近年、ストレスに起因してポジティブな変化が生じることが明らかにされている。このことは終末期ケアにおける看護師のバーンアウト予防に貢献すると考えられるが、これらの検討は不足している。本研究目的は、終末期ケアに携わる看護師のストレスに起因したポジティブな変化がバーンアウトに及ぼす影響を明らかにすることである。本研究では、終末期ケアにおいてストレスフルなケアを体験した看護師207名に、バーンアウト、意味づけ並びに外傷後成長の質問紙調査を実施した。バーンアウトの下位尺度である情緒的消耗感、脱人格化、個人的達成惑を目的変数に、その他の測定変数を説明変数とした重回帰分析を行った。その結果、個人的達成感には意味づけや外傷後成長が影響していた。これらの結果、看護師がストレスに起因してポジティブな変化が生じれば、個人的達成感の低下は改善する可能性が示唆された。It has been recently suggested that positive changes can result from stressful experiences. Such changes are considered as contributing to the prevention of burnout among nurses involved in stressful, end of life care. However, this phenomenon has not been sufficiently investigated to date. Effects of positive changes resulting through stress experienced by nurses involved in end of life care, and the effects of these changes on burnout were investigated. A questionnaire survey was conducted with ward nurses (N=207) that had stressful experiences related to end of life care. The questionnaire included items on burnout, meaning making, and posttraumatic growth. Multiple regression analysis was conducted for burnout, assessed by emotional exhaustion, depersonalization and personal accomplishment subscales as an objective variable and other measures as explanatory variables. The results indicated that personal accomplishment was affected by meaning making and posttraumatic growth. It is suggested that low personal accomplishment among nurses can be improved through positive changes resulting from stressful experiences.