Development of a Transition-based Support Program to Improve Nursing Practice Ability of New ICU Nurses

Research Project

Project/Area Number	17K17446
Research Category	Grant-in-Aid for Young Scientists (B)
Allocation Type	Multi-year Fund
Research Field	Clinical nursing
Research Institution	University of Kochi
Principal Investigator	Tanaka Masami 高知県立大学, 看護学部, 助教 (50784899)
Project Period (FY)	2017-04-01 – 2023-03-31
Project Status	Completed (Fiscal Year 2022)
Budget Amount *help	¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000) Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000) Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000) Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000) Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords	transition / ICU / 新人看護師 / transition（トランジション） / ICU（集中治療室） / トランジション / 看護師 / ＩＣＵ / 看護実践能力 / 教育支援 / 看護
Outline of Final Research Achievements	The purpose of this study was to develop a program to support new ICU nurses in improving their nursing practice ability based on the Transitions Theory. The first step was to conduct an interview survey of ICU nurses to clarify the transition status of new ICU nurses, the turning points necessary for healthy transitions, and the factors that promote transitions. Then, from group interviews with nurses involved in supporting the education of new ICU nurses, we clarified what support is possible through on-the-job training and what factors hinder such support. Based on these findings, the framework for a program to support new ICU nurses in improving their nursing practice ability was developed.
Academic Significance and Societal Importance of the Research Achievements	本研究では、ICU新人看護師の看護実践能力向上支援プログラムの枠組みを作成した。プログラム作成までは至らなかったが、研究を進めるなかで、個人の成長プロセスに応じた柔軟な支援の重要性が明らかになり、新人に限らずICU看護師への支援に応用できる枠組みを作成できたと考える。 COVID-19感染拡大により、クリティカルケアの専門的な実践力を有する人材確保や人材育成の重要性が明るみとなった現状において、成長プロセスに応じて柔軟に支援できるプログラムの開発を継続することは、看護師のスムーズな成長の獲得と支援者の継続教育への負担軽減につながり、クリティカルケア看護師の定着促進に貢献できると考える。