楠 聖伸

ABSTRACT In August 2023, a tragic case in Kobe City, Japan, highlighted the severe working conditions faced by resident physicians. A resident specialising in internal medicine died by suicide after experiencing extraordinary workloads, including 236 h of overtime in the month before his death. This case underscores the broader systemic issue of excessive working hours in Japan's medical profession, exacerbated by the country's ‘passion pay’ culture, which exploits young physicians' dedication. Surveys indicate that 28% of residents experience burnout, with long hours, inefficient task allocation and poor workplace communication as key stressors. Addressing excessive workloads requires restructuring physician responsibilities. Research shows that full‐time physicians under 50 spend significant time on non‐medical tasks that could be delegated to other professionals. The primary physician model, which holds doctors responsible for patients beyond their shifts, further extends work hours. Transitioning to a time‐based task allocation system and implementing task‐shifting strategies could alleviate these burdens. Workplace communication also requires improvement. Limited supervisory support and hierarchical barriers prevent open discussions about well‐being. We underscore that drawing insights from corporate strategies, such as Marui Group's task optimisation policies and TOYOTA's anonymous feedback system, hospitals could implement structured well‐being initiatives for physicians. Physician well‐being directly correlates with patient satisfaction and treatment adherence. Addressing burnout through workload reduction and improved communication is essential for maintaining both doctor and patient health. Hospitals must prioritise physician well‐being alongside patient care, fostering a sustainable working environment for medical professionals.

本研究は、Seligman、Boniwell並びに前野らの主観的幸福度に関する先行研究をもとに主観的幸福度を高める要因に着目し、児童養護施設入所児童（注1）の主観的幸福度の向上を目的としたグループ学習型ワークショップを提案し、その有効性を定量的かつ定性的に検証するものである。グループ学習型ワークショップは、自己受容並びに他者とのつながり及び感謝がテーマの二つのワークから構成する。筆者らは、児童養護施設入所児童のグループを対象に当ワークショップを実施し、人生満足尺度を用いた定量的検証並びに半構造化インタビューによる定性的検証により、提案するグループ学習型ワークショップが主観的幸福度の向上に有効であることを検証する。これにより、児童養護施設入所児童の退所後の自立支援の方法の一つとして、入所児童の主観的幸福度の向上を目的としたグループ学習型ワークショップが展開できることを示す。