ストレスを抱えながらも老人保健施設の看護師が就労を継続するプロセス

Process Perceived by Nurses who Continue Working under Stress in One Long-term Care Health Facility

要旨

【目的】老人保健施設で働く看護師がストレスを抱えながらも就労を継続していくプロセスを明らかにすることである。

【方法】半構造化面接をＡ老人保健施設の看護師10名に行いM-GTAで解釈分析した。

【結果】27の概念が生成され、12のカテゴリー＜葛藤を抱えながらの就労＞＜自己を取り巻く関係性の困難さ＞＜徒労感＞＜逃避・回避＞＜ケア提供者への批判的な思考＞＜自己洞察＞＜老年看護の学び＞＜個々の高齢者を尊重する思いの深まり＞＜ケアチームの力を強化する＞＜メンバーを育てる＞＜その人らしさを尊重したケア＞＜達成感＞が抽出された。

【結論】老人保健施設の看護師の就労継続のプロセスが明らかになった。看護師は、≪ストレスを認知≫しながらも、【高齢者の強みに着目】することで≪やりがいを見出≫し、≪自己の成長に気づく≫という一連の過程の中で、就労継続に至っていた。

Purpose: Identify and describe the processes that nurses at long-term care health facilities use in order to keep working under stressful conditions.

Method: The results of semi-structured interviews with ten nurses employed at Long-term Care Health Facility A were interpreted and analyzed using M-GTA.

Results: Twenty-seven concepts were identified in twelve different categories: working under conflict stress, difficulties in personal relationships, sense of futility, escape and avoidance, criticism of long-term care providers, self-discernment, lessons in geriatric nursing, deepening respect for individual seniors, building care team skills, developing team members, care that respects the individual patient, and sense of accomplishment.

Conclusions: The study successfully identified and described work continuation processes among nurses at long-term care health facilities. The central process nurses used to keep working was finding meaning by focusing on the strengths of the elderly while finding respect for patient individuality during the course of administering care and noticing one's own personal growth.