Management Difficulties Perceived by Home-visit Nursing Administrators

Abstract

Purpose: This study aimed to explain the difficulties experienced by home-visit nursing administrators during workplace management. Method: The study was conducted at home-visit nursing stations established by different agencies in Prefecture A, where 14 administrators participated in semi-structured interviews to identify the difficulties they experienced in management. Interview data were analyzed qualitatively and inductively. Results: Analysis revealed that there were three main difficulties. First, there were "troubles in the system," which comprised conflicts and systematic difficulties arising in the relationship with the parent organization, resulting from the inherent restrictions of the home-visit nursing system. Second, there were several administrative issues associated with "irritation at carrying out their role in their workplace." Finally, the administrators expressed "isolation, a sense that there was no one who understood them" when they faced the above situation. Conclusion: Improvements can be made in the duty environment of administrators by providing sufficient transfer of power from the parent organization and assistance with administrative roles, and giving importance to recognition as an aspect of psychological support.