2026 Volume 13 Issue 1 Pages 1-9
Objectives: To elucidate the relationship between work environment and work management of visiting nurse at small worksites and the level of fatigue accumulation. Methods: A web-based survey on visiting nurse was conducted across 769 workplaces in Prefecture A, using the 20-item Worker Fatigue Accumulation Level Self-Diagnostic Checklist. Results: Valid responses were obtained from 224 participants. Twelve factors associated with fatigue accumulation were identified: job position, number of nursing staff, room temperature at the workplace, smell at the workplace, keeping things tidy and in order at the workplace, noise at client sites, smell at client sites, experience of violence from clients and verbal abuse, means of transportation, working hours, overtime work, and frequency of on-call. Multiple regression analysis was performed using fatigue accumulation as the dependent variable and the 12 factors as independent variables. Overall, four factors were identified as contributors to fatigue accumulation: “overtime hours”, “noise at client sites”, “keeping things tidy and in order at the workplace”, and “experiences of violence from clients and verbal abuse”. Conclusion: We identified key factors in the work management and work environment of visiting nurse at small worksites that contribute to fatigue accumulation.
