「がん看護に関するキャリアディベロップメント」に関する実態調査

本研究の目的は，看護職者のキャリアディベロップメント支援のための継続教育プログラムの構築の基礎資料を得るために，A県下の看護職者のがん看護に関する学習状況やキャリア志向の実態を明らかにすることである．A県下病床数１００床以上の外・内科を併設する病院１７施設の看護職者１０１７名中６８６名（回収率６７．５％）を分析対象とした．結果，がん看護に関する学習項目全てにおいて学習ニードが高かった．また，がん看護の学習機会を持つ者や学習の阻害要因はないと回答した者が多かった．職業的満足感では“看護の仕事にやりがいを感じている”“仕事上での目標がある”と回答した者が多く，“今の看護の仕事に満足している”とした者は約半数であった．がんに関する資格取得希望者は少なかった．がん看護に関する学習ニードと対象者の背景および学習機会，阻害要因，キャリア志向との関係については，学習機会があると回答した方が学習ニードの合計得点の平均値が高かった（P＜０．０５）．また，阻害要因があると回答した方が学習ニードの合計得点の平均値が高かった（P＜０．０５）．職業的満足感では“看護の仕事にやりがいを感じている”で〈そう思う群〉の方が学習ニードの合計得点の平均値が高かった（P＜０．０５）．“仕事上での目標がある”では〈そう思う群〉の方が学習ニードの合計得点の平均値が高かった（P＜０．０５）．“今の看護の仕事に満足している”では〈思わない群〉の方が学習ニードの合計得点の平均値が高かった（P＜０．０５）．資格取得希望者の方が学習ニードの合計得点の平均値が高かった（P＜０．０５）．以上より，がん看護に関する学習ニードの高さが示された．がん看護に関するキャリアディベロップにおいて，施設側と教育側の連携と学習ニードを充実させていくことが鍵となることが示唆された．

The objective of this study was to elucidate the actual conditions of learning needs for cancer nursing and career-intended mind among nursing staff in Prefecture A in order to obtain basic information for establishing a continuing educational programs as support for developing a career of nursing staff. A survey was conducted on １０１７ nurses working at one of １７ hospitals with ≥１００ beds in Prefecture A that have both a department of surgery and a department of internal medicine. Answers from ６８６ nurses （response rate, ６７．５％）were analyzed. The results indicated that there was a high level of learning needs in all learning items regarding cancer nursing. In addition, many nurses answered that they had opportunities to learn cancer nursing or that they had no obstacles to learn. Regarding job satisfaction, many nurses answered that they “feel worthwhile in nursing work” and “have objectives in their jobs” and approximately half of them answered that they “are satisfied with current nursing work”. Few nurses had a desire to acquire qualifications for being engaged in a high level of cancer care. In comparison of average scores of learning needs, nurses who answered there was a learning opportunities have higher scores than total average scores（P＜０．０５）.
In addition, learning need was high the one where had a hindrances to learning（P＜０．０５）. As for the learning needs regarding cancer nursing and the relations of the career intention, learning need was higher Agree group in “find nursing work rewarding” （P＜０．０５） and “have career objectives” （P＜０．０５）. Furthermore, learning need was higher Disagree group in “are satisfied with current nursing work” （P＜ ０．０５）. Learning need was higher a qualification applicant （P＜０．０５）. These findings indicate a high level of learning needs regarding cancer nursing. It is necessary for “career development regarding cancer nursing” to be filled up in cooperation and learning need.