Public health nurses leaving remote islands: An investigation into the turnover rate of remote island PHNs in Japan

Author:

Hirata Mako1ORCID,Otsuka Kazunori2ORCID

Affiliation:

1. Division of Human Health Science Graduate School of Regional Design and Creation, University of Nagasaki Nishisonogi‐gun Japan

2. Department of Nursing Science, Faculty of Nursing and Nutrition University of Nagasaki Nishisonogi‐gun Japan

Abstract

AbstractIntroductionThis study investigated the number of public health nurses (PHNs) and the turnover rates of PHNs working in small municipal administrations on remote islands throughout Japan.MethodsA questionnaire survey was administered on 359 remote islands, each with a population of less than 5000, including islands connected to the Japanese mainland by a bridge or road. The survey questionnaire asked about the number of PHNs stationed on the remote islands, their length of service, the number of retirees, and the ages of those who had retired.ResultsOf the 353 islands which responded, 30 islands had a total of 77 PHNs. Of those 30 islands, 29 were isolated islands that were not connected to the mainland by a bridge or road. The turnover rate of PHNs on the 29 islands was 13.3%.ConclusionThe turnover rate of 13.3% for PHNs on remote islands (with no bridge or road) with a population of less than 5000 was higher than the 7.9% turnover rate for PHNs in municipalities of equal size. To maintain the quality of life of island residents, preventing PHNs from leaving their jobs is an important challenge.

Publisher

Wiley

Reference10 articles.

1. The Reason for Taking a Job and Turnover among Public Health Nurses on Remote Islands

2. International Labour Organization. (2020 March 9).Global employment trends for youth 2020: Technology and the future of jobs. Retrived July 18 2024 fromhttps://www.ilo.org/publications/major‐publications/global‐employment‐trends‐youth‐2020‐technology‐and‐future‐jobs

3. What influences nurses' decisions to work in rural and remote settings? A systematic review and meta-synthesis of qualitative research

4. Ministry of Health Labour and Welfare. (2022a September 30).Survey of Public Health Nurses Activity Area Survey aggregation by municipalities table1 table3. Retrived July 18 2024 fromhttps://www.e‐stat.go.jp/stat‐search/files?page=1&layout=datalist&toukei=00450471&tstat=000001035128&cycle=7&tclass1=000001170186&tclass2=000001170188&tclass3val=0[japanese]

5. Ministry of Health Labour and Welfare. (2022b September 30).Survey of Public Health Nurses Activity Area Survey table 36 table 40.Retrived July 18 2024 fromhttps://www.e‐stat.go.jp/stat‐search/files?page=1&layout=datalist&toukei=00450471&tstat=000001035128&cycle=7&tclass1=000001170186&tclass2=000001170187&tclass3val=0[japanese]

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