Conflicts Felt by Nurses Working in Convalescent Rehabilitation Wards with Rehabilitation Therapists and Strategies to Deal with Them

目的　回復期リハビリテーション病棟の看護師がセラピストに感じているコンフリクトの内容とその対処を明らかにすることである． 方法　回復期リハビリテーション病棟に 5 年以上勤務する看護師で日勤リーダーを経験しているスタッフ 10名を対象に半構造化面接を実施し質的記述的研究として分析した． 結果　看護師が感じているコンフリクトの内容は【必要と考えるリハビリテーションアプローチの違い】 【リスクに対する責任感の違い】【通じ合えない患者視点】【協働に必要な相互理解の不足】であった．コンフリクトの対処は【情報を提供し方向性を合わせる】【上司へ助けを求める】【コンフリクトを感じても受け入れる】【患者尊重の視点を訴える】であった． 考察　職種による患者への関わり方の考えの違いや互いの専門性の理解不足がコンフリクトの原因である と考えられる．教育の違いが互いの業務の理解に影響しておりこれらを理解しておく必要がある.Objective　This study aims to understand the conflicts that nurses in convalescent rehabilitation wards experience with rehabilitation therapists and how they deal with them. Methods　Semi-structured interviews were conducted with ten staff nurses who had worked in a convalescent rehabilitation ward for five years or more and had experience as day-shift leaders. Data were analyzed qualitatively using a descriptive approach. Results　The types of conflicts that nurses felt with rehabilitation therapists included “different views about necessary approaches to rehabilitation,” “differences in the sense of responsibility for rehabilitation risks,” “lack of shared understanding of patient perspectives,” and “insufficient mutual understanding required for effective collaboration.” The strategies employed to manage these conflicts were: “providing information to persuade therapists,” “seeking assistance from superiors,” “accepting the situation despite the reality of the conflict,” and “appealing to the viewpoint of valuing patient perspectives.” Discussion　Conflicts between nurses and therapists were found to be caused by profession-based differences of opinion on how to interact with patients, and a lack of understanding of each other’s expertise and work owing to varying educational attainments. It is important to understand divergent professional perspectives and roles and appreciate the values of other professions.departmental bulletin pape