新人訪問看護師に提供された職場内教育と6か月後の単独訪問の実施及びワーク・エンゲイジメントとの関連

Association Between Conducting Solo Home Visits or Work Engagement Six Months Later and On-the Job Training Among Novice Home-Visiting Nurses

要旨

　目的：新人訪問看護師への職場内教育と6か月後の単独訪問の実施及びワーク・エンゲイジメント（WE）との関連を明らかにする．

　方法：新人訪問看護師423名に2回のWeb調査を実施し，分析対象者296名に，独立変数を8項目の職場内教育，従属変数を6か月後の単独訪問の実施（日中の緊急時対応と24時間対応）とWEとした2項ロジスティック回帰分析を行った．

　結果：6か月後の24時間対応の単独訪問の実施は，勉強会（OR＝4.31，95％CI＝1.06〜17.52）や多職種連携会議への参加がある（OR＝4.48，95％CI＝1.13〜17.72）ことが関連していた．WEの高さは，同行訪問回数が関連していた（OR＝1.01，95％CI＝1.00〜1.01）．

　結論：新人訪問看護師への勉強会や多職種連携会議の参加の充実が6か月後の24時間対応の単独訪問の実施，同行訪問回数の充実が6か月後のWEをわずかに高めることが示された．

　Aim: This study examined the association between on-the-job training and conducting solo home visits or work engagement(WE) six months later among novice home-visiting nurses.

　Methods: Web-based questionnaires were distributed to 423 novice home-visiting nurses at baseline and after six months. A binomial logistic regression analysis was conducted on 296 obtained responses, with eight types of on-the-job training as the independent variables, and conducting solo home visits(daytime emergency and 24-hour response) or work engagement at a six-month follow-up as the dependent variables.

　Results: Conducting solo home visits to ensure a 24-hour response at the six-month follow-up was associated with participation in study meetings(OR = 4.31, 95% CI = 1.06 - 17.52) and multidisciplinary meetings(OR = 4.48, 95% CI = 1.13-17.72) at baseline. High WE scores at the six-month follow-up were associated with the number of home visits accompanied by senior nurses(OR = 1.01, 95% CI = 1.00-1.01) at baseline.

　Conclusion: The results suggested that participation in study and multidisciplinary meetings among novice home-visiting nurses could facilitate conducting solo home visits for a 24-hour response six months later and accompanied by senior nurses slightly enhance their WE six months later.