Partnership Nursing System®を採用する精神科病棟に勤務する看護師のやりがい

Worthwhileness among Mental Health Nurses Working in Partnership Nursing System®

要　　旨

　PNS^®を採用する精神科病棟に勤務する常勤看護師12名に半構造化面接を実施し、看護師のやりがいから離職防止のための支援を検討することを目的とした。

　面接調査の内容を分析した結果、看護師のやりがいとして、8カテゴリーが抽出された。やりがいは、中心に【チームに必要とされる自分への自信】があった。また、【判断の迷いを解決できる安心】【患者・看護師お互いの安全を守り合える】【業務と責任の集中からの解放】は、看護提供方式が関係していた。残りの【自己研鑽へのやる気】【患者との信頼関係構築の満足感】【看護ケアの成果に対する充実感】【感情をコントロールできる心の強さ】を含め8つのやりがいは、お互いに関係しあい看護師の仕事へのやりがいを高めていた。

　精神科病棟に勤務する看護師の離職防止のためには、看護ケア提供時の看護提供体制整備および看護師の感情コントロール支援が重要であると考える。

　This study examines the support necessary to prevent the resignation and dismissal of nurses from their place of employment by applying a worthwhileness among nurses. To this end, the study arranged for a series of semi-structured interviews with twelve full-time mental health nurses working in Partnership Nursing System^®.

　We analyzed the contents of survey interviews and identified eight categories of nursing worthwhileness. The worthwhileness was centered around one of these eight categories, namely, 1) the feeling of confidence that one is needed by their team. In addition, the ways in which nursing care was provided was found to relate the following three categories: 2) A nurse's confidence in their ability to mitigate hesitation in decision-making; 3) The shared feeling between patients and nurses that they are able to safeguard each other's well-being; and 4) Liberation from having to take on too many duties and responsibilities. The remaining four categories for worthwhileness follow: 5) Motivation for self-improvement; 6) Sense of satisfaction that comes from building trust with patients; 7) Sense of fulfillment regarding the results of nursing care; and 8) The mental strength to control one's emotions. These eight categories were found to be interrelated and to increase nursing worthwhileness.

　In order to prevent dismissals and resignations of mental health nurses, it seems important to establish a system to regulate how nursing care is provided, as well as to provide support for nurses in controlling their emotions.