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. 2015 May 11;8:10.3402/gha.v8.26683. doi: 10.3402/gha.v8.26683

Table 1.

Health system consequences of moonlighting and agency work

Felt too tired to work while on duty Paid less attention to nursing work while on duty Took sick leave when not actually sick Stayed away from work without authority Involved in a medico-legal incident Any of these Composite Consequence Index 1 (MCA*)







Variable n % p % p % p % p % p % p Mean p
Total 3708 51.5 11.5 10.9 5.6 2.9 55.8 0.761
Moonlighting or agency No 2143 52.2 0.442 10.3 0.035 9.7 0.011 4.9 0.090 2.6 0.169 56.5 0.463 −0.018 0.138
nursing Yes 1473 50.5 13.2 12.9 6.5 3.4 55.0 0.032
Province Gauteng 1638 55.6 0.005 13.6 0.049 13.2 0.018 6.9 0.012 3.1 0.299 59.5 0.007 0.197 <0.001
Eastern Cape 945 54.6 10.6 10.4 6.0 2.4 59.4 0.001
Western Cape 800 44.2 9.2 9.3 3.3 2.7 48.1 −0.102
Free State 325 40.5 9.4 5.5 4.3 4.4 45.6 −0.135
Sex Male 289 53.4 0.621 14.4 0.135 14.8 0.090 6.7 0.416 3.5 0.579 58.6 0.447 0.230 <0.001
Female 3412 51.3 11.2 10.6 5.5 2.9 55.5 −0.013
Age group <25 years 139 54.5 <0.001 14.3 0.017 14.8 <0.001 7.2 <0.001 4.0 0.290 60.4 <0.001 0.183 <0.001
25–34 years 926 59.4 15.1 16.6 9.5 4.0 63.9 0.235
35–44 years 1024 52.4 11.0 11.0 5.2 2.9 56.6 0.026
45–54 years 1060 50.0 10.4 8.9 4.4 2.3 54.4 −0.094
55+ years 430 35.8 8.3 3.5 1.7 1.9 40.3 −0.315
Marital status Married/living together 1667 51.9 0.011 11.5 0.513 11.0 0.231 4.8 <0.001 3.2 0.509 56.5 0.004 −0.021 0.007
Single 1495 53.3 10.9 11.6 7.4 2.4 57.7 0.071
Divorced/widowed 530 44.7 13.1 8.2 3.2 3.3 47.9 −0.070
Any children? No 619 56.6 0.084 15.6 0.012 13.2 0.099 4.9 0.457 4.1 0.129 62.3 0.016 0.120 0.002
Yes 3089 50.5 10.7 10.5 5.8 2.7 54.5 −0.019
Sector Public 2692 54.3 <0.001 11.0 0.012 11.5 0.011 5.8 0.002 2.4 0.041 58.3 <0.001 0.078 <0.001
Private 681 46.5 15.1 7.1 2.9 4.2 51.9 −0.075
Agency 259 35.3 8.7 12.7 9.1 3.6 39.7 −0.113
Nursing category Professional nurse 1759 57.4 <0.001 15.2 <0.001 12.3 0.134 5.5 0.526 3.9 0.010 61.5 <0.001 0.110 <0.001
Enrolled nurse 740 52.1 9.1 10.6 6.6 2.2 56.3 −0.038
Nursing assistant 1209 42.3 7.4 9.1 5.2 2.0 47.0 −0.162
Unit General wards 1160 51.3 0.482 12.1 0.134 11.1 0.962 6.1 0.258 3.1 0.632 56.1 0.305 −0.007 0.355
Maternity 599 52.5 8.9 11.2 4.2 2.8 55.7 −0.044
ICU 536 50.5 14.7 11.8 4.1 3.2 56.4 0.062
Theatre 570 55.2 11.6 10.1 7.5 1.9 59.7 0.039
Other 834 49.1 10.5 10.6 5.7 3.1 52.3 −0.012
Years working at Less than 1 year 404 47.2 0.257 10.7 0.146 8.4 0.005 4.8 0.389 2.3 0.005 50.6 0.310 −0.047 <0.001
primary job 1–4 years 982 53.2 10.3 11.6 6.9 4.0 57.4 0.054
5–9 years 675 55.3 14.5 15.8 6.3 2.1 59.2 0.097
10–14 years 339 54.9 13.1 13.4 4.5 4.6 58.5 0.037
15–19 years 312 53.0 13.5 8.4 3.8 4.6 57.9 −0.029
20 or more years 904 49.0 10.2 7.6 4.9 1.3 54.3 −0.106

Type 1 indicators in all nurses; Statistically significant relationships in bold.

*

Multiple correspondence analysis.