新人看護師のリアリティ・ショックの実態と類型化の試み:─看護学生から看護師への移行プロセスにおける二時点調査から─  [in Japanese] An Attempted Typology of the Sorts of Reality Shock Experienced by New Nurses ::Before and After Study on the Transition from Students to Nurses  [in Japanese]

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Abstract

<p>本研究の目的は,新人看護師のリアリティ・ショックの実態を明らかにし,その類似性に着目して類型化を試みることである.データ収集時期は,就職直前の3月と,就職後2~3か月の時点との二時点で,同一対象者に個別面接調査を実施した.面接内容は許可を得て録音した後,記述データに変換し,組織参入前後における認知のズレから生じる否定的な感情を拾って整理した.</p><p>その結果,リアリティ・ショックには7つの型があることがわかった.それらは,「医療専門職のイメージと実際とのギャップ」「看護・医療への期待と現実の看護・医療とのギャップ」「組織に所属することへの漠然とした考えと現実の所属感とのギャップ」「大学教育での学びと臨床実践で求められている実践方法とのギャップ」「予想される臨床指導と現実の指導とのギャップ」「覚悟している仕事とそれ以上にきびしい仕事とのギャップ」「自己イメージと現実の自分とのギャップ」であった.</p><p>結果から,就職後の仕事内容が予測されているにもかかわらず,看護師にリアリティ・ショックが起きるのは,学生から看護師への移行期に組織社会化と専門職への社会化の双方が求められるためであること,程度の差こそあれ看護師なら誰にでもリアリティ・ショックが起きうることを前提としたうえで新人研修等の計画を立てる必要があることなどが示唆された.</p>

<p>The purpose of this study is to explain the types of reality shocks that new nurses encounter. We tried to categorize these reality shocks. Nurses were interviewed on 2 points just before they started their job, and then, 2─3 months into their job. We interviewed them individually, taped interviews, transcribed them, and compiled the data, which were permitted by each participant. Then we picked out the negative feelings from the recognized gaps between the 2 points.</p><p>As a result, we discovered 7 types of reality shocks. These are ① the gaps between the image and the reality of the medical professional, ② the gaps between the expectations and the reality of the nursing and medical team, ③ the gaps between an ambiguous image and the reality of belonging to the organization, ④ the gaps between their college education and practical care, ⑤ the gaps between expected coaching and the reality, ⑥ the gaps between their preparation for their hard job and the harder reality, ⑦ the gaps between their self-image and the reality.</p><p>In conclusion, even if they had an approximate estimation of their job before they started, reality shocks still surprised new nurses. We conjecture that one of the reasons is that new nurses need to be socialized in the organization and the profession simultaneously. Accordingly, we suggest how important it is to make more meaningful training plan that prepares these nurses for the reality shocks that all nurses must face.</p>

Journal

  • The Journal of the Japan Academy of Nursing Administration and Policies

    The Journal of the Japan Academy of Nursing Administration and Policies 9(1), 30-37, 2005

    The Japan Academy of Nursing Administration and Policies

Cited by:  1

Codes

  • NII Article ID (NAID)
    130007553957
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    1347-0140
  • Data Source
    CJPref  J-STAGE 
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