In Japan, the home-visit nursing business has grown significantly as part of efforts to support the community-based integrated care system. However, many home-visit nursing stations face challenges such as financial instability and workforce shortages, making sustainability difficult to achieve. This study aims to identify key factors for establishing resilient management in home-visit nursing using causal loop diagrams. The study employed methods such as visualization of elements using the KJ method, risk assessment mapping, and analysis of interactions through causal loop diagrams. A positive feedback loop was identified, wherein enhanced nurse integrity leads to high-quality care, improving user satisfaction. This loop contributed to better service quality, increased user numbers, and enhanced station credibility. Additionally, empowering family members' self-care abilities reduced emergency calls and workload, improving service efficiency and quality. Conversely, increased workload and extended working hours for nurses resulted in fatigue, deteriorated work-life balance, and higher turnover rates, forming a negative cycle. Improved compensation, supported by increased revenue, was found to be effective in preventing turnover. The findings suggest that creating a supportive work environment and fostering sustainable workforce development are essential for realizing resilient home-visit nursing services.
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