Job role quality and intention to leave current facility and to leave profession of direct care workers in Japanese residential facilities for elderly
Job role quality and intention to leave current facility and to leave profession of direct care workers in Japanese residential facilities for elderly
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DOI：
10.1016/j.archger.2011.12.017
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发表时间：
2012-01-01
影响因子：
4
通讯作者：
Imai, Hisato
中科院分区：
文献类型：
--
作者：
Nakanishi, Miharu;Imai, Hisato
本研究的目的是研究工作角色质量有关的意图离开目前的设施和离开的专业直接护理人员在日本的老年人住宅设施。直接护理人员于2009年10月完成了一份纸质问卷。从三个县（东京，静冈和山形）的746个设施，6428名直接护理人员的完整数据被纳入分析。工作角色质量（JRQ）量表被翻译成日语，以评估工作角色质量。分层多元回归分析表明，打算离开目前的设施主要与工作角色质量：技能差的自由裁量权，高的工作要求，与主管的关系差。离开职业的意图主要与技能判断力差有关。本研究的结果意味着战略，以指导护理人员保留每个设施和政策的努力。每个设施都可以实施具体的战略，如增加工作种类和使用技能的机会，适当的工作分配，以及改善工作场所的主管与雇员的关系。政策努力应加强护理工作中更广泛的职业机会，如高级专业化和授权医疗实践。(C)2010爱思唯尔爱尔兰有限公司版权所有。
The aim of the present study is to examine job role quality relating to intention to leave current facility and to leave profession among direct care workers in residential facilities for elderly in Japan. Direct care workers completed a paper questionnaire on October 2009. From 746 facilities in three prefectures (Tokyo, Shizuoka, and Yamagata) 6428 direct care workers with complete data were included in the analyses. The Job Role Quality (JRQ) scale was translated into Japanese language to assess job role quality. Hierarchical multiple regression analysis showed that intention to leave current facility was primarily associated with job role quality: poor skill discretion, high job demand, and poor relationship with supervisor. Intention to leave profession was primarily associated with poor skill discretion. The results of the present study imply the strategies to direct care worker retention for each facility and policy efforts. Each facility can implement specific strategies such as enhanced variety of work and opportunity for use of skills, adequate job allocation, and improvement of supervisor-employee relationship in work place. Policy efforts should enhance broader career opportunities in care working such as advanced specialization and authorized medical practice. (C) 2010 Elsevier Ireland Ltd. All rights reserved.