看護職員の確保定着に向けての一考察 : 仮想市場法による分析と看護職員へのアンケート調査をもとに
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概要
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With the increase in regional hospitals, the growing complexity of nursing duties according to thedevelopment in medical technology, the aging of society, and the diversity in areas where nurses work,the demand for nursing workers has increased. According to the Ministry of Health, Labour and Welfare'sreport on the annual transaction of the number of employed nurses entitled "Report on PublicHealth Administration and Services 2006," there were 811,952 nursing workers in December 2006. Thisrepresented an increase of 6.8% (51,751 nurses) since the last survey taken in 2004. It is evident thatthere has been an increase in the number of nursing personnel but Japan still faces the crisis in theshortage nurses. One problem causing the shortage of nurses is said to be that, although many nursesare educated, a significant number do not settle, but leave their jobs.Although there are many reasons why nurses leave their jobs, from the survey of potential workers, amajority answered that the cause for their leaving was concern about maternity leave and bringing up theirchildren. But a similar situation was seen among unmarried single people as well. From this result, I paidattention to working environments and situations so that I could make clear what the factors made it difficultfor nurses to continue their work and on that basis think of concrete measures to solve the problems.For this article, I conducted a survey among nursing students to learn what they expect their termsof employment and pay to be. The object was to make clear what kind of images nursing students cultivatedduring their schooling years, making it difficult to continue their jobs. I also carried out surveysamong currently employed nurses to examine the relationship between the terms of employment andthe length of service.From these two surveys, I concluded that for nursing students "times of night-shifts" and for nursesin active service "overtime work" were the main factors causing nurses to leave the profession. Improvinglabour conditions, especially night shifts and overtime work, could act as a countermeasure to stabilizethe nursing work force. I hope that this result may have practical use in clinical and educational situations.
- 2010-03-15