Background: Although the need to retain rural registered nurses is pressing, little is known about what influences them to stay in their current employment. The objectives of the study were: to examine public health nurses' (PHNs) job and community satisfaction; to relate job and community satisfaction to their decision to stay in their current employment in rural British Columbia. Methods: A survey was mailed to all front-line PHNs in 48 rural and small urban communities in British Columbia. Of the 164 eligible PHNs, 124 responded (76% response rate). Results: PHNs were most satisfied with their professional status, professional interaction and autonomy, their communities' acceptance of their partners, friendliness of the community and their friends. They were least satisfied with their salary. Job satisfaction or community satisfaction was not found to influence retention. Instead, "filter factors" such as age, retirement, family needs and the economy affected PHNs' intent to stay or leave. Conclusion: If PHNs are to be retained in rural areas, their economic and family life situations merit greater attention, as does their experience of living and working in rural communities. La traduction du résumé se trouve à la fin de l'article.
Home care has a model that depends on the unpaid support of family caregivers. This sample examines all active home care clients (N = 1698) receiving case management services between April 1, 201 0 and March 31, 2011, 96% of clients report they have a family (informal) caregiver with 23% receiving help from spouses and 68% receiving help from child or other relative. Family caregivers who are stressed are providing an average of 34.27 hours per week of care, family caregivers who care for seniors with cognitive and physical impairment provide up to 45.85 hours per week and 50.4 hours per week respectively. Twenty-six percent of home care clients have stressed caregivers. Of the home care clients who were hospitalized 58% of them had stressed family caregivers and 34% of these home care clients became ALC. This study addresses the importance of supporting family caregivers to mitigate stress so they can continue to care.11
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