Japanese

Title	中規模病院に勤務する新人看護師の臨床1年目の感情の変化と看護労働環境との関連
Subtitle	原著
Authors	山本純子1), 高見美樹1), 高島真美2), 中本明世3), 石垣恭子1)
Authors (kana)
Organization	1)兵庫県立大学大学院応用情報科学研究科, 2)関西医科大学看護学部, 3)甲南女子大学看護リハビリテーション学部
Journal	日本職業・災害医学会会誌
Volume	70
Number	6
Page	209-215
Year/Month	2022 / 11
Article	原著
Publisher	日本職業・災害医学会
Abstract	「要旨:」【目的】新人看護師の臨床1年目の感情の変化の傾向を把握し, 看護労働環境との関連を明らかにする. 【方法】中規模病院に就職した新人看護師を対象に, 臨床1年目の感情の変化と看護労働環境調査票(日本語版NWI-R)に関する無記名自記式質問紙調査を実施した. その後, 感情の変化を3群に区分し, NWI-Rとの関連を分析した. 【結果】新人看護師24名から得られたデータを分析した結果, 看護師の感情は, 半数以上が4〜5月頃に下降, 7〜12月頃は維持・上昇, 1月頃に下降後, 2〜3月頃に再上昇していた. 1年間の傾向は, 上昇群6名, 平行群8名, 下降群10名だった. NWI-R総合得点の平均は, 上昇群, 平行群, 下降群の順に高く, 上昇群及び平行群と下降群間で有意差を認めた(p<.05). NWI-R項目毎の比較では, 「看護師-医師の関係」, 「人員配置」, 『キャリア・アップ支援』, 『組織内における個人の位置づけ』の下位項目において, 上昇群及び平行群と下降群間で有意差を認めた. 【結論】新人看護師の臨床1年目の感情の変化には, 上昇及び下降しやすい時期があることが明らかとなった. 感情の変化の3群とNWI-Rの関連から, 看護師と医師が良好な関係が保てるような組織内の関係性や人員が適切に配置される柔軟な体制を目指すこと, 質の高い看護や看護必要度に応じた看護を実践している先輩看護師の思考及び行動の意味を知る機会を作ること, 新人看護師ができた仕事には承認という形でフィードバックし自身の成長を実感しながら次の目標や方向性を描けるように導くことが, 離職防止への支援として有用であるとの示唆を得た.
Practice	臨床医学：外科系
Keywords	新人看護師, 感情の変化, 看護労働環境, novice nurse, the change in the work attitude, nursing labor environment

English

Title	The Relationship between the Changes in the Work Attitudes and the Nursing Labor Environment of Novice Nurses Working in Mid-Sized Hospitals during the First-Year of Clinical Experience
Subtitle
Authors	Junko Yamamoto1), Miki Takami1), Mami Takashima2), Akiyo Nakamoto3), Kyoko Ishigaki1)
Authors (kana)
Organization	1)Graduate School of Applied Informatics, University of Hyogo, 2)Faculty of Nursing, Kansai Medical University, 3)Faculty of Nursing and Rehabilitation, Konan Women's University
Journal	Japanese journal of occupational medicine and traumatology
Volume	70
Number	6
Page	209-215
Year/Month	2022 / 11
Article	Original article
Publisher	Japanese society of Occupational Medicine and Traumatology
Abstract	Purpose: This study aims to understand changes in work attitudes of novice nurses working in mid-sized hospitals during the first-year of clinical experience, and to identify relationships between the changes and the nursing labor environment. Methods: An anonymous self-rated questionnaire survey was administered to novice nurses who were working in mid-sized hospitals. The questionnaire contains questions about the changes in the work attitudes during the first-year of clinical experience and items from the Nursing Work Index-Revised (NWI-R). The analysis was performed by dividing the data on changes in the work attitudes into three groups, and the relationship with the NWI-R was examined. Results: The analysis included 24 novice nurses and showed that the work attitudes of more than 50% of these nurses declined in April and May, were maintained/rose between July and December, then declined in January, and rose again in February and March. For the whole year changes, six novice nurses were in a rising group, eight in a level-maintaining group, and ten in a declining group. The total NWI-R mean score was the highest in the rising group, followed by the maintaining group, and lowest in the declining group. There were statistically significant differences between the rising/maintaining group and declining group (p<.05). Comparison of the NWI-R items showed that there were statistically significant differences between the rising/maintaining groups and the declining group in the sub-items of "Nurse-Doctor's relationship", "Staff assignment", "Career up support", and "Individual standpoint in nursing organization". Conclusions: The results clearly show that there are periods where the scores of work attitudes of the novice nurses during the first-year of clinical experience are likely to vary. The analysis of the relationship between the changes in the work attitudes of the three groups and the NWI-R suggests that the following three are effective when supporting novice nurses to prevent turnover: to aim to establish a flexible arrangement. that enables nurses and physicians to maintain good relationships in the organization and ensures that personnel are appropriately assigned, to create opportunities to learn the meaning of the thoughts and behaviors of senior nurses who practice high quality nursing care and nursing care depending on nursing needs, and to provide feedback by being approving of the work novice nurses have successfully performed so that they can realize their development and find a next goal or direction.
Practice	Clinical surgery
Keywords	novice nurse, the change in the work attitude, nursing labor environment

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