Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional study

Abstract Background Home-visiting nurses are expected to enhance their ability to provide adequate nursing care in a relatively isolated work environment. However, the isolated work environment leads to less opportunity to share patient information. We investigated factors relevant to better patient...

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Main Authors: Akiyo Nonogaki, Tomoko Nishida, Kazunari Kobayashi, Kayoko Nozaki, Haruka Tamura, Hisataka Sakakibara
Format: Article
Language:English
Published: BMC 2019-02-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-019-3924-5
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author Akiyo Nonogaki
Tomoko Nishida
Kazunari Kobayashi
Kayoko Nozaki
Haruka Tamura
Hisataka Sakakibara
author_facet Akiyo Nonogaki
Tomoko Nishida
Kazunari Kobayashi
Kayoko Nozaki
Haruka Tamura
Hisataka Sakakibara
author_sort Akiyo Nonogaki
collection DOAJ
description Abstract Background Home-visiting nurses are expected to enhance their ability to provide adequate nursing care in a relatively isolated work environment. However, the isolated work environment leads to less opportunity to share patient information. We investigated factors relevant to better patient information sharing among home-visiting nurses, which would contribute to the improved care performance of these nurses. Methods A cross-sectional study with anonymous self-administered questionnaire was conducted between June 2015 and September 2015 in two districts of Japan. Home-visiting nurses who were working at home health care agencies were recruited. The questionnaires consisted of items on demographic data, job-related variables, communication in the workplace, the current state of patient information sharing, opportunities (or measures) of patient information sharing in the workplace, and job satisfaction. Descriptive analyses were performed on all variables, using the Chi-square test, Fisher’s exact test, or Mann-Whitney U-test. Logistic regression analyses were conducted to identify the factors associated with better information sharing, adjusting the years of home-visiting nursing experience as the control variable. Results Of 762 anonymous self-administered questionnaires were mailed, data from 482 participants who consented to this study and had no missing answer were analyzed. Of the total, 77.2% shared the patients’ information. Having a friendly adviser (OR = 2.51, 95% CI = 1.14–5.55, p = 0.023), attending some conferences (OR = 2.32, 95% CI = 1.12–4.82, p = 0.024), joining workshops (OR = 1.89, 95% CI = 1.15–3.10, p = 0.012), and years of home-visiting nursing experience (OR = 1.27, 95% CI = 1.03–1.57, p = 0.025) were significantly associated with sufficient sharing of the information. Nurses sufficiently sharing the information were well satisfied with their job (OR = 5.38, 95% CI =3.19–9.09, p < 0.001) and highly preferred a career in home-visiting nursing care (OR = 5.62, 95% CI =3.41–9.27, p < 0.001). Conclusions The results suggested that having opportunities to discuss face-to-face such as at conferences and workshops as well as promoting good relationships among colleagues in the workplace will contribute to better information sharing among home-visiting nurses. Home-visiting nurses with less years of experience need to be supported in order to share the information sufficiently. Additionally, sufficient information sharing was also associated with job satisfaction and preference for home-visiting nursing care, which might lead to job retention for home-visiting nurses.
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spelling doaj.art-19aeb3103b504e26a25cc9644e15cc6f2022-12-21T18:23:03ZengBMCBMC Health Services Research1472-69632019-02-0119111010.1186/s12913-019-3924-5Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional studyAkiyo Nonogaki0Tomoko Nishida1Kazunari Kobayashi2Kayoko Nozaki3Haruka Tamura4Hisataka Sakakibara5Department of Nursing, Graduate School of Medicine, Nagoya UniversityDepartment of Nursing, Sugiyama Jogakuen UniversityDepartment of Nursing, Graduate School of Medicine, Nagoya UniversityHome-visit nursing station TakayamaDepartment of Nursing, Graduate School of Medicine, Nagoya UniversityDepartment of Nursing, Graduate School of Medicine, Nagoya UniversityAbstract Background Home-visiting nurses are expected to enhance their ability to provide adequate nursing care in a relatively isolated work environment. However, the isolated work environment leads to less opportunity to share patient information. We investigated factors relevant to better patient information sharing among home-visiting nurses, which would contribute to the improved care performance of these nurses. Methods A cross-sectional study with anonymous self-administered questionnaire was conducted between June 2015 and September 2015 in two districts of Japan. Home-visiting nurses who were working at home health care agencies were recruited. The questionnaires consisted of items on demographic data, job-related variables, communication in the workplace, the current state of patient information sharing, opportunities (or measures) of patient information sharing in the workplace, and job satisfaction. Descriptive analyses were performed on all variables, using the Chi-square test, Fisher’s exact test, or Mann-Whitney U-test. Logistic regression analyses were conducted to identify the factors associated with better information sharing, adjusting the years of home-visiting nursing experience as the control variable. Results Of 762 anonymous self-administered questionnaires were mailed, data from 482 participants who consented to this study and had no missing answer were analyzed. Of the total, 77.2% shared the patients’ information. Having a friendly adviser (OR = 2.51, 95% CI = 1.14–5.55, p = 0.023), attending some conferences (OR = 2.32, 95% CI = 1.12–4.82, p = 0.024), joining workshops (OR = 1.89, 95% CI = 1.15–3.10, p = 0.012), and years of home-visiting nursing experience (OR = 1.27, 95% CI = 1.03–1.57, p = 0.025) were significantly associated with sufficient sharing of the information. Nurses sufficiently sharing the information were well satisfied with their job (OR = 5.38, 95% CI =3.19–9.09, p < 0.001) and highly preferred a career in home-visiting nursing care (OR = 5.62, 95% CI =3.41–9.27, p < 0.001). Conclusions The results suggested that having opportunities to discuss face-to-face such as at conferences and workshops as well as promoting good relationships among colleagues in the workplace will contribute to better information sharing among home-visiting nurses. Home-visiting nurses with less years of experience need to be supported in order to share the information sufficiently. Additionally, sufficient information sharing was also associated with job satisfaction and preference for home-visiting nursing care, which might lead to job retention for home-visiting nurses.http://link.springer.com/article/10.1186/s12913-019-3924-5Home health care agencyHome-visiting nurseInformation sharingJob satisfactionPatient information
spellingShingle Akiyo Nonogaki
Tomoko Nishida
Kazunari Kobayashi
Kayoko Nozaki
Haruka Tamura
Hisataka Sakakibara
Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional study
BMC Health Services Research
Home health care agency
Home-visiting nurse
Information sharing
Job satisfaction
Patient information
title Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional study
title_full Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional study
title_fullStr Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional study
title_full_unstemmed Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional study
title_short Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional study
title_sort factors associated with patient information sharing among home visiting nurses in japan a cross sectional study
topic Home health care agency
Home-visiting nurse
Information sharing
Job satisfaction
Patient information
url http://link.springer.com/article/10.1186/s12913-019-3924-5
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