@article{oai:seisen-u.repo.nii.ac.jp:00001429, author = {小森, 久美子 and 木村, 知子 and 南谷, 志野 and Komori, Kumiko and Kimura, Tomoko and Nanya, Shino}, journal = {聖泉看護学研究, Seisen Journal of Nursing Studies 12 2023}, month = {}, note = {目的 中規模病院の看護部長が,就任後に直面する課題への対処を明らかにする. 方法 看護部長34人が記述した課題への「対処」について,テキストマイニングで分析を行った. 結果 対処の対象となる人物は17語句抽出され,最も多く出現したのは「師長」であった.対処の内容は78語句が抽出され,最も多く出現したのは「看護の質の向上」であった.多次元尺度構成法により対処の内容は,Ⅰ群【トップマネジメント】,Ⅱ群【求められるリーダーシップ】,Ⅲ群【地域ニーズに応える事業の展開】,Ⅳ群【役割委譲】,Ⅴ群【理解を得る】,Ⅵ群【立ち位置の自覚】【問題の本質をつかむ】【経営責任】【現実の直視】【信頼関係の構築】【ぶれない信念】【看護の質の向上】などであった. 考察 看護部長は,師長を中心として多様な対象と関わり,第Ⅵ群の対処を通してマネジメントの能力を養い,地域のニーズに応えるために,多職種の協働をマネジメントしていた. Purpose To clarify how nursing directors of medium-sized hospitals cope with the problems and challenges they face when they start the job. Method Text mining was used to analyze the “coping” with the issues described by 34 nursing directors. Results Seventeen words referring to target persons that a new director of nursing needs to cope with were extracted, revealing “nurse manager” as the most frequently occurring word. Regarding coping contents, 78 words and phrases were extracted, the most common being “improving the quality of nursing”. Using the multidimensional scaling method, coping contents were grouped into: Group I “top management,” Group II “demonstration of leadership,” Group III “starting projects that meet local needs,” Group IV “delegation of roles,” Group V “gaining understanding from others,” and Group VI, which included contents such as “awareness of one’s position,” “grasping the essence of problems,” “management responsibility,” “facing reality,” “building a trusting relationship,” “steady belief,” and “improving the quality of nursing.” Discussion Nursing directors of medium-sized hospitals need to deal with a variety of people centred on the nurse manager, cultivate management skills by coping with Group VI contents, and start projects that are needed in a regional hospital.}, pages = {53--62}, title = {中規模病院の看護部長が就任後に直面する課題への対処}, volume = {12}, year = {2023}, yomi = {コモリ, クミコ and キムラ, トモコ and ナンヤ, シノ} }