Top

BMC Health Services Research

Published in:

Open Access 01-12-2019 | Care | Research article

Training opportunities and the increase in the number of nurses in home-visit nursing agencies in Japan: a panel data analysis

Authors: Noriko Morioka, Suguru Okubo, Yoshie Yumoto, Yasuko Ogata

Published in: BMC Health Services Research | Issue 1/2019

Abstract

Background

A training opportunity in which ongoing education is encouraged is one of the determinants in recruiting and retaining nurses in home-visit nursing care agencies. We investigated the association between ensuring training opportunities through scheduled training programs and the change in the number of nurses in home-visit nursing agencies using nationwide panel data at the agency level.

Methods

We used nationwide registry panel data of home-visit nursing agencies from 2012 to 2015 in Japan. To investigate the association between planning training programs and the change in the number of nurses in the following year, we conducted fixed-effect panel data regression analysis.

Results

We identified 4760, 5160 and 5025 agencies in 2012, 2013, and 2014, respectively. Approximately 60–80% of the agencies planned training programs for all staff, both new and former, during the study period. The means and standard deviations of the percentage change in the number of full time equivalent (FTE) nurses in the following year were 4.2 (19.8), 5.7 (23.5), and 5.8 (25.1), respectively. Overall, we found no statistically significant association between scheduled training programs and the change in the number of FTE nurses in the following year. However, the associations varied by agency size. Results of analysis stratified by agency size suggested that the first and second quartile sized agencies (2.5–4.0 FTE nurses) with scheduled training programs for all employees were more likely to see a 9.0% (95% confidence interval [CI]: 4.5, 13.5) and 8.5% (95% CI: 2.4, 14.5) increase in the number of FTE nurses in the following year, respectively. Similarly, the first and second quartile sized agencies with scheduled training programs for new employees were more likely to see a 4.7% (95% CI: 2.1, 7.2) and 3.3% (95% CI: 0.4, 6.2) increase in the number of FTE nurses in the following year, respectively.

Conclusions

Ensuring training opportunities through scheduled training programs for all staff, both new and former, in relatively small-sized home-visit nursing agencies might contribute to an increase in the number of nurses at each agency.

Available only for authorised users

Ball J, Philippou J, Pike G, Sethi J. Survey of district and community nurses in 2013: report to the Royal College of nursing. London: NNRU; 2014.

Carter A. Nursing shortage predicted to be hardest on home healthcare. Home Healthc Nurse. 2009. https://doi.org/10.1097/01.NHH.0000347687.82443.c7.CrossRef

NHS hospital and community health service (HCHS). Workforce statistics in England, non-medical staff - 2003-2013. 2014. https://digital.nhs.uk/catalogue/PUB13741. Accessed 13 Apr 2017.

IOM (Institute of Medicine) and NRC (National Research Council). The future of home health care: workshop summary. Washington, DC: The National Academies Press; 2015. https://doi.org/10.17226/21662.

Fujisawa R, Colombo F. The long-term care workforce: overview and strategies to adapt supply to a growing demand, OECD health working papers; 2009. p. 44. https://doi.org/10.1787/225350638472.

Ministry of Internal Affairs and Communication. Population Census. 2015. http://www.stat.go.jp/english/data/kokusei/index.htm. Accessed 13 Apr 2017.

Tsutsui T. Implementation process and challenges for the community-based integrated care system in Japan. Int J Integr Care. 2014:e002.

Ministry of Health, Labour and Welfare. Annual Health, Labour and Welfare Report 2016. 2016. http://www.mhlw.go.jp/english/wp/wp-hw10/. Accessed 3 Apr 2017.

Japanese Nursing Association. Nursing for the older people in Japan 2. Nursing for the older people: current situation and challenges. https://www.nurse.or.jp/jna/english/pdf/info-02.pdf. Accessed 26 Feb 2018.

10.

Nakashima T, Yamaki S, Yoshiike Y, Inokuchi T, Fukuda T, Niino Y. Houmonkangoriyousyasu oyobi houmonkangohitusyousu no suikei. J Health Welf Stat. 2011;58(11):30–7 in Japanese.

11.

Ministry of Health, Labour and Welfare. Report on Public Health Administration and Services FY2016. 2017. http://www.mhlw.go.jp/english/database/db-hss/rophas.html. Accessed 26 Feb 2018.

12.

Fukui S, Yoshiuchi K, Fujita J, Ikezaki S. Determinants of financial performance of home-visit nursing agencies in Japan. BMC Health Serv Res. 2014. https://doi.org/10.1186/1472-6963-14-11.

13.

Igarashi A, Kurinobu T, Ko A, Okamoto Y, Matsuura S, Feng M, Yamamoto-Mitani N. Factors related to the provision of home-based end-of-life care among home-care nursing, home help, and care management agencies in Japan. BMC Res Notes. 2015. https://doi.org/10.1186/s13104-015-1418-z.

14.

Ellenbecker CH, Porell FW, Samia L, Byleckie JJ, Milburn M. Predictors of home healthcare nurse retention. J Nurs Scholarsh. 2008. https://doi.org/10.1111/j.1547-5069.2008.00220.x.CrossRef

15.

Tourangeau A, Patterson E, Rowe A, Saari M, Thomson H, MacDonald G, et al. Factors influencing home care nurse intention to remain employed. J Nurs Manag. 2014. https://doi.org/10.1111/jonm.12104.CrossRef

16.

