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Table 4 The association between level of involvement in direct patient care and intention to leave current hospital

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”

1.16 (0.88-1.53)

0.99 (0.83-1.18)

1.12 (1.02-1.23)

 

“provided most care myself” vs “provided only limited care - direct care was done by others”

1.16 (0.74-1.83)

0.87 (0.66-1.15)

0.95 (0.83-1.08)

 

“supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others”

1.00 (0.61-1.62)

0.87 (0.65-1.18)

0.85 (0.76-0.96)

2

patients directly responsible for on the most recent shift (by increment of 5)

1.17 (1.05-1.29)

1.40 (1.27-1.55)

1.12 (1.08-1.18)

3

patients required assistance with all activities of daily living (by increment of 2)

1.05 (0.99-1.12)

1.26 (1.18-1.33)

1.21 (1.17-1.25)

4

patients required hourly or more frequent monitoring or treatments (by increment of 2)

1.05 (0.98-1.13)

1.20 (1.12-1.28)

1.13 (1.10-1.17)

Multivariate analysis**

    

5

“provided most care myself” vs “supervised the care by others and provided some myself”

1.22 (0.87-1.71)

1.05 (0.87-1.28)

1.17 (1.06-1.30)

 

“provided most care myself” vs “provided only limited care - direct care was done by others”

0.99 (0.58-1.70)

1.12 (0.81-1.54)

1.03 (0.89-1.20)

 

“supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others”

0.81 (0.47-1.41)

1.06 (0.76-1.48)

0.89 (0.79-1.02)

 

patients directly responsible for on the most recent shift (by increment of 5)

1.11 (0.97-1.28)

1.31 (1.16-1.47)

1.19 (1.13-1.25)

6

“provided most care myself” vs “supervised the care by others and provided some myself”

1.21 (0.86-1.69)

1.04 (0.85-1.26)

1.21 (1.09-1.34)

 

“provided most care myself” vs “provided only limited care - direct care was done by others”

0.94 (0.54-1.62)

1.08 (0.79-1.48)

1.04 (0.90-1.20)

 

“supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others”

0.78 (0.44-1.36)

1.04 (0.75-1.45)

0.87 (0.77-0.99)

 

patients required assistance with all activities of daily living (by increment of 2)

1.08 (0.99-1.18)

1.23 (1.15-1.32)

1.22 (1.17-1.26)

7

“provided most care myself” vs “supervised the care by others and provided some myself”

1.21 (0.86-1.69)

1.02 (0.84-1.24)

1.17 (1.06-1.29)

 

“provided most care myself” vs “provided only limited care - direct care was done by others”

0.93 (0.53-1.62)

1.02 (0.75-1.40)

0.98 (0.85-1.13)

 

“supervised the care by others and provided some myself” vs “provided only limited care - direct care was done by others”

0.77 (0.43-1.36)

1.00 (0.72-1.4.0)

0.87 (0.76-0.99)

 

patients required hourly or more frequent monitoring or treatments (by increment of 2)

1.03 (0.94-1.12)

1.18 (1.10-1.28)

1.13 (1.10-1.17)

8

“provided most care myself” vs “supervised the care by othersand provided some myself”

1.24 (0.88-1.74)

1.07 (0.88-1.30)

1.21 (1.09-1.34)

 

“provided most care myself” vs “provided only limited care - direct care was done by others”

0.92 (0.52-1.61)

1.12 (0.81-1.54)

1.02 (0.88-1.18)

 

“supervised the care by others and provided some myself” vs“provided only limited care - direct care was done by others”

0.74 (0.41-1.31)

1.05 (0.75-1.47)

0.86 (0.76-0.98)

 

patients directly responsible for on the most recent shift (by increment of 5)

1.06 (0.88-1.26)

1.09 (0.95-1.26)

1.01 (0.95-1.07)

 

patients required assistance with all activities of daily living (by increment of 2)

1.07 (0.96-1.19)

1.16 (1.06-1.26)

1.18 (1.13-1.23)

 

patients required hourly or more frequent monitoring or treatments (by increment of 2)

0.99 (0.90-1.09)

1.11 (1.02-1.20)

1.08 (1.04-1.11)

  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.