Experiences of Communication Challenges in the Workplace and Pathways to Career Continuation for Novice Nurses
Objective: The aim was to elucidate the pathways and experiences of novice nurses who choose to continue working despite experiencing communication difficulties in the workplace.Methods: Semi-structured interviews were conducted with five novice nurses. Themes were extracted using phenomenological m...
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| Published in | Journal of Japan Academy of Nursing Science Vol. 45; pp. 14 - 24 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English Japanese |
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Japan Academy of Nursing Science
2025
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| Abstract | Objective: The aim was to elucidate the pathways and experiences of novice nurses who choose to continue working despite experiencing communication difficulties in the workplace.Methods: Semi-structured interviews were conducted with five novice nurses. Themes were extracted using phenomenological methods and were subsequently used to model the process through Trajectory Equifinality Modeling.Results: From the interviews, four thematic stages were identified: (1) Frustration and distress from being unable to demonstrate one’s worth to senior nurses, (2) Putting on a brave front, (3) Struggling to find one’s ideal nursing practice despite inadequate job performance, and (4) Achieving growth as a ‘nurse’.Conclusion: Novice nurses experience communication difficulties with senior members of staff and through incidents and interactions with their peers, recognize their own growth, interpersonal relationships, and support from their environment. This recognition leads to a renewed motivation for growth and the choice to continue in their profession. This process can be considered as the emergence of ‘self-transformation’. |
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| AbstractList | Objective: The aim was to elucidate the pathways and experiences of novice nurses who choose to continue working despite experiencing communication difficulties in the workplace.Methods: Semi-structured interviews were conducted with five novice nurses. Themes were extracted using phenomenological methods and were subsequently used to model the process through Trajectory Equifinality Modeling.Results: From the interviews, four thematic stages were identified: (1) Frustration and distress from being unable to demonstrate one’s worth to senior nurses, (2) Putting on a brave front, (3) Struggling to find one’s ideal nursing practice despite inadequate job performance, and (4) Achieving growth as a ‘nurse’.Conclusion: Novice nurses experience communication difficulties with senior members of staff and through incidents and interactions with their peers, recognize their own growth, interpersonal relationships, and support from their environment. This recognition leads to a renewed motivation for growth and the choice to continue in their profession. This process can be considered as the emergence of ‘self-transformation’. |
| Author | Kawamura, Namiko Sakamoto, Mayu Umemoto, Tomoko |
| Author_xml | – sequence: 1 fullname: Umemoto, Tomoko organization: Japan Community Healthcare Organization (JCHO) Shiga Hospital – sequence: 2 fullname: Sakamoto, Mayu organization: Shiga University of Medical Science, School of Nursing – sequence: 3 fullname: Kawamura, Namiko organization: Shiga University of Medical Science, School of Nursing |
