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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.