Premium
The effect of skill mix in non‐nursing assistants on work engagements among home visiting nurses in J apan
Author(s) -
Naruse Takashi,
Taguchi Atsuko,
Kuwahara Yuki,
Nagata Satoko,
Sakai Mahiro,
Watai Izumi,
Murashima Sachiyo
Publication year - 2015
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12167
Subject(s) - intervention (counseling) , nursing , skill mix , work engagement , medicine , work (physics) , nursing management , psychology , health care , mechanical engineering , engineering , economics , economic growth
Aim This study evaluated the effect of a skill‐mix programme intervention on work engagement in home visiting nurses. Background A skill‐mix programme in which home visiting nurses are assisted by non‐nursing workers is assumed to foster home visiting nurse s' work engagement. Method Pre‐ and post‐intervention evaluations of work engagement were conducted using self‐administered questionnaires. A skill‐mix programme was introduced in the intervention group of home visiting nurses. After 6 months, their pre‐ and post‐intervention work engagement ratings were compared with those of a control group. Result Baseline questionnaires were returned by 174 home visiting nurses (44 in the intervention group, 130 in the control group). Post‐intervention questionnaires were returned by 38 and 97 home visiting nurses from each group. The intervention group's average work engagement scores were 2.2 at baseline and 2.3 at post‐intervention; the control group's were 3.3 and 2.6. Generalised linear regression showed significant between‐group differences in score changes. Conclusion The skill‐mix programme might foster home visiting nurses' work engagement by improving the quality of care for each client. Future research is needed to explain the exact mechanisms that underlie its effectiveness. Implications for nursing management In order to improve the efficiency of services provided by home visiting nurses and foster their work engagement, skill‐mix programmes might be beneficial.