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The purpose of the study is to uncover expert occupational health nurse actions taken to understand purposes important to them in occupational health nursing practice.Methods: Semi-structured interviews were conducted with 10 expert occupational health nurses. The results were analyzed using the qualitative synthesis method.Results: The following seven elements were extracted: "Realize living and working as oneself while restricting within work and health", "Stay engaged so that one is physically and mentally healthy and approaches retirement positively", "Offer suggestions for activities at an appropriate time by assessing the state of affairs within the corporate organization and identifying key personnel", "Develop human resources and accumulate phased activities toward self-sustaining occupational health activities by the corporate organization " , " Coordinate opinions among employees/managers and integrate support activities for employees with those for the employer", "Build relationships of trust by staying engaged as a professional from an impartial standpoint", and "Continue learning from experience and gain expert knowledge".Conclusion: Activities of occupational health nurses were conducted by building relationships of trust and making preformed study so that workers can live and work for themselves and the corporate organization can be self-sustaining and promoting occupational health activities. 要 旨 目的：熟練産業看護職が産業看護活動において重視する目的と活動の構造を明らかにする． 方法：熟練産業看護職 10 名に半構造化面接を行い，質的統合法を用いて分析した． 結果：労働者への〈健康と労働からの制約の中でその人らしく働くことや生きることの実現〉 〈退職後 を見据えながらの心身共に健康に過ごせるための関わりの積み重ね〉 〈会社組織の状況やキーパーソンを 受付日：2019 年 7 月 26 日 受理日：2020 年 1 月 27 日 1) 四日市看護医療大学看護学部 Faculty of Nursing, Yokkaichi Nursing and Medical Care University 2) 日本たばこ産業株式会社 Japan Tobacco Incorporated 3) 株式会社東芝 Toshiba Corporation 4