Research Fellow, Department of Neurosurgery, Faculty of Medicine, University of Tsukuba.
Department of Health Innovation and Nursing, Faculty of Medicine, University of Tsukuba.
Environ Health Prev Med. 2022;27:4. doi: 10.1265/ehpm.21-00248.
Global aging continues to progress. The shortage of human resources involved in long-term care (LTC) is a serious problem worldwide. It is necessary to promote the stable employment of foreign care workers. The purpose of this study was to identify which factors, including well-being, work engagement, and original items, contribute to foreign care workers' intent to continue working.
We conducted an anonymous self-administered questionnaire survey of 259 foreign LTC workers at LTC facilities in Japan. The questionnaire survey items included the Japanese version of the Subjective Well-being Scale (J-SWBS), the Japanese version of the Utrecht Work Engagement Scale (J-UWES), and original items related to educational needs and issues. We used multiple regression analysis to predict variability from correlations among variables. And after that, we conducted a path analysis using structural equation modeling (SEM), and added that the explanatory variables (IV) were well-being, work engagement, and the original item component, and that the outcome variable (DV) was intention to continue working. We set a hypothetical model based on structural equations, corrected by path analysis, and examined its suitability.
The number of returned questionnaires for 259 foreign care workers was 147 (response rate 56.7%), and the number of analyzable questionnaires was 129 (valid response rate 49.8%). For intention to continue working, the results of structural equation modeling showed direct effects for satisfaction with low back pain measure guidance (β = .255), satisfaction with the national examination guidance method (β = .217), well-being (β = .046), and work engagement (β = .026). In work-engagement, there was a direct effect of happiness (β = .715), willingness to learn good care (β = 4.849), and confidence in my ability (β = 2.902,), whilst in well-being, satisfaction with low back pain measure guidance (β = 1.582) and confidence in my ability (β = 1.999) were found to have direct effects.
To increase the intent of foreign care workers to continue working, appropriate guidance should be given related to the development of lumbago. In addition, to provide a place and scene where they can learn good care, having a relationship in practice where foreign care workers can feel that their abilities are being utilized, and developing and maintaining educational support that motivates them to learn good care may be effective.
全球老龄化持续发展。长期护理（LTC）相关人力资源短缺是全球范围内的一个严重问题。有必要促进外国护理人员的稳定就业。本研究的目的是确定幸福感、工作投入和原始项目等因素如何有助于外国护理人员继续工作的意愿。
我们对日本 LTC 机构的 259 名外国 LTC 工人进行了匿名自填式问卷调查。问卷调查项目包括日本版主观幸福感量表（J-SWBS）、日本版乌得勒支工作投入量表（J-UWES）以及与教育需求和问题相关的原始项目。我们使用多元回归分析来预测变量之间相关性的可变性。之后，我们使用结构方程建模（SEM）进行路径分析，并添加幸福感、工作投入和原始项目组成部分作为解释变量（IV），将继续工作的意愿作为结果变量（DV）。我们基于结构方程设定了一个假设模型，通过路径分析进行了修正，并检查了其适用性。
对 259 名外国护理人员的问卷回复数量为 147 份（回复率 56.7%），可分析问卷数量为 129 份（有效回复率 49.8%）。对于继续工作的意愿，结构方程模型的结果显示，对腰痛测量指导的满意度（β=.255）、对国家考试指导方法的满意度（β=.217）、幸福感（β=.046）和工作投入（β=.026）具有直接影响。在工作投入方面，幸福感（β=.715）、愿意学习良好的护理（β=4.849）和对自己能力的信心（β=2.902）有直接影响，而在幸福感方面，对腰痛测量指导的满意度（β=1.582）和对自己能力的信心（β=1.999）有直接影响。
为了提高外国护理人员继续工作的意愿，应适当提供与腰痛发展相关的指导。此外，提供一个让他们学习良好护理的场所和场景，在实践中建立一种让外国护理人员感受到自己的能力得到利用的关系，并开发和维护激励他们学习良好护理的教育支持，可能会很有效。
