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Awareness and Working Intentions Toward Home-Based Care Among Macau Nurses
Ion Hong Wong, Kumsun Lee. Home Healthcare Now, 2025-09-01
Topic: Risk, prevention and care in population studies
Results Of 266 valid responses, 62.3% of nurses expressed interest in home-based care, yet only 38.5% were willing to consider it as a career (Table 1). Nurses in private hospitals and long-term care facilities were significantly more likely to express intention to work in home-based care than those in government hospitals. Table 1. - Participants Demographics N = 236 N % Age (years) 20-29 114 48.3 30-39 78 33.1 40-49 26 11.0 50-59 18 7.6 Gender Male 38 16.1 Female 198 83.9 Household structure Single household 22 9.3 Nuclear family 182 77.1 Three generations 32 13.6 Educational level Diploma 16 6.8 Bachelor's degree 202 85.6 Master or higher 18 7.6 Experience as a nurse 10 years 73 30.9 Place of employment at present Government hospital 109 46.2 Health care center 26 11.0 Private hospital 23 9.7 Long-term care facilities 78 33.1 Position Nurse 211 89.4 Certificate nurse 9 3.7 Head nurse or deputy head nurse 12 5.1 Manager or deputy manager 4 1.7 Working experience in long-term care facilities Yes 78 33.1 No 158 66.9 Experience in home-based nursing Yes 84 35.6 No 152 64.4 Experience in discharge support for older people Yes 120 50.8 No 116 49.2 Awareness of home-based nursing I know well 34 14.4 I have heard about it 183 77.5 I don't know at all 19 8.1 Awareness of home-based care services in Macau I know well 29 12.3 I know a little 159 67.4 I don't know very well 36 15.3 I don't know at all 12 5.1 Interested in home-based care for older people Yes 147 62.3 No 89 37.7 Regression analysis showed that nurses with greater awareness of home-based care and those expressing interest in home-based care for older adults were significantly more likely to consider home-based care as a career (odds ratios >6.0, p < .01). In contrast, higher filial responsibility scores were associated with decreased intention, suggesting possible economic or cultural burdens influencing decision-making. Nurses who lack this experience may perceive home care as uncertain or less attractive, especially given the lower compensation packages compared to hospital-based roles. Conclusion This study found that awareness of home-based nursing, interest in home-based care for older people, and attitudes toward filial responsibility significantly influence the intention to work in home-based care.
Key findings
- Results Of 266 valid responses, 62.3% of nurses expressed interest in home-based care, yet only 38.5% were willing to consider it as a career (Table 1).
- Nurses in private hospitals and long-term care facilities were significantly more likely to express intention to work in home-based care than those in government hospitals.
- Table 1. - Participants Demographics N = 236 N % Age (years) 20-29 114 48.3 30-39 78 33.1 40-49 26 11.0 50-59 18 7.6 Gender Male 38 16.1 Female 198 83.9 Household structure Single household 22 9.3 Nuclear family 182 77.1 Three generations 32 13.6 Educational level Diploma 16 6.8 Bachelor's degree 20
- In contrast, higher filial responsibility scores were associated with decreased intention, suggesting possible economic or cultural burdens influencing decision-making.
- Nurses who lack this experience may perceive home care as uncertain or less attractive, especially given the lower compensation packages compared to hospital-based roles.
Why it matters
In this survey of Macau nurses, 62.3% expressed interest in home-based care, but only 38.5% were willing to consider it as a career. Nurses in private hospitals and long-term care facilities were more likely to intend to work in home-based care than those in government hospitals.
Study details
- Study designcross-sectional
- Participants236
- Effect size62.3%; 38.5%
- Evidence strengthLow
How this study scored 38/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Home Healthcare Now) |
| Journal's citation record | 0 / 4 | Home Healthcare Now: journal h-index 46 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 236 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 0 / 4 | Last-listed author Kumsun Lee: h-index 4 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Kansai Medical University: institution h-index 343 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40916119) |
| Free to read | 2 / 2 | Free to read |
| Total | 38 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1097/nhh.0000000000001373
- PubMed: 40916119
- Original source →
- Free full text: Home Healthcare Now →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Wong, I. H., & Lee, K. (2025). Awareness and Working Intentions Toward Home-Based Care Among Macau Nurses. Home Healthcare Now. https://doi.org/10.1097/nhh.0000000000001373
Vancouver
Wong IH, Lee K. Awareness and Working Intentions Toward Home-Based Care Among Macau Nurses. Home Healthcare Now. 2025. doi:10.1097/nhh.0000000000001373. PMID: 40916119.
BibTeX
@article{wong2025-40916119,
author = {Wong, Ion Hong and Lee, Kumsun},
title = {{Awareness and Working Intentions Toward Home-Based Care Among Macau Nurses}},
journal = {Home Healthcare Now},
year = {2025},
doi = {10.1097/nhh.0000000000001373},
pmid = {40916119},
url = {https://doi.org/10.1097/nhh.0000000000001373}
}
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