Table 3.
Step 1: Association between the main explanatory variables and the two outcomes
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Step 2: Association between the main explanatory variables and the hypothesized mediating variables
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Patients recommending the hospital (patient-level outcome)
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Patients rating the hospital (patient-level outcome)
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Clinical care left undone (hypothesized hospital-level mediator)
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Planning/communication left undone (hypothesized hospital-level mediator)
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Est. | 95% CI | Est. | 95% CI | Est. | 95% CI | Est. | 95% CI | |
Organization of nursing care (hospital-level main covariates) | ||||||||
Nursing work environment | 0.324* | [0.081, 0.508] | 0.261* | [0.032, 0.482] | −1.636* | [−2.044, −1.248] | −0.904* | [−1.164, −0.636] |
Patient-to-nurse ratio | −0.040* | [−0.062, −0.015] | −0.042* | [−0.064, −0.020] | 0.039* | [0.002, 0.072] | 0.051* | [0.027, 0.077] |
Nonnursing tasks | −0.149 | [−0.540, 0.249] | −0.164 | [−0.588, 0.239] | 0.084 | [−0.410, 0.564] | 0.647* | [0.239, 1.024] |
Years of experience | −0.004 | [−0.021, 0.014] | 0.000 | [−0.015, 0.015] | −0.030* | [−0.058, −.003] | −0.011 | [−0.031, 0.008] |
Type of employment | −0.333 | [−0.724, 0.105] | −0.166 | [−0.595, 0.231] | 0.294 | [−0.273, 0.889] | 0.263 | [−0.160, 0.584] |
Overtime | 0.005 | [−0.378, 0.386] | 0.168 | [−0.197, 0.527] | 1.332* | [0.578, 1.984] | 0.582* | [0.010, 1.075] |
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Step 3: Associations between the two hypothesized mediating variables and the two outcomes, from models including the main explanatory variables | ||||||||
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Est. | 95% CI | Est. | 95% CI | |||||
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Clinical care left undone | −0.194* | [−0.309, −.075] | −0.144* | [−0.255, −0.050] | ||||
Planning/communication left undone | −0.013 | [−0.148, 0.113] | −0.038 | [−0.161, 0.080] |
Note. Est. = estimate; CI = credibility interval;
indicates statistical significance.