doi: /jjsnr 研究報告 - 2 Reality Shock in Nurses in their Second Year after Graduation Yoko Suzuki Yoshiko Kawatsu Key Words nurse, r

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1 doi: /jjsnr 研究報告 - Reality Shock in Nurses in their Second Year after Graduation Yoko Suzuki Yoshiko Kawatsu Key Words nurse, reality shock, workplace はじめに school to work transition Kramer Schein 1978/ Department of Nursing, Faculty of Nursing, Mejiro University Vol. 41 No

2 Partners in Changes Dana Gaines Robinnson Robinnson & Robinnson 2008/2010 Performance Consulting Robinnson & Robinnson 2008/ Ⅰ. 目的 Ⅱ. 研究方法 1. 用語の定義 対象 期間 収集方法 内容 就職後 3ヶ月時の新卒看護師のリアリティショック構成因子 ( 平賀 布施,2007) Vol. 41 No

3 職場環境要因 基本属性 離職意向 6. 分析方法 2 3 Mann-Whitney Kruskal-Wallis Steel- Dwass 表 1 対象者の基本属性 n ICU Ⅲ. 倫理的配慮 Ⅳ. 結果 % 1. 対象者の基本属性 表 % % % % % % 2. 卒後 2 年目看護師のリアリティショック因子分析 KMO.87Cronbach α 表 Vol. 41 No

4 表 3 表 2 卒後 2 年目看護師のリアリティショック構成因子 n 270 Cronbach Kaiser a.6 1 表 3 卒後 2 年目看護師リアリティショックの各因子平均得点 MSD Vol. 41 No

5 3. 卒後 2 年目看護師リアリティショック構成因子と職場環境要因の関連 2 Mann- Whitney Kruskal-Wallis 2 3 表 4 教育体制 78 7 職場役割 物理的状況 勤務体制 処遇 Steel-Dwass 1 50% 51% 1 Steel-Dwass 50% 51%50% 1 50% 50% 1 51% Vol. 41 No

6 表 4 卒後 2 年目看護師リアリティショック構成因子と職場環境要因 n 270 n 174n * * * * *** *** * *** *** ** ** ** * * ** ** * * * ** ** * *** * ** *** * ** * *** * *** *** ** ** * ** ** *** * ** * * * ** ** ** ** * * * * ** Mann-Whitney Kruskal-Wallis Steel-Dwassp.05p.01 p.001 ** 52 Vol. 41 No

7 1 表 5 卒後 2 年目看護師リアリティショック構成因子と離職意向 2 * * n *** ** * *** ** * ** *** ** * * Mann-Whitney Kruskal-Wallis Steel-Dwassp.05p.01 p Steel-Dwass 卒後 2 年目看護師のリアリティショック構成因子と離職意向との関連 Kruskal-Wallis 表 5 Steel-Dwass Ⅴ. 考察 1. 卒後 2 年目看護師のリアリティショック OJT Vol. 41 No

8 卒後 2 年目看護師の職場環境 2011 OJT OJT2009 OJT QOL Phillips, C., Esterman, A., & Kenny 卒後 2 年目看護師のリアリティショックと離職 2 54 Vol. 41 No

9 結論 利益相反の開示 著者貢献度 要 旨 目的 : 方法 : 結果 : 結論 :2 2 Vol. 41 No

10 Abstract Purpose: The purpose of this study was to explore the association between reality shock and workplace environmental factors in nurses in their second year after graduation. Method: Participants included 270 randomly extracted, second-year nurses working in facilities in the Kanto, Kansai, and Chukyo regions of Japan. Participants completed a self-administered questionnaire on constituent factors of reality shock and workplace environment developed by Hiraga & Fuse The questionnaires were returned via mail by individual participants, and the results were statistically analyzed. Result: Reality shock in second-year nurses was caused by six factors: 1 lack of support from senior nurses, 2 psychological burden, 3 physical burden, 4 caring for patients close to death, 5 workload per person, and 6 reduced motivation. Nurses who had a more negative perception of their workplace environment experienced greater reality shock. Conclusion: The suggestion that reality shock in second-year nurses is associated with the workplace environment indicates that review and improvement of the workplace environment of second-year nurses could help reduce or avoid reality shock. 文献,, , 14 1, ,,,,,,,,,, , 22, 1-11., , 30 1, , 23 1, , , 11 6, ,,, ,., , 7 1, ,,,,, ,,,, , 11 1, 1-11., , 5, ,, , 9 1, iryou/quality/ Kramer, M Reality shock: Why nurses leave nursing. St Louis: Mosby , 39, ,,,,,,,, , 35, 9-23., , 41, , 39, ,, , 12 4, , 23 4, , 27 1, ,,,, , 16 1, , , 11 6, ,, , 11 6, ,,, , 12 1, ,,,, , 34 4, ,, , 30 3, Vol. 41 No

11 2004.., 7, , 2 1, reality shock., 53 1, , 18 1, , 1 1, Phillips, C., Esterman, A., and Kenny, A The theory of organizational socialization and its potential for improving transition experiences for new graduate nurses. Nurse Educ Today, 35 1, Robinnson, D.G. and Robinnson, J.C ,,, , 52 10, ,, , 34 4, Schein, E.H. 1978, 1991.,..,,,, , 13 2, , 2008.,., 13 2, , , 17 1, ,,, , 15 1, ,, , 30 1, ,,, , 7 1, Vol. 41 No

Ⅱ. 用語の操作的定義 Ⅲ. 対象と方法 1. 対象 WAM NET 2. 調査期間 : 3. 調査方法 4. 調査内容 5. 分析方法 FisherMann-Whitney U Kruskal-Wallis SPSS. for Windows 6. 倫理的配慮 Vol. No.

Ⅱ. 用語の操作的定義 Ⅲ. 対象と方法 1. 対象 WAM NET 2. 調査期間 : 3. 調査方法 4. 調査内容 5. 分析方法 FisherMann-Whitney U Kruskal-Wallis SPSS. for Windows 6. 倫理的配慮 Vol. No. 研究報告 The Relation Between the Manager s Administrative Abilities Including Business Activities in Visiting Nursing Stations and the Station s Financial Profits Chisato Fujii Akiko Akama Mariko Ohtake Ikuko

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