Hasson H, Arnetz JE. Nursing staff competence, work strain, stress and satisfaction in elderly care: a comparison of home-based care and nursing homes. J Clin Nurs. 2008. https://doi.org/10.1111/j.1365-2702.2006.01803.x.CrossRef

17.

Kashiwagi M, Tamiya N, Murata M. The factors associated with reducing and recruiting nurses in home healthcare in Japan. Japanese J Primary Care. 2009;32(4):209–17.

18.

Jarrin O, Flynn L, Lake ET, Aiken LH. Home health agency work environments and hospitalizations. Med Care. 2014;52(10):877–83. https://doi.org/10.1097/MLR.0000000000000188.CrossRef

19.

Vander Elst T, Cavents C, Daneels K, Johannik K, Baillien E, Van den Broeck A, et al. Job demands-resources predicting burnout and work engagement among Belgian home health care nurses: a cross-sectional study. Nurs Outlook. 2016;64(6):542–56. https://doi.org/10.1016/j.outlook.2016.06.004.CrossRef

20.

Tomioka S, Ishizawa M, Ohtake M, Akama A, Sato C, Suzuki I, Kobayashi A, Kanoya Y. Factors related to job satisfaction of visiting nurses. J Japan Acad Home Care. 2007;11(1):43–51. in Japanese.

21.

Ogata Y, Fukuda T, Hahimoto M, Yoshida C, Nitta A, Otosaka K. The workplace preference by visiting nurses-an application of conjoint analysis. Health Econ Res Japan. 2008;19(3):233–52. in Japanese.

22.

Japan visiting Nursing Foundation. Visiting nursing system in Japan. 2015. https://www.nurse.or.jp/jna/english/. Accessed 26 Feb 2018.

23.

Jananese Nursing Association. JNA News Release, vol. 17; 2015. p. 2018.

24.

Japanese Nursing Association. A survey on the actual situation of visiting nursing. 2014. https://www.nurse.or.jp/jna/english/news/pdf/2015nr_17-01.pdf. Accessed 2 Mar 2018.

25.

Ministry of Health, Labour and Welfare. Information Publication System for Long-term Care database. 2012. http://www.kaigokensaku.mhlw.go.jp/. Accessed 10 Mar 2017. (in Japanese).

26.

Ministry of Justice. Long-Term Care Insurance Act. 1997. http://www.japaneselawtranslation.go.jp/law/detail/?vm=04&re=01&id=94. Accessed 2 Mar 2018.

27.

Van Waeyenberg T, Decramer A, Anseel F. Home nurses’ turnover intentions: the impact of informal supervisory feedback and self-efficacy. J Adv Nurs. 2015;71(12):2867–78. https://doi.org/10.1111/jan.12747.CrossRef

28.

Wooldridge JM, econometrics 1960-I. A modern approach: fifth edition ed. Mason: South-Western Cengage Learning; 2012.

29.

Lake ET. Development of the practice environment scale of the nursing work index. Res Nurs Health. 2002;25(3):176–88. https://doi.org/10.1002/nur.10032.CrossRef

30.

Hayes LJ, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, Spence Laschinger HK, North N, Stone PW. Nurse turnover: a literature review. Int J Nurs Stud. 2006;43(2):237–63. https://doi.org/10.1016/j.ijnurstu.2005.02.007.CrossRef

31.

Hayes LJ, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, Laschinger HK, North N. Nurse turnover: a literature review - an update. Int J Nurs Stud. 2012;49(7):887–905. https://doi.org/10.1016/j.ijnurstu.2011.10.001.CrossRef

32.

Anthony A, Milone-Nuzzo P. Factors attracting and keeping nurses in home care. Home Healthcare Now. 2005;23(6):372–7.CrossRef

33.

Naruse T, Sakai M, Watai I, Taguchi A, Kuwahara Y, Nagata S, Murashima S. Individual and organizational factors related to work engagement among home-visiting nurses in Japan. Jpn J Nurs Sci. 2013;10(2):267–72. https://doi.org/10.1111/jjns.12003.CrossRef

Title: Training opportunities and the increase in the number of nurses in home-visit nursing agencies in Japan: a panel data analysis
Authors: Noriko Morioka
Suguru Okubo
Yoshie Yumoto
Yasuko Ogata
Publication date: 01-12-2019
Publisher: BioMed Central
Keyword: Care
Published in: BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-019-4225-8

At a glance: The STEP trials

Springer Medicine

Training opportunities and the increase in the number of nurses in home-visit nursing agencies in Japan: a panel data analysis

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2019

Multimorbidity and healthcare resource utilization in Switzerland: a multicentre cohort study

Comparison of the Patient Enablement Instrument (PEI) with two single-item measures among Finnish Health care centre patients

Knowledge, attitudes and practices on tuberculosis transmission and prevention among auxiliary healthcare professionals in three Brazilian high-burden cities: a cross-sectional survey

A realist evaluation to identify contexts and mechanisms that enabled and hindered implementation and had an effect on sustainability of a lean intervention in pediatric healthcare

Implementation fidelity of village health and nutrition days in Hardoi District, Uttar Pradesh, India: a cross-sectional survey

Household relationships and healthcare seeking behaviour for common childhood illnesses in sub-Saharan Africa: a cross-national mixed effects analysis