Table 3.
Multiple logistic regression of predictors of health system consequences
| 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 | ||
|---|---|---|---|---|---|---|---|
| Variable | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Moonlighting or | No | – | – | – | – | – | – |
| agency nursing in | Yes | 0.97 | 1.19 | 1.36 | 1.31 | 1.01 | 0.99 |
| the past 12 months | (0.79–1.19) | (0.88–1.62) | (0.95–1.94) | (0.86–1.98) | (0.63–1.62) | (0.81–1.20) | |
| Province | Gauteng | – | – | – | – | – | |
| Eastern Cape | 0.95 | 0.87 | 1.02 | 1.03 | 1.02 | ||
| (0.60–1.51) | (0.59–1.28) | (0.72–1.45) | (0.65–1.63) | (0.64–1.62) | |||
| Western Cape | 0.65** | 0.67** | 0.84 | 0.54*** | 0.64** | ||
| (0.49–0.85) | (0.52–0.85) | (0.53–1.36) | (0.40–0.75) | (0.49–0.83) | |||
| Free State | 0.58*** | 0.71* | 0.44*** | 0.74 | 0.60*** | ||
| (0.42–0.78) | (0.51–0.98) | (0.29–0.68) | (0.49–1.11) | (0.45–0.80) | |||
| Sex | Male | – | – | ||||
| Female | 0.78 | 0.76 | |||||
| (0.50–1.21) | (0.47–1.23) | ||||||
| Age group | <25 years | – | – | – | – | – | |
| 25–34 years | 1.32 | 1.10 | 0.88 | 1.30 | 1.27 | ||
| (0.77–2.27) | (0.63–1.91) | (0.46–1.65) | (0.66–2.55) | (0.83–1.95) | |||
| 35–44 years | 0.94 | 0.62 | 0.45* | 0.69 | 0.89 | ||
| (0.55–1.61) | (0.34–1.13) | (0.24–0.87) | (0.32–1.48) | (0.57–1.39) | |||
| 45–54 years | 0.83 | 0.60 | 0.37* | 0.71 | 0.81 | ||
| (0.47–1.49) | (0.35–1.02) | (0.18–0.79) | (0.31–1.60) | (0.51–1.29) | |||
| 55+ years | 0.47* | 0.45* | 0.15*** | 0.19* | 0.46** | ||
| (0.24–0.91) | (0.22–0.93) | (0.06–0.38) | (0.04–0.97) | (0.27–0.80) | |||
| Marital status | Married/living together | – | – | – | |||
| Single | 0.95 | 1.21 | 0.93 | ||||
| (0.79–1.13) | (0.83–1.78) | (0.78–1.11) | |||||
| Divorced/widowed | 0.99 | 0.84 | 0.94 | ||||
| (0.77–1.26) | (0.48–1.48) | (0.74–1.20) | |||||
| Any children? | No | – | – | – | – | – | |
| Yes | 0.86 | 0.79 | 0.94 | 0.65 | 0.78 | ||
| (0.63–1.16) | (0.57–1.11) | (0.64–1.38) | (0.35–1.19) | (0.58–1.03) | |||
| Sector | Public | – | – | – | – | – | – |
| Private | 0.68** | 1.30* | 0.49** | 0.50* | 1.32 | 0.73* | |
| (0.53–0.89) | (1.02–1.66) | (0.32–0.75) | (0.30–0.86) | (0.79–2.21) | (0.57–0.94) | ||
| Agency | 0.50*** | 0.79 | 1.27 | 1.40 | 1.56 | 0.50*** | |
| (0.38–0.66) | (0.48–1.31) | (0.80–1.99) | (0.82–2.40) | (0.80–3.04) | (0.37–0.67) | ||
| Nursing category | Professional nurse | – | – | – | – | – | |
| Enrolled nurse | 0.77 | 0.57** | 0.73 | 0.58 | 0.77 | ||
| (0.56–1.04) | (0.39–0.83) | (0.52–1.04) | (0.31–1.06) | (0.58–1.04) | |||
| Nursing assistant | 0.52*** | 0.44*** | 0.71 | 0.50* | 0.54*** | ||
| (0.41–0.66) | (0.30–0.65) | (0.49–1.04) | (0.26–0.93) | (0.42–0.69) | |||
| Unit | General wards | – | |||||
| Maternity | 0.63* | ||||||
| (0.43–0.93) | |||||||
| ICU | 0.91 | ||||||
| (0.62–1.33) | |||||||
| Theatre | 0.89 | ||||||
| (0.63–1.25) | |||||||
| Other | 0.82 | ||||||
| (0.56–1.20) | |||||||
| Years working at | Less than 1 year | – | – | – | |||
| primary job | 1–4 years | 0.93 | 1.57* | 1.82 | |||
| (0.63–1.37) | (1.00–2.46) | (0.90–3.68) | |||||
| 5–9 years | 1.45 | 2.88*** | 0.95 | ||||
| (0.97–2.16) | (1.80–4.63) | (0.38–2.38) | |||||
| 10–14 years | 1.40 | 2.71** | 1.89 | ||||
| (0.89–2.20) | (1.43–5.12) | (0.69–5.16) | |||||
| 15–19 years | 1.56 | 1.79 | 2.14 | ||||
| (0.94–2.60) | (0.85–3.79) | (0.80–5.76) | |||||
| 20 or more years | 1.45 | 2.00 | 0.58 | ||||
| (0.89–2.37) | (0.88–4.55) | (0.21–1.59) | |||||
| Constant | 2.36** | 0.38* | 0.21*** | 0.07*** | 0.04*** | 3.09*** | |
| (1.42–3.94) | (0.17–0.82) | (0.10–0.47) | (0.03–0.21) | (0.02–0.09) | (2.16–4.44) | ||
| Observations | 3357 | 3277 | 3281 | 3354 | 3401 | 3375 | |
| Model p value | <0.001 | <0.001 | <0.001 | <0.001 | <0.001 | <0.001 |
Type 1 indicators in all nurses.
***
p<0.001,
**
p<0.01,
*
p<0.05.