1.

論文(AKAGI収録)

論文(AKAGI収録)
加藤, 栄子 ; 平松, 庸一 ; 尾崎, フサ子
出版情報: 群馬県立県民健康科学大学紀要.  8  pp.9-21,  2013-03.  群馬県立県民健康科学大学
概要: 目的:就職6ヵ月時における新人看護職者のバーンアウトの要因を検討し,看護療法を実践することによるバーンアウト低減の効果を明らかにする.方法:A県内4ヵ所の170~490床の一般病院において看護療法の新人研修を行い,9月に新人看護職者56名に 自記式質問紙調査,23名に面接調査を実施した.分析方法は,因子分析,重回帰分析,テキストマイニングを用いた対応分析等を行った.結果:バーンアウトは新人看護職者の約5割が6ヵ月時に保有していた.日本型情動的コミットメント,情動的コミットメントが高いほど,バーンアウトを低くする要因となった.また,【技術の習得】,【看護ケアの効果】,【患者からの感謝】等がやる気を喚起し,【知識・技術不足】,【インシデント】,【心身の疲労】等がやる気の低下として抽出できた.結論:看護療法の実践は,自己の有能さを認め,看護のやりがいに繋がり,バーンアウトを低減させる効果が示唆された.<br />Objectives : The present study aimed to identify the main factors related to burnout among newly graduated nurses and to clarify the effectiveness of nursing therapy with respect to improving burnout rates among newly graduated nurses. Methods : Subjects comprised 56 newly graduated nurses who worked at hospitals that had 170 to 490 beds. Nurses were asked to answer questionnaires prepared by the researchers. After six months, half of the newly graduated nurses were interviewed about the nursing therapy which were conducted at hospitals by the researchers. Newly graduated nurses learned and practiced nursing therapy from the researchers, prior to beginning work in hospitals. They practiced massage, smiling, listening and meditation of the nursing therapy. Analysis : Factor analysis, multiple regression analysis and text mining were carried out. Results : Fifty percent of newly graduated nurses reported feeling burned out within six months. However, newly graduated nurses with higher levels of affective commitment to the job produced lower burnout rates. In addition, this acquired skills from the practice, effectiveness of nursing care to patients and gratitude by patients were factors that engendered a sense of satisfaction for newly graduated nurses. These factors led to a lower burnout rate. In contrast, a lack of knowledge and nursing skills, mistakes, other incidents, and fatigue were factors that were associated with low levels of job satisfaction and a higher burnout rate. The newly graduated nurses were able to feel good communication and the relationship of mutual trust with patients. Furthermore they felt that they could broaden their nursing outlook for patients. Conclusions : Nursing therapy should be recommended for all newly graduated nurses, as it prepares nurses for the daily tasks of the job and leads to higher levels of job satisfaction, consequently leading to a lower burnout rate.<br />原著 続きを見る
2.

論文(AKAGI収録)

論文(AKAGI収録)
加藤, 栄子 ; 尾崎, フサ子
出版情報: 群馬県立県民健康科学大学紀要.  5  pp.19-28,  2010-03.  群馬県立県民健康科学大学
概要: 目的:経験4年以下の看護職者の職務継続意志と職務満足に対する関連要因を明らかにし,働き続けられる支援の検討をする.方法:A県内3ヵ所の200~700床の一般病院に勤務する看護職者1,064名に,自記式質問紙調査を実施した.得られた有効回答の うち経験4年以下の看護職者204名を対象とした.分析方法は,t検定,STEPWISE法を用いた重回帰分析などを行った.結果:現病院で仕事の継続意志無は全体の約4割であった.仕事の満足度に影響する要因は,組織的要因では,給料が最も大きく,次いで病棟への所属感,看護管理システム,スタッフ間の人間関係,労働条件と福利厚生であった.専門性要因は,ケア提供時間であった.変革力は仕事の満足度を低くする要因となった.結論:現状に即した処遇,看護体制や業務の見直しと人間関係のよい職場風土作りをすることが看護管理者の重要な役割であることが示唆された.<br />Objectives : The purpose of this study was to identify certain decision-making factors regarding job continuity as they relate to and affect job satisfaction, and to investigate ways to support job continuity. Methods : Questionnaires were distributed to 1,064 nurses who worked at general hospitals of 200-700 beds. This study focused on nurses who had less than four years of work experience. A total of 204 nurses participated in the study. Results : 40% of nurses who worked at hospitals did not want to continue working at the same hospitals. Two factors, organizational and professional, affected job satisfaction. The organizational factors were pay, a feeling of belonging to one's own ward, the care delivery system, relationships among colleagues, working conditions, and general health and safety. The professional factor was the provision of sufficient care time. In addition, dissatisfaction in the above specific areas was exacerbated by an overall perception of one's lack of power to bring about reform. Conclusions : The results of this study suggest that nursing administrators need to consider the impact of 40% overall job dissatisfaction on nursing care delivery. It is recommended that nursing administrators take positive steps toward improving overall working conditions in order to more effectively provide nursing care.<br />原著 続きを見る