2026-03-12T06:50:11Z https://iuhw.repo.nii.ac.jp/oai

oai:iuhw.repo.nii.ac.jp:02000507 2025-12-08T06:48:27Z 2:1737442482957

COVID-19感染症病棟に従事する看護師における就業継続意思の様相 The intention to continue to work among nurses in COVID-19 wards 鈴木, 由美 スズキ, ユミ SUZUKI, Yumi 林, 圭子 ハヤシ, ケイコ HAYASHI, Keiko 田代, 恵美 タシロ, エミ TASHIRO, Emi 成田, いづみ ナリタ, イズミ NARITA, Izumi 柴田, 美枝子 シバタ, ミエコ SHIBATA, Mieko COVID-19 看護師 アイデンティティ形成 就業継続意思 M-GTA 目的：COVID-19感染病棟に従事する看護師が過酷な状況下で就業継続意思を維持する様相を記述する． 方法：質的記述的研究で，木下の修正版グラウンデッド・セオリー・アプローチ（M-GTA）で分析を行った． 結果：COVID-19感染症病棟に従事する看護師の就業継続意思の様相は，【看護師を続ける自己との対峙】をコアカテゴリーとし，【理由はさまざまでも看護師は自ら選んだ職業】【雑念が入る余地もない使命感と覚悟】【尋常でない心身ともに壮絶な体験】【混沌とした社会への看護師としての憤り】【困難を乗り越える基盤となる人的環境・コーピング】の6カテゴリー，20概念から構成された．COVID-19対応当初は壮絶な状況であっても，自身で選んだ【看護師を続ける自己と対峙】しながら，アイデンティティを核とする就業継続意思を強化することができた．また困難を乗り切るためには，職場の上司・同僚および家族などの人的な支援も重要であることが明らかとなった． 結論：対象者らは常に自己と対峙し，アイデンティティを核とする就業継続意思が強化され，COVID-19対応の困難を乗り越えていた． Purpose: To describe how nurses engaged in the COVID-19 ward maintain their intention to work under harsh conditions. Methods: A qualitative descriptive study was performed using Kinoshitaʼs modified grounded theory approach (M-GTA). Results: The intention to continue to work among nurses in COVID-19 wards consisted of 20 concepts and the following six categories: [confronting themselves as nurses continuing to work (the core category)], [a sense of responsibility in choosing nursing as a profession of their own volition for various reasons], [a sense of mission and determination with no room for distractions], [harsh experiences in both mind and body], [indignation as nurses at chaotic society] and [human environment and coping as the foundation for overcoming difficulties]. Although the situation was harsh at the beginning of the response to COVID-19, the subjects were able to strengthen their identity-centered intention to continue to work while choosing [confronting themselves as nurses continuing to work] by themselves. Also revealed was the importance of human support from bosses and colleagues in the workplace and family members to overcome difficulties. Conclusions: The subjects constantly confronted themselves, strengthened their identity-centered intention to continue to work, and overcame the difficulties in responding to COVID-19. journal article 国際医療福祉大学学会 2024-03-31 application/pdf 国際医療福祉大学学会誌 1 29 69 84 Journal of the International University of Health and Welfare AA12537130 21863652 https://iuhw.repo.nii.ac.jp/record/2000507/files/29_1(69-84p).pdf https://doi.org/10.69203/iuhw291.069 https://iuhw.repo.nii.ac.jp/records/2000507 jpn