Evaluation of home-visit nursing services supply : a multilevel analysis

本研究旨在了解日本家庭护理服务供给的现况。我们进行了两种类型的研究。本研究首先探讨访护机构访护人员离职意向与工作满意度的相关因素。多元logistic回归分析结果显示，工作满意度低、访护经验不足者更容易产生离职意向。我们发现获得欲望超过81%的护士工作满意度显著提高。接下来，我们探讨了与用户数量相关的因素，以及每名护理人员转换为正式员工的人数。双变量分析结果显示，访问护士机构是否隶属于医疗保健提供者（如医院和ROKEN），是否隶属于护理管理机构，是否拥有24小时紧急联系系统，护士经理是否担任其他职务，是否雇用PT或OT，是否雇用文职人员，以及是否提供临终关怀，这些因素与访问护士机构有显著关联。

The purpose of this study was to clarify the current status of home-visit nursing services supply in Japan. We conducted two types of studies. First, we explored the factors related to the intention to leave and job satisfaction among visiting nurses in visiting nurse agencies. The result of multiple logistic regression analysis showed that low job satisfaction and inexperienced visiting nurse were more likely to have the intention to leave. And we found that nurses who have gotten desire more than 81% had significantly higher job satisfaction. Next, we explored the factors related to number of users the per number of nursing staff members converted to regular employees. The result of bivariate analysis showed a significant association with when visiting nurse agency was affiliated to a healthcare provider such as hospital and ROKEN, affiliated to a care management agency, having 24-hour emergency contact system, nurse manager hold other posts, employing PT or OT, employing clerical staff, and providing end of life care.