看護管理者の職業的アイデンティティ確立プロセス

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  • カンゴ カンリシャ ノ ショクギョウテキ アイデンティティ カクリツ プロセス
  • Professional Identity Establishment Process of the Nurse Manager

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To determine the process of achieving the occupational identity of head nurses, eleven head nurses in the hospitals of A Prefecture were interviewed. Collected data were analyzed in accordance with Funashima’s the method of creating nursing concepts. As a result, twelve concepts were revealed that could shed light on the process of building the professional identities of nurse managers. Those who had suddenly been notified of their promotion, 【While experiencing confusion about their new role】, accepted it and at the beginning, 【Felt the disorientation and disillusion in their new role, as well as isolation and a touch of loneliness from being apart from practice】. During the following year, 【They understood their role by learning the administrative methods from their predecessors’ recollections and by discovering the difference between the illusion and reality of their role】, 【By dealing with complaints, they came to the realization of being the sole person responsible】, 【Others’ advice and support led to their fulfilling their role】, 【The training session for nursing administrators led to the re-appreciation of their roles】, 【The nurturing of their staff that implemented the care based on their nursing views enabled them to see the value of their role and the practice of that role】, 【The occupational changes to respond to the needs of the changing times made them realize their new role】, 【By continuous reflection on the successes and failures on their job based on their nursing views led to further growth】. Within one to two years thereafter, 【They had achieved their occupational identity by having experienced the feeling of fulfillment after building a relationship of trust with their staff, as well as implementing their desired nursing and ward building】, 【With the daily growth of confidence and approval from others that added to the realization of her role】, they achieved their occupational identity.

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