| Budget Amount *help |
¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 2005: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2004: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2003: ¥900,000 (Direct Cost: ¥900,000)
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| Research Abstract |
RESEARCH 1 : Assertiveness Affecting Burnout of Novice Nurses at University Hospitals
AbstractAim : This prospective cohort study aimed to clarify the relationship between the level of assertiveness and the incidence of burnout in novice nurses in their first year at university hospitals and to obtain indices of assertion training for them to avoid burnout. Methods : The subjects were 1,203 novice nurses working at 20 university hospitals in Japan who gave informed consent to participate in this research. The questionnaires were completed by 949 novice nurses in June 2003, and they were divided into two cohorts to observe the incidence of burnout, which was investigated in June 2004. Results : At the baseline, we obtained responses from 1,030 novice nurses (85.6%) who had agreed to join the study. Valid responses were obtained from 949 nurses (92.1%) and these nurses were followed up on.. Ninety-two (20.5%) of the novice nurses experienced burnout and forty-three (7.2%) from serious bur
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nout. Both high and low levels of assertiveness score tended to high incidence rates of burnout. Multiple logistic regression analyses showed that the factors affecting burnout were having no senior nursing staff support and very low and low level of assertiveness, and those affecting serious burnout were male gender, hospitals location in Tokyo, and very low and low level of assertiveness. Conclusions : Novice nurses tend to burn out easily when their assertiveness scores are too low or too high. The ideal value of the assertiveness score so as not to burn out seems to be medium.
RESEARCH2 : Factors Affecting Rapid Turnover of Novice Nurses in University Hospitals
Abstract : Factors Affecting Rapid Turnover of Novice Nurses in University Hospitals : Eiko Suzuki, et al. : Department of Nursing, Tenshi College and Graduate School of Health Sciences, Tokyo Medical and Dental University. Rapid turnover of novice nurses eventually results in a shortage of veteran nurses. This study aimed to clarify the factors affecting rapid turnover of novice nurses in a prospective manner. We carried out an investigation in 20 university hospitals whose directors of nursing service departments accepted our request to cooperate with our research program. These hospitals were selected from all of the 102 university hospitals listed in The Hospital Catalog of Japan. The subjects were 1,203 novice hospital nurses who gave their informed consent for participation in our study. The questionnaires, which dealt with burnout, assertiveness, stressful life events, reality shock, ward assignment preference, transfer preference, job satisfaction (workplace, salary, workload, and overtime), social support and coping mechanisms were completed by 923 novice nurses in June 2003. Then, their turnover was investigated in December 2003. Thirty-seven novice nurses (4.0%) quit during this period. Multiple logistic regression analysis showed that the factors affecting rapid turnover were 1)graduation from vocational nursing schools, 2)dissatisfaction with assignment to a ward contrary to their desire, and 3)no peers for support. Assignment of novice nurses to wards they choose as far as possible, avoidance of assigning novice nurses to wards alone, and establishment of a support system for nurses who graduate from vocational nursing schools seem to be important for preventing rapid turnover of novice nurses. Less
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