Correlation among Nurses’ Dementia Care, Abilities to Tackle Their Jobs, and Intention to Continue Working in Hospitals for Community-based Care

Abstract

Objective: This study aimed to clarify the relationship among dementia care, abilities to tackle their jobs, and intention to continue working in hospitals for community-based care. Method: A questionnaire survey was administered to nurses at hospitals for community-based care, and 570 valid responses were obtained. These 570 nurses were divided into two groups: those with and without an intention to continue working in hospitals for community-based care. The former group consisted of 250 nurses, and the latter, 320 nurses. Results: The two groups differed in social support and work engagement. The path diagram of the model indicated that was environment in which nurses communicated with, learned from, and supported one another; this relation enabled nurses to tackle their jobs in dementia care. Consequently, nurses had an intention to continue working in hospitals for community-based care. Then, we verified fidelity of the nursing model. The goodness of it index (GFI) was .904, the adjusted goodness of it index (AGFI) was .882, the comparative it index was .922, the root mean square error of approximation was .058, and GFI ≥ AGFI. Therefore, the criteria for adopting the model were satisfied. Conclusion: The dementia care at hospitals for community-based care increased nurses' satisfaction with and positive thinking about their jobs, resulting in their intention to continue working in hospitals for community-based care.