The Structure of “Staying Power,” The Set of Skills that Empower Nurses’ Long-Term Continuation in the Profession
Objective: To define "staying power," conceptualized as the set of skills veteran nurses acquire as they continue working that empower them to remain in the profession. Methods: Semi-structured interviews were conducted with nine veteran nurses who had worked continuously at a local univer...
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| Published in | Journal of Japan Society of Nursing Research Vol. 45; no. 2; pp. 2_283 - 2_296 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Society of Nursing Research
20.07.2022
一般社団法人 日本看護研究学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2188-3599 2189-6100 |
| DOI | 10.15065/jjsnr.20210913156 |
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| Abstract | Objective: To define "staying power," conceptualized as the set of skills veteran nurses acquire as they continue working that empower them to remain in the profession. Methods: Semi-structured interviews were conducted with nine veteran nurses who had worked continuously at a local university hospital in Japan for 20 years or more. Interview contents were analyzed using Kinoshita's Modified Grounded Theory Approach (M-GTA). Results: Staying power was defined in terms of 22 concepts in nine categories: determination to keep up with one's peers, determination not to repeat the same mistakes, positive mindset, emotional self-control, good maintenance of physical and mental health using a compatible approach, sociability to build good personal relationships, resolution to fulfill one's responsibilities as a nurse, drive to improve and discover one's full potential as a nurse, and choosing a compatible work style. Career nurses acquire the determination to keep up with their peers prior to employment: this ability is a core strength, which influences the acquisition of all other component strengths, and is maintained and reinforced as they continue in the profession. Conclusions: Establishing a supportive workplace culture that sustains and reinforces nurses' determination to keep up with their peers should be an essential aspect of turnover prevention and nurse retention strategies. |
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| AbstractList | Objective: To define “staying power,” conceptualized as the set of skills veteran nurses acquire as they continue working that empower them to remain in the profession. Methods: Semi-structured interviews were conducted with nine veteran nurses who had worked continuously at a local university hospital in Japan for 20 years or more. Interview contents were analyzed using Kinoshita’s Modified Grounded Theory Approach (M-GTA). Results: Staying power was defined in terms of 22 concepts in nine categories: determination to keep up with one’s peers, determination not to repeat the same mistakes, positive mindset, emotional self-control, good maintenance of physical and mental health using a compatible approach, sociability to build good personal relationships, resolution to fulfill one’s responsibilities as a nurse, drive to improve and discover one’s full potential as a nurse, and choosing a compatible work style. Career nurses acquire the determination to keep up with their peers prior to employment: this ability is a core strength, which influences the acquisition of all other component strengths, and is maintained and reinforced as they continue in the profession. Conclusions: Establishing a supportive workplace culture that sustains and reinforces nurses’ determination to keep up with their peers should be an essential aspect of turnover prevention and nurse retention strategies.
