Table 2 Item analysis and exploratory factor analysis of the ESA-NHHN (n=627)

Subscale 1: Acquire new knowledge(α=0.94)

1

On entering employment, there is the opportunity to learn about the system, including public healthcare insurance and government-based long-term care insurance.

-0.013

2

On entering employment, there is the opportunity to undergo training in the compensation structure for home healthcare nursing and users’ responsibilities for fees.

-0.049

3

On entering employment, there is the opportunity to receive instruction on the manners and conduct appropriate for home healthcare nurses.

0.049

4

On entering employment, there is the opportunity to undergo training about emergency responses and contact methods at patients’ homes.

-0.001

5

On entering employment, there is the opportunity to learn about an overview of the workplace, appropriate policies, safety-related precautions, and confirmation of the work schedule.

0.073

6

On entering employment, there is the opportunity to undergo training about appropriate actions in the event of disasters.

0.023

7

On entering employment, there is the opportunity to receive information about the location of the workplace, and local health, medical and welfare resources.

0.049

8

On entering employment, there is the opportunity to receive information about the roles of other institutions and members of numerous professions.

0.028

9

Within the workplace, there are regular opportunities for training and participation in study groups.

-0.139

10

There are opportunities to undergo training for responding to users’ and family members’ dissatisfaction and complaints.

0.029

11

There are opportunities for training in taking the protection of users’ and family members’ privacy into consideration when handling information and records.

-0.057

12

Before being responsible for terminal-stage users, there is the opportunity to undergo training about dealing with deaths at their homes.

-0.131

Subscale 2: Concrete experience (α=0.90)

13

Experience can be gained in understanding the provision of care as a team, together with colleagues and managers.

0.130

14

The 24-hour response system includes a mechanism for obtaining support from colleagues promptly when needed.

0.160

15

There are opportunities to understand that the consideration and manners needed when visiting the homes of home-care patients are different from those of a hospital nurse.

0.138

16

One can repeatedly accompany colleagues on visits until one has gained sufficient confidence.

0.174

17

There are opportunities to learn in practice how the status of the use of sanitary materials differs between hospital and home healthcare nurses.

-0.121

18

Newly appointed home healthcare nurses have opportunities to talk about their own thoughts, feelings, and experiences and speak at meetings for responsible personnel and so on, attended by members of multiple professions.

-0.174

19

There are opportunities to appreciate the importance of information exchange with members of other professions.

-0.052

20

There are opportunities to share one’s own experience of solo visits with colleagues and others.

0.002

21

There are places and environments that enable the provision of nursing care that prioritizes the values and perspectives about the life and death of home-care patients and their family members.

0.073

22

There are opportunities to learn about the importance of verbally expressing appreciation to family members who support home-care patients.

0.092

Subscale 3: Reflective observation of own experience (α=0.89)

23

At case-study meetings, there are opportunities to reflect on what one has learned oneself and to integrate this with what other people have learned.

-0.128

24

There are opportunities to reflect on daily care, using checklists, and others, together with one’s colleagues.

0.126

25

There are regular opportunities for face-to-face meetings with colleagues.

0.083

26

There are opportunities to reflect on one’s own nursing home visits by means of discussion with colleagues.

0.042

27

There are opportunities to reflect on one’s own experience at conferences and thus to fully appreciate the significance of that experience.

-0.060

28

There is support for setting targets for specific and realistic practice by newly appointed home healthcare nurses.

0.158

Subscale 4: Support from home healthcare agency managers (α=0.92)

29

There is the potential to discuss with colleagues and/or managers the stress felt in connection with home healthcare nursing activities.

0.419

30

Colleagues and/or managers form connections with newly appointed home healthcare nurses to enable the nurses to develop a strong ability to look carefully at and think about their daily experiences.

0.489

31

There are opportunities for regular face-to-face consultations with managers.

0.450

32

Managers provide newly appointed home healthcare nurses feedback about their work as a whole, as appropriate to the circumstances.

0.808

33

When newly appointed home healthcare nurses enter employment, managers give them advice about ways to respond to problems with which they have considerable experience.

0.853

34

Managers respond on an individual level to newly appointed home healthcare nurses, taking each nurse’s background into consideration.

0.886