Table 4.
Multiple logistic regression of predictors of health system consequences
| Argued with doctors or other nurses | Conflicting schedules between primary and secondary jobs | Took vacation leave to do agency work or moonlighting | Took sick leave to do agency work or moonlighting | Stayed away without authority to do agency work or moonlighting | Treated patients differently in primary vs. secondary job | Any of these | ||
|---|---|---|---|---|---|---|---|---|
| Variable | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Province | Gauteng | – | – | – | – | – | – | |
| Eastern Cape | 1.01 | 0.49 | 0.70 | 0.82 | 0.04** | 0.79 | ||
| (0.58–1.75) | (0.23–1.05) | (0.32–1.55) | (0.31–2.17) | (0.00–0.36) | (0.45–1.40) | |||
| Western Cape | 0.45*** | 0.34*** | 0.46** | 0.95 | 0.17* | 0.45*** | ||
| (0.29–0.68) | (0.23–0.51) | (0.27–0.80) | (0.48–1.88) | (0.04–0.71) | (0.32–0.65) | |||
| Free State | 0.44*** | 1.01 | 1.12 | 0.24* | 0.56 | 0.83 | ||
| (0.29–0.66) | (0.60–1.70) | (0.63–1.99) | (0.07–0.83) | (0.13–2.39) | (0.56–1.24) | |||
| Sex | Male | – | – | |||||
| Female | 0.82 | 0.73 | 0.68 | |||||
| (0.53–1.27) | (0.39–1.37) | (0.36–1.27) | ||||||
| Age group | <25 years | – | – | |||||
| 25–34 years | 3.95 | 1.68 | ||||||
| (0.71–21.86) | (0.51–5.53) | |||||||
| 35–44 years | 4.08 | 1.51 | ||||||
| (0.74–22.46) | (0.49–4.64) | |||||||
| 45–54 years | 2.69 | 1.02 | ||||||
| (0.46–15.71) | (0.36–2.89) | |||||||
| 55+ years | 2.18 | 0.99 | ||||||
| (0.36–13.29) | (0.28–3.48) | |||||||
| Sector | Public | – | – | – | – | – | – | |
| Private | 1.16 | 1.09 | 0.44* | 0.63 | 0.26 | 1.01 | ||
| (0.75–1.79) | (0.69–1.71) | (0.21–0.95) | (0.15–2.67) | (0.05–1.32) | (0.70–1.45) | |||
| Agency | 0.54* | 0.20*** | 0.72 | 5.44* | 0.44 | 0.49* | ||
| (0.32–0.93) | (0.10–0.39) | (0.28–1.88) | (1.31–22.63) | (0.07–2.99) | (0.28–0.85) | |||
| Nursing category | Professional nurse | – | – | – | – | |||
| Enrolled nurse | 0.65 | 0.61* | 1.66 | 0.69 | ||||
| (0.38–1.13) | (0.40–0.94) | (0.75–3.68) | (0.47–1.01) | |||||
| Nursing assistant | 0.86 | 0.28** | 0.46 | 0.79 | ||||
| (0.50–1.47) | (0.13–0.62) | (0.18–1.18) | (0.51–1.22) | |||||
| Unit | General wards | – | – | – | ||||
| Maternity | 0.64 | 0.94 | 0.70 | |||||
| (0.23–1.75) | (0.41–2.15) | (0.42–1.19) | ||||||
| ICU | 1.08 | 2.76** | 1.32 | |||||
| (0.56–2.06) | (1.32–5.78) | (0.88–1.98) | ||||||
| Theatre | 1.47 | 1.52 | 1.69** | |||||
| (0.76–2.82) | (0.72–3.20) | (1.23–2.32) | ||||||
| Other | 0.59 | 1.75 | 1.15 | |||||
| (0.30–1.16) | (0.88–3.51) | (0.81–1.62) | ||||||
| Years working at | Less than 1 year | – | – | – | – | |||
| primary job | 1–4 years | 1.67 | 0.88 | 0.72 | 1.16 | |||
| (0.87–3.21) | (0.48–1.59) | (0.25–2.11) | (0.71–1.88) | |||||
| 5–9 years | 1.40 | 1.04 | 0.44 | 1.38 | ||||
| (0.92–2.11) | (0.49–2.24) | (0.10–1.86) | (0.88–2.17) | |||||
| 10–14 years | 1.75* | 1.17 | 0.67 | 1.42 | ||||
| (1.01–3.02) | (0.51–2.71) | (0.12–3.70) | (0.85–2.38) | |||||
| 15–19 years | 1.86* | 1.03 | 1.41 | |||||
| (1.07–3.24) | (0.45–2.34) | (0.78–2.56) | ||||||
| 20 or more years | 1.35 | 1.05 | 0.11 | 1.23 | ||||
| (0.79–2.29) | (0.56–1.97) | (0.01–1.06) | (0.75–2.03) | |||||
| Constant | 0.28*** | 0.19*** | 0.07** | 0.08*** | 0.01*** | 0.05*** | 0.42 | |
| (0.15–0.52) | (0.08–0.48) | (0.01–0.49) | (0.03–0.20) | (0.01–0.02) | (0.03–0.07) | (0.12–1.45) | ||
| Observations | 1208 | 1299 | 1195 | 1135 | 1280 | 1280 | 1205 | |
| Model p value | <0.001 | <0.001 | <0.001 | 0.030 | 0.005 | <0.001 |
Type 2 indicators in moonlighting nurses.
***
p<0.001
**
p<0.01
*
p<0.05.