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This study aims to identify levels of assertiveness among preceptors of novice nurses one year after the commencement of employment and determine factors related to their assertiveness. An anonymous self-rating questionnaire survey was administered to 1292 preceptors working in participating city and university hospitals across Japan. The survey had question items from the Japanese version of the Rathus Assertiveness Schedule (J-RAS, 30 items) characteristics for the participants (demographic details), evaluation of the novice nurses, instruction framework, self-evaluation of the preceptors, working environment, and a burnout inventory (Japanese version of the Maslach Burnout Inventory-Human Services Survey, 22 items). Bivariate analyses (T-tests and oneway analysis of variance) were conducted using assertiveness as the objective variable, and other surveyed items as explanatory variables. Bivariate analyses (t-tests and one-way analysis of variance) were conducted using assertiveness as the objective variable, and other surveyed items as explanatory variables. Selecting variables with p values smaller than 0.2 obtained in the bivariate analysis as explanatory variables, and also a multiple linear regression analysis (Stepwise method). For the analyses, we used a statistics analysis software, SPSS Statistic 22. Excluding administrative nurses, responses from 885 participants (83.7%) were analyzed. Factors related to higher levels of the assertiveness of preceptors were 'Making rapid decisions', 'Having confidence in the nursing at the present workplace', and 'Having persons outside workplace to consult with', and a factor related to lower levels of the assertiveness was 'High total burnout score' (adjusted R2, 22.4%). Factors related to higher levels of the assertiveness of preceptors of novice nurses one year after the commencement of employment were having positive self-evaluations and having persons outside workplace to consult with. The factor related to lower assertiveness was a high total burnout score. It was found that a positive self-evaluation was associated with higher assertiveness and lower likelihood of burnout regardless of when the instruction of novice nurses takes place. It is necessary for supervisors to promote the assertiveness of preceptors by improving the working environment to ensure assertiveness and prevent burnout. Such conditions will make it possible for preceptors to build an assertive relationship with novice nurses. [ABSTRACT FROM AUTHOR]

This study aimed to identify factors related to burnout among home visit nurses in Japan. A questionnaire survey of 1,423 home visit nurses. Items on the questionnaire were Individual factors, work environment, work-life balance, career commitment, communication skills, and burnout(MBIGS) score. Multiple regression analysis was performed using three subscales of burnout as objective variables. There were 559 valid responses (39.3%). A multiple regression analysis (stepwise) showed that the following factors were related to burnout. It was found that low career commitment, lack of work-life balance due to insufficient arrangements for an attractive working environment (difficulty in taking vacations), and poor communication skills are related to a higher likelihood of burnout among home visit nurses. It was also found that home visit nurses who feel the means of transportation to be a burden, who are 'poor at management including the schedule management (arrangement)', and who 'feel it a burden to visit terminally ill patients' have a higher likelihood of burnout. At the same time, home visit nurses who 'feel rewards at the nursing at patient homes' and who have the confidence to 'encourage patients (family) to use their abilities' have a lower likelihood of burnout. [ABSTRACT FROM AUTHOR]

This study aimed to identify factors related to career commitment among home visiting nurses in Japan. A questionnaire survey of 1,423 home visiting nurses. Items on the questionnaire were Individual factors, work environment, work life balance, burnout (MBI-GS) and career commitment. Multiple regression analysis was performed using career commitment as the objective variable. There were 569 valid responses (40.0%), and 559 (39.3%), excluding male respondents, were analyzed. The multiple regression analysis identified 8 items as related to career commitment of home visiting nurses; 1) A sense of reward in nursing at patient homes, 2) Cynicism (MBIGS), 3) Satisfaction with own private life, 4) Person to respect present in the workplace, 5) To be able to provide and apply information about social resources and programs in a timely manner, 6) Feeling uneasy about performing medical treatment alone, 7) Professional efficacy (MBI-GS), 8) To have a good relationships with physicians. The career commitment of home visiting nurses was closely related to "feeling of rewards at patient homes" and "cynicism (burnout)". From this, it would seem necessary to support home visiting nurses to make it feel rewarding to perform the home visit nursing and to have support arrangements to maintain this. In addition, satisfaction in private life is also a related factor, and in order to raise career commitment, it is necessary to consider the viewpoint of work life balance including provisions for holidays. [ABSTRACT FROM AUTHOR]