Skip to main content

Table 3 The association between level of involvement in direct patient care and job satisfaction

From: Organization of nursing care in three Nordic countries: relationships between nurses’ workload, level of involvement in direct patient care, job satisfaction, and intention to leave

Model   Finland Norway Sweden
   OR (CI)* OR (CI)* OR (CI)*
Bivariate analysis     
1 “Provided most care myself” vs “supervised the care by others and provided some myself” 0.97 (0.74-1.28) 1.01 (0.87-1.17) 1.11 (1.02-1.21)
  “Provided most care myself” vs “provided only limited care - direct care was done by others” 0.93 (0.59-1.46) 1.13 (0.89-1.44) 1.24 (1.10-1.40)
  “Supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others” 0.95 (0.59-1.55) 1.12 (0.87-1.45) 1.11 (1.00-1.24)
2 Patients directly responsible for on the most recent shift (by increment of −5) 1.08 (0.97-1.19) 1.38 (1.27-1.5) 1.24 (1.19-1.29)
3 Patients required assistance with all activities of daily living (by increment of −2) 1.07 (1.00-1.13) 1.29 (1.22-1.36) 1.31 (1.27-1.35)
4 Patients required hourly or more frequent monitoring or treatments (by increment of −2) 1.11 (1.03-1.19) 1.21 (1.14-1.29) 1.13 (1.10-1.16)
Multivariate analysis**     
5 “Provided most care myself” vs “supervised the care by others and provided some myself” 0.89 (0.65-1.23) 0.86 (0.74-1.02) 1.12 (1.02-1.23)
  “Provided most care myself” vs “provided only limited care - direct care was done by others” 1.09 (0.65-1.82) 0.85 (0.65-1.11) 1.17 (1.03-1.33)
  “Supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others” 1.22 (0.72-2.06) 0.98 (0.75-1.30) 1.05 (0.93-1.17)
  Patients directly responsible for on the most recent shift (by increment of −5) 1.09 (0.96-1.24) 1.23 (1.12-1.36) 1.29 (1.23-1.35)
6 “Provided most care myself” vs “supervised the care by others and provided some myself” 0.91 (0.66-1.26) 0.86 (0.73-1.01) 1.09 (0.99-1.19)
  “Provided most care myself” vs “provided only limited care - direct care was done by others” 1.17 (0.69-1.97) 0.85 (0.66-1.11) 1.16 (1.02-1.32)
  “Supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others” 1.28 (0.75-2.18) 1.00 (0.75-1.31) 1.07 (0.96-1.20)
  Patients required assistance with all activities of daily living (by increment of −2) 1.09 (1.01-1.18) 1.24 (1.17-1.31) 1.31 (1.27-1.35)
7 “Provided most care myself” vs “supervised the care by others and provided some myself” 0.91 (0.66-1.25) 0.89 (0.76-1.04) 1.16 (1.06-1.28)
  “Provided most care myself” vs “provided only limited care - direct care was done by others” 1.16 (0.68-1.98) 0.92 (0.71-1.20) 1.25 (1.10-1.42)
  “Supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others” 1.28 (0.74-2.20) 1.04 (0.79-1.37) 1.07 (0.96-1.20)
  Patients required hourly or more frequent monitoring or treatments (by increment of −2) 1.10 (1.01-1.19) 1.15 (1.08-1.23) 1.12 (1.09-1.15)
8 “Provided most care myself” vs “supervised the care by others and provided some myself” 0.91 (0.68-1.21) 0.85 (0.72-1.00) 1.08 (0.98-1.19)
  “Provided most care myself” vs “provided only limited care - direct care was done by others” 0.97 (0.59-1.58) 0.85 (0.65-1.11) 1.16 (1.02-1.32)
  “Supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others” 1.07 (0.64-1.78) 1.00 (0.76-1.32) 1.08 (0.96-1.21)
  Patients directly responsible for on the most recent shift (by increment of −5) 0.99 (0.86-1.15) 1.03 (1.15-0.91) 1.07 (1.02-1.13)
  Patients required assistance with all activities of daily living (by increment of −2) 1.06 (0.97-1.16) 1.20 (1.29-1.11) 1.26 (1.22-1.31)
  Patients required hourly or more frequent monitoring or treatments (by increment of −2) 1.07 (0.99-1.16) 1.08 (1.16-1.01) 1.03 (1.00-1.06)
  1. *Statistically significant values have been marked in bold.
  2. **All multivariate analysis where also controlled for: Hospital, Total number of staff and Age, Gender and Experience of the RN.