Factors Related to the Visiting Nurse Staff's Intention to Continue Working

This study aimed to examine the factors related to the visiting nurse staff's intention to continue working and to obtain nursing management implications for their continued employment.

A quantitative cross-sectional study.

A nationwide self-administered survey was conducted among visiting nurses in Japan (July-October 2021) using a hybrid response mode (online and paper). Questionnaires were targeted for distribution to 2500 nurses: 2400 via visiting nurse stations selected through stratified random sampling across all prefectures and an additional ~100 via supplementary convenience/purposive recruitment to improve response rates. Intention to continue working was dichotomised (agree/strongly agree vs. disagree/strongly disagree), and multivariable logistic regression was used to identify factors independently associated with intention to continue working.

A total of 276 responses were received (response rate 11.0%). After excluding managers, 182 staff visiting nurses were analysed; 130 (71.4%) reported intention to continue working. Higher perceived managerial leadership was strongly associated with intention to continue working (OR = 11.70, 95% CI = 3.46-39.50), as was being married (OR = 2.58, 95% CI = 1.07-6.21).

Managerial leadership may be a key, modifiable organizational factor associated with visiting nurses' intention to continue working. Strengthening managerial leadership may contribute to the retention of visiting nurses.

No patient or public involvement occurred in the design or conduct of this study.