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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.