Table 4.
Hierarchical logistic regression predicting intention to leave job due to moral stressor exposure (n = 689).
| Step 1 | Step 2 | Step 3 | ||||
|---|---|---|---|---|---|---|
| Variable | β (SE) | AOR (95% CI) | β (SE) | AOR (95% CI) | β (SE) | AOR (95% CI) |
| Experience | ||||||
| ≤ 5 years | −0.12 (0.20) | 0.89 (0.60–1.31) | −0.29 (0.22) | 0.75 (0.49–1.14) | −0.35 (0.22) | 0.70 (0.45–1.08) |
| 6–10 years | 0.21 (0.19) | 1.23 (0.84–1.80) | 0.08 (0.21) | 1.08 (0.72–1.63) | 0.05 (0.22) | 1.05 (0.69–1.61) |
| ≥ 11 years (ref) | – | – | – | – | – | – |
| Patient care | ||||||
| < 75% | −0.18 (0.18) | 0.84 (0.59–1.18) | 0.05 (0.20) | 1.06 (0.72–1.55) | 0.04 (0.20) | 1.04 (0.70–1.54) |
| ≥ 75% (ref) | – | – | – | – | – | – |
| COVID care | ||||||
| Yes | 0.26 (0.16) | 1.30 (0.94–1.78) | −0.08 (0.18) | 0.93 (0.65–1.32) | −0.12 (0.18) | 0.88 (0.61–1.27) |
| No (ref) | – | – | – | – | – | – |
| MIOS shame | 0.11 (0.10) | 1.12 (0.91–1.36) | 0.01 (0.11) | 1.01 (0.82–1.25) | ||
| MIOS trust-violation | 0.36 (0.11)** | 1.44 (1.17–1.78)** | 0.26 (0.11)* | 1.30 (1.04–1.62)* | ||
| MMD-HP total | 0.70 (0.10)** | 2.01 (1.65–2.47)** | 0.61 (0.11)** | 1.83 (1.48–2.28)** | ||
| PCL-5 | −0.04 (0.14) | 0.96 (0.72–1.27) | ||||
| PHQ-9 | 0.06 (0.16) | 1.06 (0.77–1.47) | ||||
| GAD-7 | 0.02 (0.15) | 1.02 (0.76–1.36) | ||||
| WBI | 0.46 (0.12)** | 1.59 (1.26–2.01)** | ||||
| Nagelkerke R2 = .01 | Nagelkerke R2 = .20 | Nagelkerke R2 = .24 | ||||
Note. Regression coefficients (β) are unstandardized (Step 1) or partially standardized (i.e. X variable standardized; Steps 2 and 3). SE = Standard Error; AOR = Adjusted odds ratio; Experience = Years of experience as HCW; Patient care = Percent of workload patient care; COVID care = Provided COVID-19 patient care; MMD-HP = Measure of Moral Distress for Health Care Professionals; MIOS = Moral Injury Outcome Scale; PCL-5 = Posttraumatic Stress Disorder Checklist; PHQ-9 = Patient Health Questionnaire; GAD-7 = Generalized Anxiety Disorder Assessment; WBI = Expanded Well-Being Index.
*
p < .05. ** p < .001.