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| References_xml | – reference: 荒川歩，安田裕子，サトウタツヤ（2012）：複線径路・等至性モデルのTEM図の描き方の一例，立命館大学人間科学研究，25, 95–107. – reference: Elin, F. (2019): Stress among newly graduated nurses: A longitudinal study, J. Nurs. Manag., 27(4), 804–811. – reference: 山内貴弘（2017）：企業における新卒一年目の新人の学習過程―IT企業における正統的周辺参加を手がかりとして―，日本学習社会学会年報，13, 48–58. – reference: 厚生労働省（2022）：令和4年版厚生労働白書―社会保障を支える人材の確保，Retrieved from: https://www.mhlw.go.jp/wp/hakusyo/kousei/21/dl/zentai.pdf.（検索日：2023年1月14日） – reference: 厚生労働省（2010）：「第七次看護職員需給見通しに関する検討会」報告書，Retrieved from: https://www.mhlw.go.jp/stf/shingi/2r9852000000z6kk.att/2r9852000000z6os.pdf.（検索日：2023年1月10日） – reference: Weil, S. (1934)／冨原眞弓（訳）（2005）：自由と社会的抑圧（初版），岩波書店，東京． – reference: Morse, M. J., Firld, A. P. (1996): Nursing Research—The application of qualitative approaches—, 124–125, Croom Helm Ltd., London, England. – reference: Colaizzi, P. (1978): Psychological research as the phenomenologist views it, In Valle, R. & King, M. (Eds.), Existential phenomenological alternative for psychology, Oxford University Press, New York. – reference: 高橋勝（2007）：経験のメタモルフォーゼ〈自己変成〉の教育人間学，勁草書房，東京． – reference: 独立行政法人地域医療機能推進機構滋賀病院（2024）：JCHO滋賀病院 新人看護師教育計画（2024年度），Retrieved from: https://shiga.jcho.go.jp/.（検索日：2024年9月11日） – reference: 田口茂（2014）：現象学という思考〈自明なもの〉の知へ（第1版），筑摩選書，東京． – reference: Kramer, M. (1974): Reality Shock: Why Nurses Leave Nursing?, The C. V. Mosby Co, Saint Louis, MO. – reference: Mead, G. H. (1913)／船津衛・徳永直人（編訳）（1991）：社会的自我（初版），恒星社厚生閣，東京． – reference: Soo, H., Lee, J., Kim, S. (2019): Communication skills training for new graduate nurses: A pilot study, Nurse Educ. Today, 74, 1–5. – reference: 厚生労働省（2014）：新人看護職員研修ガイドライン（改訂版），Retrieved from: https://www.mhlw.go.jp/file/06-Seisakujouhou-10800000-seikyoku/0000049466_1.pdf.（検索日：2022年10月13日） – reference: 公益社団法人日本看護協会（2021）：2021年病院看護実態調査，Retrieved from: https://www.nurse.or.jp/up_pdf/20220401121744_f.pdf.（検索日：2022年10月13日） – reference: 宗像恒次，及川尚美（1986）：リアリティショック精神衛生学の視点から，看展望，11(6), 562–567. – reference: 阿保順子（2008）：精神看護という営み―専門性を超えて見えてくること・見えなくなること（第1版），批評社，東京． – reference: 梅本知子，坂本真優，河村奈美子（2023）：新人看護師のストレス要因に焦点を当てたメンタルヘルスに関する文献検討，看科研，21, 119–126. – reference: 池川清子（1991）：看護―生きられる世界の実践知（第1版），ゆみる出版，東京． – reference: Margareth, K. (2021): The importance of solidarity among nurses in a community of practice, Nurs. Ethics, 28(2), 55–366. – reference: 坂村八恵，岡本裕子，坪井敬子（2008）：新卒看護師の専門職者としての自立体験―8名の大卒看護師のインタビューを通じて，広島国際大看ジャーナル，6, 47–56. – reference: 田口茂（2022）：「若者の危機」と身体への帰還，Voice, 530, 150–157, PHP研究所，東京． – reference: 安田裕子，サトウタツヤ（2012）：TEMでわかる人生の径路 質的研究の新展開，誠信書房，東京． – ident: 2 – ident: 17 – ident: 3 – ident: 18 – ident: 5 – ident: 4 – ident: 1 – ident: 12 – ident: 11 doi: 10.1097/00000446-197505000-00041 – ident: 10 – ident: 19 – ident: 13 – ident: 16 – ident: 15 – ident: 23 doi: 10.32308/gakusyusyakai.13.0_48 – ident: 24 – ident: 6 – ident: 9 – ident: 7 – ident: 8 – ident: 21 – ident: 14 doi: 10.1007/978-1-4899-4471-9_7 – ident: 20 – ident: 22 |
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| SubjectTerms | career continuation human resource development novice nurse phenomenological method Trajectory Equifinality Modeling (TEM) |
| Title | Experiences of Communication Challenges in the Workplace and Pathways to Career Continuation for Novice Nurses |
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