Year: 2008
Type: article
Study design: Observational Study
Abstract: 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.x The results showed that productivity was 3.76 (SD = 1.05) visits/day using the formula that included both direct and indirect care.Visiting nurses spent average 1018 (SD = 454) minutes for one week in direct care and averaged 766 (SD = 407) minutes for one week in indirect care.The proportion of direct care / indirect care was 58/42 ratio.The percentage for the amount of indirect care time spent on each activity was as follows: travel (41.5%), documentation (20.2%), telephone (4.5%), meeting (14.4%), preparation (8.0%), and others (11.4%).Nonvisit work was a significant portion of the time spent by visiting nurses in Japan and may explain the relationship between productivity and satisfaction.The results of the present study are important in understanding the work environment of nurses in home health care settings in Japan.
Author: Keiko Ogawa‐Ochiai
Institution: Case Western Reserve University
Language: English
Subfield: Research and Theory
Field: Nursing
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W23374533