手術室看護師が定着するまでのプロセスに関する研究

( Max 2000 Items )
URI http://shark.lib.kagawa-u.ac.jp/kuir/metadata/1359
Title
手術室看護師が定着するまでのプロセスに関する研究
Title Alternative
Study on the Process Undertaken until Trainees Become Fully Established as Scrub Nurses
File
Description

本研究の目的は,手術室に配置された看護師が,手術室看護師として定着するまでのプロセスを明らかにすることである. 研究デザインは,質的記述研究である. 研究対象は,2病院の手術室看護師15名で,手術室看護師として定着するまでのプロセスをインタビューガイドをもとに半構成的面接法で実施した. 倫理的配慮は,A病院,B病院の倫理委員会の承認を得て実施した. 2病院454データから,【手術室配置に対する不安やとまどい】【自己の能力に対する期待と不安】【自己が描く手術室のイメージとのずれ】【専門分野への不安】【手術室看護師の役割とやりがい】【手術室看護師の初期キャリア形成】【自己のキャリア形成】【緊急手術時の対応と医療事故への不安】【チーム医療】【スタッフ間や他職種との協働】【手術室看護の専門性・独自性】【手術室看護師としてのモチベーションを高める要因】【一人前の手術室看護師】【キャリア形成の向上】【熟達看護師に向けての力量形成】【高い実践能力と自己成長に対する課題】の16のカテゴリーが抽出された. さらに,手術室看護師が定着するまでのプロセスは,3つの局面に分類されることが明らかとなった。第1局面は,手術室へ配置された初期の状況であり,第2局面は,手術室看護師として初心者から一人前を自覚し,手術室看護師として決心し定着する時期であった. 第3局面は,より専門性を高めようとする時期であった. これらの3局面は,手術室看護師の定着とその支援とともに,人材育成の点からも意義深いといえる。

The objective of this study is to reveal the process undertaken until nurses who are assigned to the operating room become firmly established as scrub nurses. The study subjects included 15 scrub nurses who were working at 2 hospitals. The common category of 16 was extracted from 2 hospital 454 data. The common categories included ""expectations and anxieties regarding their own ability,"" ""anxieties regarding being assigned to the operating room,"" ""anxieties regarding their specialized field,"" ""disparity between the actual operating room and what that they had imagined,"" ""the challenges of working as a scrub nurse,"" ""expertise and uniqueness of scrub nursing,"" ""term healthcare,"" ""anxieties regarding responses during emergency surgeries and/or cases of malpractice,"" ""the development of their own careers,"" ""cooperation among staff, including persons of other job titles,"" ""improvement of career development of their own careers,"" ""cooperation among staff, including persons of other job titles,"" ""improvement of career development,"" ""the initial development of the career of a scrub nurse,"" ""experienced scrub nurses,"" ""factors that enhance one's motivation as a scrub nurse,"" ""the development of competence as a skilled nurse,"" and ""the challenges of developing high practical ability and self growth as a scrub nurse."" Accordingly, the process undertaken until trainees become fully established as scrub nurses was classified into three phases in the development of a scrub nurse's career. The first phase is the initial situation in which they are assigned to the operating room, and the second phase is when they become aware that they have transitioned from being trainees and become firmly established as scrub nurses. The third phase is when they seek to further improve thier own expertise.It can be said that meaning is deep with the established as scrub nurses and that support from the point of the human resource cultivation as well about these three phases.

Author
著者 大西 敏美
著者(ヨミ) オオニシ トシミ
著者(別表記) Onishi Toshimi
著者 名越 民江
著者(ヨミ) ナゴシ タミエ
著者(別表記) Nagoshi Tamie
著者 南 妙子
著者(ヨミ) ミナミ タエコ
著者(別表記) Minami Taeko
Publication Title
香川大学看護学雑誌
Volume
13
Issue
1
Start Page
1
End Page
12
Publisher
香川大学医学部看護学科
Published Date
200903
ISSN
1349-8673
NCID
AA12029628
Resource Type
Departmental Bulletin Paper
Language
jpn
Text Version
publisher
Set
香川大学
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