Workload of Home Health Care Nurses in Japan

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Case Western Reserve University, 2008 - 154 pages
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The role of home-visit nursing care is increasingly important in Japan. The number of Visiting Nurse Stations (VNSs) is less than sufficient to provide nursing services to patients at home and there is a lack of research on the topic. The purpose of this study was to identify productivity in home-visit nursing care in Japan and to examine relationships between nurse characteristics, productivity, and job satisfaction, guided by the Donabedian structure-process-outcome model. A descriptive correlational design was used. There were 28 VNSs and 100 home care nurses providing data and two instruments in the survey: the nurse workload form (time survey) and the nurse questionnaire (the Nursing Work Index-Revised and a single item indicator of satisfaction using a visual analog scale). Nurses in this study were on average 40.4 years old ( SD = 8.4) and had, on average, 14.8 years (SD = 7.7) of experience as a nurse. The findings indicated that nurse characteristics (age, employment status, and years of experience) and productivity did not explain a significant amount of variance in job satisfaction for either measure. There was a weak, negative correlation (r = -.19; p = .03) between productivity and job satisfaction score from the NWI-R. When there was higher productivity, there were lower scores on the NWI-R, suggesting that nurses who have more productivity had lower satisfaction.

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