Burden and Manager’s Support Regarding the Traveling of Home Care Nurses and Their Intention to Remain Employed: A Cross-sectional Study

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  • Nagami Yukari
    Department of Community Health Nursing, Graduate School of Medicine, The University of Tokyo
  • Fujisaki-Sueda-Sakai Mahiro
    Department of Public Health Nursing, Graduate School of Medicine, Tohoku University
  • Noguchi-Watanabe Maiko
    Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo
  • Yamamoto-Mitani Noriko
    Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo

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Other Title
  • 移動に対する負担感および管理者のサポートと訪問看護師の就業継続意向との関連：
  • 移動に対する負担感および管理者のサポートと訪問看護師の就業継続意向との関連 : 横断研究
  • イドウ ニ タイスル フタンカン オヨビ カンリシャ ノ サポート ト ホウモン カンゴシ ノ シュウギョウ ケイゾク イコウ ト ノ カンレン : オウダン ケンキュウ
  • 横断研究

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Abstract

<p>Purpose: This study aims to examine the relationship between the work-related burden of traveling and the manager’s support for home care nurses and home care nurses’ intention to remain employed.</p><p>Methods: A self-administered questionnaire survey was conducted with homecare nurses and managers working at 103 home-nursing provider offices. A multilevel binomial logistic regression analysis was conducted with the intention to remain employed as the dependent variable.</p><p>Results: Responses from 38 managers and 221 home care nurses (effective response rate: 32.5%) were analyzed. The mean age of the home care nurses was 46.4 ± 7.9 years, 214 (96.8%) were female, and 151 (68.3%) had the intention to remain employed. The burden of traveling expressed as inefficient visit schedules (Odds Ratio(OR) = 0.41, 95% Confidence Interval(CI): 0.22–0.78), and managers’ support, expressed as sharing accessible routes to travel (OR = 2.49, 95% CI: 1.20–5.17), ensuring visit intervals (OR = 2.72, 95% CI: 1.19–6.21 ), and providing estimated travel time (OR = 0.43, 95% CI: 0.21–0.92), were associated with home care nurses’ intention to remain employed.</p><p>Conclusions: These results suggest that developing management support systems regarding the travel itself, such as ensuring intervals between visits, sharing accessible routes to travel, and providing an estimated travel time, may be useful for supporting home care nurses’ intention to remain employed.</p>

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