目的：ベテラン看護師が獲得した働き続ける上での「心の強さ」の構造を明らかにする。方法：勤続年数20年以上の看護師９名に半構造化面接を行い，データを木下のM-GTAで分析した。結果：「心の強さ」には，周りに追いつくための努力ができる力，失敗を繰り返さないように努力ができる力，ポジティブな思考ができる力，自分の気持ちを調整する力，自分に合った方法で心身の健康管理ができる力，良い人間関係を構築する力，看護師としての責任を果たそうとする力，より良い看護を目指し自分ができる看護を探求する力，自分に合う働き方を選択する力があった。彼らは就業前より周りに追いつくための努力ができる力を獲得しており，その力は他の全ての「心の強さ」の獲得に影響し，職業を継続する中で維持・強化されていた。結論：看護師の職業継続には，周りに追いつくための努力ができる力を維持・強化する支援的な職場環境が重要であると示唆された。 Objective: To define "staying power," conceptualized as the set of skills veteran nurses acquire as they continue working that empower them to remain in the profession. Methods: Semi-structured interviews were conducted with nine veteran nurses who had worked continuously at a local university hospital in Japan for 20 years or more. Interview contents were analyzed using Kinoshita's Modified Grounded Theory Approach (M-GTA). Results: Staying power was defined in terms of 22 concepts in nine categories: determination to keep up with one's peers, determination not to repeat the same mistakes, positive mindset, emotional self-control, good maintenance of physical and mental health using a compatible approach, sociability to build good personal relationships, resolution to fulfill one's responsibilities as a nurse, drive to improve and discover one's full potential as a nurse, and choosing a compatible work style. Career nurses acquire the determination to keep up with their peers prior to employment: this ability is a core strength, which influences the acquisition of all other component strengths, and is maintained and reinforced as they continue in the profession. Conclusions: Establishing a supportive workplace culture that sustains and reinforces nurses' determination to keep up with their peers should be an essential aspect of turnover prevention and nurse retention strategies. |
| Author | Kishida, Sachi Iwasa, Yukie Nakano, Saori |
| Author_FL | 岸田 佐智 中野 沙織 岩佐 幸恵 |
| Author_FL_xml | – sequence: 1 fullname: 中野 沙織 – sequence: 2 fullname: 岩佐 幸恵 – sequence: 3 fullname: 岸田 佐智 |
| Author_xml | – sequence: 1 fullname: Nakano, Saori organization: Tokushima University Graduate School of Biomedical Sciences Department of Community Health Nursing – sequence: 1 fullname: Iwasa, Yukie organization: Tokushima University Graduate School of Biomedical Sciences Department of Nursing education – sequence: 1 fullname: Kishida, Sachi organization: Tokushima University Graduate School of Biomedical Sciences Department of Female Support Nursing |
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The Japanese Journal of Nursing Research, 40(7), 631-640. https://doi.org/10.11477/mf.1681100286 Onoda, M., Uchida, H., & Tsumoto, Y. (2012). Longitudinal study on newly graduated nurses' adjustment to the workplace and factors that exert an influence. The Journal of the Japan Academy of Nursing Administration and Policies, 16(1), 13-23. https://doi.org/10.19012/janap.16.1_13 Harada, Y., & Nishida, S. (2008). Chūken-kangoshi ni okeru yakuwari ni tai-suru ishiki-chōsa [Survey of role attitudes among mid-career nurses]. Proceedings of the Japan Society of Nursing: General Nursing, 39, 39-41. Ministry of Health, Labour and Welfare, Government of Japan (2017). 2016 Report on Public Health Administration and Services (for Practicing Health Professionals). Retrieved from https://www.mhlw.go.jp/toukei/saikin/hw/eisei/16/ (accessed 2018 October 13) Yoshida, M. & Yamashita, I. (1987). The factors affecting the pupils' learning motivation and their teachers' perceptions. The Japanese Journal of Educational Psychology, 35(4), 309-317. https://doi.org/10.5926/jjep1953.35.4_309 Kinoshita, Y. (2018). Raibu-kōgi M-GTA: Jissenteki shitsuteki kenkyū-hō - Shūsei-ban guraundeddo seorī apurōchi no subete (10th ed.) [Live lecture M-GTA: All about the modified grounded theory approach - Practical qualitative research methods]. Kobundo. Yoshimatsu, M. (2009). Sotsugo-keiken 2-nen-me no kangoshi ga beteran-kangoshi no kango-bamen wo miru koto ni yoru kyōikuteki kōka [Educational benefits of watching veteran nurses in care settings gained by nurses in their second year after graduation]. Journal of Toyonaka Municipal Hospital, 10, 61-65. Glaser, B. G. & Strauss, A. L. (1967). The discovery of grounded theory; strategies for qualitative research. New York, NY: Aldine Publishing Company. Maddi, S. R. (2002). The story of hardiness: Twenty years of theorizing, research, and practice. Consulting Psychology Journal: Practice and Research, 54(3), 175-185. https://doi.org/10.1037//1061-4087.54.3.175 Nakano, S., & Iwasa, Y. (2019). A Japanese literature review on the work continuation of mid-career nurses: Focus on the reasons for leaving and career continuation. The Journal of Nursing Investigation, 16(1-2), 10-22. https://doi.org/10.32273/jni.16.1-2_10 Nakano, K. (2018). Sutoresu manejimento nyūmon: Jiko-shindan to taisho-hō wo manabu (2nd ed.) [Introduction to stress management: Learn self-assessment and coping skills]. Kongo Shuppan. Ikeda, M., Hirano, M., Sakaguchi, M., Mori, K., & Tamada, A. (2011). The effect of nurses' quality of life (QOL) and self-efficacy on their intention to quit. Journal of Japan Academy of Nursing Science 31(4), 46-54. https://doi.org/10.5630/jans.31.4_46 Luthar, S.S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543-562. Japanese Nursing Association (Ed.) (2019). 