public health nurses who worked on or resigned from remote islands.

　Results: Seven categories of the reason for taking a job on the island emerged from the interview data: [Comfortable living environment on the island and access conveniently], [Curiosity of living and public health nurses' activity on an island] and others.

　Four categories emerged as the event that public health nurses want to quit their job from the interview data: [Feel like jobs become chronic and no way to solve the problem], [Job busyness which hard to improve] and others.

　Six categories emerged as the reason for resigning from their job from the interview data: [Island was an insular community and it felt uncomfortable due to somebody watching me all the time], [The choice which respected personal and family life event] and others.

　Conclusion: The island environment, access conveniently, and interest in health activity on islands were the reason for taking a job. The events that public health nurses want to quit their job and the reasons they resigned were job busyness which hard to improve, closedness of island and no privacy, personal life event and family life event, and others.