Abstract

BackgroundGlobal aging continues to progress. The shortage of human resources involved in long-term care (LTC) is a serious problem worldwide. It is necessary to promote the stable employment of foreign care workers. The purpose of this study was to identify which factors, including well-being, work engagement, and original items, contribute to foreign care workers’ intent to continue working.MethodsWe conducted an anonymous self-administered questionnaire survey of 259 foreign LTC workers at LTC facilities in Japan. The questionnaire survey items included the Japanese version of the Subjective Well-being Scale (J-SWBS), the Japanese version of the Utrecht Work Engagement Scale (J-UWES), and original items related to educational needs and issues. We used multiple regression analysis to predict variability from correlations among variables. And after that, we conducted a path analysis using structural equation modeling (SEM), and added that the explanatory variables (IV) were well-being, work engagement, and the original item component, and that the outcome variable (DV) was intention to continue working. We set a hypothetical model based on structural equations, corrected by path analysis, and examined its suitability.ResultsThe number of returned questionnaires for 259 foreign care workers was 147 (response rate 56.7%), and the number of analyzable questionnaires was 129 (valid response rate 49.8%). For intention to continue working, the results of structural equation modeling showed direct effects for satisfaction with low back pain measure guidance (β = .255), satisfaction with the national examination guidance method (β = .217), well-being (β = .046), and work engagement (β = .026). In work-engagement, there was a direct effect of happiness (β = .715), willingness to learn good care (β = 4.849), and confidence in my ability (β = 2.902,), whilst in well-being, satisfaction with low back pain measure guidance (β = 1.582) and confidence in my ability (β = 1.999) were found to have direct effects.ConclusionsTo increase the intent of foreign care workers to continue working, appropriate guidance should be given related to the development of lumbago. In addition, to provide a place and scene where they can learn good care, having a relationship in practice where foreign care workers can feel that their abilities are being utilized, and developing and maintaining educational support that motivates them to learn good care may be effective.

Highlights

  • The purpose of this study was to identify which of the original items extracted based on the results of our own previous study contributed to well-being and work engagement, as well as to the intention of foreign long-term care (LTC) workers to continue working

  • The results showed that there was no significant difference in work engagement and all its subscales among the 3 countries

  • The purpose of this study was to identify which of the original items contribute to “well-being” and “work engagement,” as well as to the “intent of foreign care workers to continue working.”

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Summary

Introduction

We conducted a path analysis using structural equation modeling (SEM), and added that the explanatory variables (IV) were well-being, work engagement, and the original item component, and that the outcome variable (DV) was intention to continue working. For intention to continue working, the results of structural equation modeling showed direct effects for satisfaction with low back pain measure guidance (¢ = .255), satisfaction with the national examination guidance method (¢ = .217), well-being (¢ = .046), and work engagement (¢ = .026). The estimated supply, which reflects the projected decrease in the working-age population in the future, is 2,152,000, resulting in a shortage of 377,000 workers [1] This is an estimate that requires an increase of approximately 60,000 workers per year. The retention rate in long-term care (LTC) facilities of care worker candidates (candidates), who are Environmental Health and Preventive Medicine (2022) 27:4 the leaders in the field of LTC workers, is only about 14% of the total number of entrants [6]

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