2018 survey of hospital nursing (JNA research report no. 94). Retrieved from https://www.nurse.or.jp/home/publication/pdf/research/94.pdf (accessed 2019 April 19) Takada, T. (1992). Tasha to kuraberu jibun: shakaiteki-hikaku no shinrigaku [Comparing oneself to others: The psychology of social comparison]. Saiensu-sha. Mori, S. (2000). Compurekkusu to kyōsōshin [Complexes and competitiveness]. Child Study, 50(14), 1362-1366. Kobasa, S. C., Maddi, S. R., & Kahn, S. (1982). Hardiness and health: A prospective study. Journal of Personality and Social Psychology, 42(1), 168-177. https://doi.org/10.1037/0022-3514.42.1.168 Yamasaki, K., Uchida, H., Osada, K., & Onoda, M. (2012). The process and perception of career continuation among middle-aged and senior nurses. The Journal of the Japan Academy of Nursing Administration and Policies, 16(1), 34-44. https://doi.org/10.19012/janap.16.1_34 Saeki, H., Tsukahara, S., & Yamada, M. (2015). Hi-kanri-shoku beteran-kangoshi ga egaku kyaria-kōki ni okeru kyaria dezain [Career design for late career as told by non-managerial veteran nurses]. Proceedings of the Japan Society of Nursing: Nursing Management, 45, 106-109. Kosaka, Y., & Satoh, Y. (2008). The relation between inferiority feeling and competitiveness in adolescence. Tsukuba Psychological Research, 35, 41-48. Retrieved from http://hdl.handle.net/2241/98442 (accessed 2019 December 12) Lazarus, R., & Folkman, S. (1991). Stress, appraisal, and coping (H. Motoaki, Trans.). Jitsumukyoiku Shuppan. (Original work published 1984). Sakai, T. & Togashi, C. (2017). Factors Influencing Self-Efficacy in Mid-Career Nurses, Journal of Japan Health Medicine Association, 26(2), 65-73. https://doi.org/10.20685/kenkouigaku.26.2_65 Antonovsky, A. (1987). Kenko-no-nazo-wo-toku [Unraveling the mystery of health: How people manage stress and stay well] (Yamazaki, Y. & Yoshii, K., Trans.). Tokyo: Yushindo Kobunsha. |
| References_xml | – reference: Ikeda, M., Hirano, M., Sakaguchi, M., Mori, K., & Tamada, A. (2011). The effect of nurses' quality of life (QOL) and self-efficacy on their intention to quit. Journal of Japan Academy of Nursing Science 31(4), 46-54. https://doi.org/10.5630/jans.31.4_46 – reference: Mori, S. (2000). Compurekkusu to kyōsōshin [Complexes and competitiveness]. Child Study, 50(14), 1362-1366. – reference: Nakano, S., & Iwasa, Y. (2019). A Japanese literature review on the work continuation of mid-career nurses: Focus on the reasons for leaving and career continuation. The Journal of Nursing Investigation, 16(1-2), 10-22. https://doi.org/10.32273/jni.16.1-2_10 – reference: Ministry of Health, Labour and Welfare, Government of Japan (2017). 2016 Report on Public Health Administration and Services (for Practicing Health Professionals). Retrieved from https://www.mhlw.go.jp/toukei/saikin/hw/eisei/16/ (accessed 2018 October 13) – reference: Antonovsky, A. (1987). Kenko-no-nazo-wo-toku [Unraveling the mystery of health: How people manage stress and stay well] (Yamazaki, Y. & Yoshii, K., Trans.). Tokyo: Yushindo Kobunsha. – reference: Japanese Nursing Association (Ed.) (2019). 2018 survey of hospital nursing (JNA research report no. 94). Retrieved from https://www.nurse.or.jp/home/publication/pdf/research/94.pdf (accessed 2019 April 19) – reference: Yamasaki, K., Uchida, H., Osada, K., & Onoda, M. (2012). The process and perception of career continuation among middle-aged and senior nurses. The Journal of the Japan Academy of Nursing Administration and Policies, 16(1), 34-44. https://doi.org/10.19012/janap.16.1_34 – reference: Kobasa, S. C., Maddi, S. R., & Kahn, S. (1982). Hardiness and health: A prospective study. Journal of Personality and Social Psychology, 42(1), 168-177. https://doi.org/10.1037/0022-3514.42.1.168 – reference: Nakano, K. (2018). Sutoresu manejimento nyūmon: Jiko-shindan to taisho-hō wo manabu (2nd ed.) [Introduction to stress management: Learn self-assessment and