訪問看護ステーション管理者の職務継続の状況

The Status of Continuation of Professional Duties in Home Nursing Station Managers

要　　旨

　目的：本研究の目的は、訪問看護ステーション（以下、ST）管理者の職務継続の状況を明らかにし、職務継続をしていく上での課題やその具体的な支援を検討するための示唆を得ることである。

　方法：調査時にＡ県内のSTで勤務し、3年以上管理者を継続している研究参加者にインタビューガイドを用いた半構造的面接を行い、録音した面接内容から逐語録を作成した。逐語録よりST管理者の職務継続の状況に関わる部分を意味単位で抽出してコード化し、カテゴリーをつくっていった。

　結果：研究参加者10名は全員女性であり、年齢は40歳代〜70歳代であった。ST管理者の職務継続の状況は、【夢と目標をもって就任】、【開設・運営に苦慮】、【ダイレクトな性質の仕事】、【経験から得るやりがい】、【管理者のあり様を体得】、【STの創造】の6大カテゴリーで構成された。

　考察：ST管理者の職務継続の状況は、STの責任者として訪問看護の質の向上に取り組みながら収益を求め、療養者・家族からの評価をダイレクトに、かつ、一心に受け止めているという特徴をもちつつ、就任時もしくは就任前より思い描く訪問看護への夢と目標を追求している状況であった。

　Purpose: The purpose of this study was to clarify the status of continuation of professional duties of home nursing station (ST) managers, and to obtain suggestions for investigating issues and specific support in the continuation of professional duties.

　Methods: Semi-structured interviews using an interview guide were conducted on study participants who were working at STs in Prefecture A, and had worked continuously as a manager for at least three years at the time of the survey. Verbatim transcripts were prepared from the recorded interview contents. Parts related to the status of continuation of professional duties in ST managers were extracted from the transcripts in semantic units and coded. Categories were then made.

　Results: There were 10 study participants, all of whom were women with ages ranging from the 40s to 70s. The status of professional duties in ST managers consisted of six major categories: “began working with dreams and goals”, “difficulty opening and operating an ST”, “work with a direct nature”, “results obtained from experience”, “mastery of how to be a manager” and “creation of an ST.”

　Discussion: The status of professional duties in ST managers involves seeking revenue while making efforts to improve the quality of home nursing as the person responsible for the ST. It has the characteristics of receiving direct assessments from patients and their families and of being taken on wholeheartedly, while also pursuing the dreams and goals of home nursing envisioned at the time of or before taking up the position.