Abstract
With an aging global population, establishing integrated systems for long-term care is challenging in several countries. Adequate and quality service for older adults in nursing homes can improve their quality of life. The career self-reliance of nurses working in nursing homes may affect the quality of life of older adults; this suggests a need for educational support for career self-reliance behavior. Our study aimed to identify characteristics associated with the career self-reliance behaviors of nurses working in nursing homes. Data were collected from nurses working in 789 nursing homes in Japan using questionnaires in 2018. The questionnaire consisted of the Scale of Career Self-Reliance Attitude, Career Self-Reliance Behavior to measure the degree of nurses' career self-reliance, questions about personal attributes, work environment, and work commitment; and the Clinical Nursing Competence Self-Assessment Scale. A multiple regression analysis was conducted using career self-reliance as the dependent variable and characteristics as the independent variables. Consequently, a total of 336 questionnaires were collected, of which 289 without missing data were analyzed. Of the 289 participants, 79 (27.3%) had certifications or licenses other than those for nursing or had completed graduate school. As a result of multiple regression analysis, a higher frequency of nursing practice (β = 0.38, p <0.001) was associated with career self-reliance attitudes. Having certifications or licenses other than those for nursing or completing graduate school (β = 0.11, p = 0.03), job satisfaction as a nurse (β = 0.12, p = 0.03), higher frequency of nursing practice (β = 0.28, p <0.001), and a higher degree of career self-reliance attitude (β = 0.45, p <0.001) were associated with career self-reliance behavior. Relationships with supervisors or colleagues were not associated with career self-reliance. It is important for nurses working in nursing homes to enrich their nursing practice, continue learning, and be satisfied with their jobs to improve their career self-reliance. Nurses and administrators working in nursing homes should make efforts to obtain these characteristics for nurses' career self-reliance behaviors. Particularly, maintaining nursing practice frequency is essential for improving the quality of life of older adults through nurses' career self-reliance.
Published Version
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