coping skills]. Kongo Shuppan. – reference: Glaser, B. G. & Strauss, A. L. (1967). The discovery of grounded theory; strategies for qualitative research. New York, NY: Aldine Publishing Company. – reference: Kanai-Pak, M. (2007). Nihon no kangoshi no rōdō-kankyō no jittai - Linda Aiken to no kyōdō-kenkyū - Nihon ni okeru chōsa-kekka kara miete-kita koto [A survey of working environments of nurses in Japan - Joint research with Linda Aiken - Insights from survey data in Japan]. The Japanese Journal of Nursing Research, 40(7), 631-640. https://doi.org/10.11477/mf.1681100286 – reference: Kosaka, Y., & Satoh, Y. (2008). The relation between inferiority feeling and competitiveness in adolescence. Tsukuba Psychological Research, 35, 41-48. Retrieved from http://hdl.handle.net/2241/98442 (accessed 2019 December 12) – reference: Saeki, H., Tsukahara, S., & Yamada, M. (2015). Hi-kanri-shoku beteran-kangoshi ga egaku kyaria-kōki ni okeru kyaria dezain [Career design for late career as told by non-managerial veteran nurses]. Proceedings of the Japan Society of Nursing: Nursing Management, 45, 106-109. – reference: Yoshimatsu, M. (2009). Sotsugo-keiken 2-nen-me no kangoshi ga beteran-kangoshi no kango-bamen wo miru koto ni yoru kyōikuteki kōka [Educational benefits of watching veteran nurses in care settings gained by nurses in their second year after graduation]. Journal of Toyonaka Municipal Hospital, 10, 61-65. – reference: Sakai, T. & Togashi, C. (2017). Factors Influencing Self-Efficacy in Mid-Career Nurses, Journal of Japan Health Medicine Association, 26(2), 65-73. https://doi.org/10.20685/kenkouigaku.26.2_65 – reference: Harada, Y., & Nishida, S. (2008). Chūken-kangoshi ni okeru yakuwari ni tai-suru ishiki-chōsa [Survey of role attitudes among mid-career nurses]. Proceedings of the Japan Society of Nursing: General Nursing, 39, 39-41. – reference: Shimoda, M. (2014). A literature review of voluntary turnover among nurses. Journal of Nursing Research Society of Kochi University, 8(1), 29-38. Retrieved from http://hdl.handle.net/10126/5480 (accessed 2019 April 19) – reference: Takada, T. (1992). Tasha to kuraberu jibun: shakaiteki-hikaku no shinrigaku [Comparing oneself to others: The psychology of social comparison]. Saiensu-sha. – reference: Kinoshita, Y. (2018). Raibu-kōgi M-GTA: Jissenteki shitsuteki kenkyū-hō - Shūsei-ban guraundeddo seorī apurōchi no subete (10th ed.) [Live lecture M-GTA: All about the modified grounded theory approach - Practical qualitative research methods]. Kobundo. – reference: Yoshida, M. & Yamashita, I. (1987). The factors affecting the pupils' learning motivation and their teachers' perceptions. The Japanese Journal of Educational Psychology, 35(4), 309-317. https://doi.org/10.5926/jjep1953.35.4_309 – reference: Kobasa, S. C., Maddi, S. R., & Zola, M. A. (1983). Type A and hardiness. Journal of Behavioral Medicine, 6(1), 41-51. https://doi.org/10.1007/bf00845275 – reference: Furuhata, K. (2000). Kyōsōshin [Competitive Spirit]. In T. Takuma, O. Suzuki, H. Shimizu, & Y. Matsui (Eds.), Series on Humans and Personality, Volume 3: Personality and Interpersonal Relationships, 251-267. Tokyo: Brain Publishing. – reference: Maddi, S. R. (2002). The story of hardiness: Twenty years of theorizing, research, and practice. Consulting Psychology Journal: Practice and Research, 54(3), 175-185. https://doi.org/10.1037//1061-4087.54.3.175 – reference: Lazarus, R., & Folkman, S. (1991). Stress, appraisal, and coping (H. Motoaki, Trans.). Jitsumukyoiku Shuppan. (Original work published 1984). – reference: Luthar, S.S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543-562. – reference: Onoda, M., Uchida, H., & Tsumoto, Y. (2012). Longitudinal study on newly graduated nurses' adjustment to the workplace and factors that exert an influence. The Journal of the Japan Academy of Nursing Administration and Policies, 16(1), 13-23. https://doi.org/10.19012/janap.16.1_13 |
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| SubjectTerms | career continuation Modified Grounded Theory Approach nurses occupation continuation veteran nurses 修正版グランデッド・セオリー・アプローチ 熟練看護職 看護師 職業継続 |
| Title | The Structure of “Staying Power,” The Set of Skills that Empower Nurses’ Long-Term Continuation in the Profession |
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