Online Program

288460
Work engagement relates to nurses' attitudes toward caring for dying patients and the families among home visiting nurses


Sunday, November 3, 2013

Sakai Mahiro, MSN, RN, PHN, Department of Community Health Nursing Division of Health Sciences and Nursing Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Naruse Takashi, Ph.D, RN, PHN, Department of Community Health Nursing Division of Health Sciences and Nursing Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Nagata Satoko, Ph.D, RN, PHN, Department of Community Health Nursing Division of Health Sciences and Nursing Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Background and Objective: An inevitable aging population relates to a rapid increase in additional demands for end-of-life care at home. Home visiting nurses (HVNs) are expected to provide high quality end-of-life care at home under the pressure from staff shortages. Nurses' work engagement (WE) has been reported to associate with nurses' health and positive attitude for providing patient-centered care. This study was aimed at testing WE related to nurses' attitudes toward caring for dying patients among HVNs. Methods: In this cross-sectional study, 343 HVNs working in 62 agencies across Chiba prefecture, Eastern Japan, were given anonymous self-administered questionnaires. Data were gathered from July to August 2012. WE was measured using Utrecht Work Engagement Scale Japanese version. HVNs' attitudes toward caring for dying patients and the families was measured using the Frommelt Attitude Toward Caring Of the Dying scale Form B Japanese version. Results: A total of 304 (88.6%) questionnaires were returned, and the data of 222 (64.7%) HVNs were analyzed. Multiple regression analysis revealed that WE significantly and positively associated with HVNs' attitudes toward caring for dying patients (รข= .242, p= .001). Conclusion: This study firstly identified positive relationship between WE and HVNs' attitudes toward caring for dying patients. Nursing managers could remain in good health of staffs and manage them to carry out end-of-life care effectively by monitoring HVNs' WE.

Learning Areas:

Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Occupational health and safety
Public health or related nursing
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe nurses' work engagement as one of occupational health indicators when nurses provide end-of-life care in community setting.

Keyword(s): Occupational Health, End-of-Life Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal of research focusing on work environment and home visiting nurses who provide end-of-life care at patients' home. Among my scientific interests has been the occupational health of nurses with terminally ill patients in community settings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.