This study identified the exciting nature of work for 176 registered n
urses employed in urban and rural home health agencies in the southeas
tern United States. The results revealed that the majority of the home
healthcare nurses perceived their work as moderately to highly exciti
ng. Nurses with higher levels of work excitement selected home care be
cause of personal fulfillment, whereas those who were less excited cho
se home care for schedule flexibility. Both groups, however, cited dir
ect patient contact as a major factor in their decision to practice in
the home care setting.