Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study

Background: 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 affec...

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Main Authors: Ayako Nakayama, Junko Hoshino, Masashi Hotta, Mayuri Hashimoto, Naomi Furukawa
Format: Article
Language:English
Published: Belitung Raya Foundation 2025-01-01
Series:Belitung Nursing Journal
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Online Access:https://www.belitungraya.org/BRP/index.php/bnj/article/view/3665
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author Ayako Nakayama
Junko Hoshino
Masashi Hotta
Mayuri Hashimoto
Naomi Furukawa
author_facet Ayako Nakayama
Junko Hoshino
Masashi Hotta
Mayuri Hashimoto
Naomi Furukawa
author_sort Ayako Nakayama
collection DOAJ
description Background: 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.  Objective: Our study aimed to identify characteristics associated with the career self-reliance behaviors of nurses working in nursing homes. Methods: 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. Results: 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. Conclusion: 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.
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spelling doaj-art-7e5403579ac04351ba4feb936d541b562025-01-26T04:40:02ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732025-01-0111110.33546/bnj.3665Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional studyAyako Nakayama0Junko Hoshino1Masashi Hotta2Mayuri Hashimoto3Naomi Furukawa4Nagoya University Graduate School of Medicine Department of Integrated Health Sciences Course in Nursing, Doctoral Program, 1-1-20 Daiko-Minami, Higashi-ku, Nagoya City, Aichi Prefecture, 461-8673, JapanNagoya University Graduate School of Medicine, Daiko-Minami, Higashi-ku, Nagoya City, Aichi Prefecture, 461-8673, JapanGifu College of Nursing, Egira-cho, Hashima City, Gifu Prefecture, 501-6295, JapanGifu College of Nursing, Egira-cho, Hashima City, Gifu Prefecture, 501-6295, JapanGifu College of Nursing, Egira-cho, Hashima City, Gifu Prefecture, 501-6295, JapanBackground: 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.  Objective: Our study aimed to identify characteristics associated with the career self-reliance behaviors of nurses working in nursing homes. Methods: 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. Results: 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. Conclusion: 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. https://www.belitungraya.org/BRP/index.php/bnj/article/view/3665careercompetencenursenursing homenursing practice
spellingShingle Ayako Nakayama
Junko Hoshino
Masashi Hotta
Mayuri Hashimoto
Naomi Furukawa
Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study
Belitung Nursing Journal
career
competence
nurse
nursing home
nursing practice
title Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study
title_full Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study
title_fullStr Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study
title_full_unstemmed Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study
title_short Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study
title_sort characteristics associated with career self reliance behaviors of nurses working in nursing homes in japan a cross sectional study
topic career
competence
nurse
nursing home
nursing practice
url https://www.belitungraya.org/BRP/index.php/bnj/article/view/3665
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