The Relationship Between Reasons of Visiting Nurses\u27 Resignation and Supports Inside and Outside the Office

本研究は訪問看護師が離職を考える理由と職場内・外サポート体制との関連を検討し，訪問看護師の職務継続および訪問看護の質的向上への示唆を得ることを目的とした．調査は了解の得られたA県内訪問看護ステーション48ヶ所に勤務する訪問看護師203名に無記名自記式調査票を郵送し，同意が得られたものを分析した． 得られたデータを統計的に分析した結果，訪問看護師が離職を考える要因の1つとしてサポート体制が関連していること，離職を考えた時には職場内・外両方によるサポートが役立っていること，訪問看護ステーションでは職場内に比べて職場外サポートの活用が低いことが明らかになった．職場内・外のサポート体制を高めていくことが職務継続や訪問看護の質的向上へと繫がる1つの要因であることが示唆された．The present study investigates the relationship between reasons of visiting nurses’ resignation and supports of visiting nurses inside and outside the office. This paper further makes suggestions concerning some leads to visiting nurses’ continuation of the job and the qualitative progress of home visiting nursing. The authors sent a self-completed, anonymous questionnaire to 203 visiting nurses working at 48 home-visit nursing stations in A prefecture and conducted a statistical analysis of the responses. All the stations consented to this questionnaire survey and we used the responses from nurses who agreed to the conduct of this survey.The results showed the following: Supporting systems were one of relevant factors when visiting nurses considered leaving their job; when visiting nurses decided whether or not to resign, supports inside and outside their workplaces were helpful; supports outside home-visit nursing stations were not made efficient use of as much as supports inside their workplace. These findings suggest that improving supporting systems inside and outside workplaces should be a factor which contributes to visiting nurses’ continuation of the job and the qualitative progress of home visiting nursing