Table 4.

Findings for the Eight-Country Mediation Analyses Estimating the Indirect Effect of Nursing Work Environments and Patient-to-Nurse Ratios on Patient Experiences With Care Through Clinical Care Left Undone.

	Patients recommending the hospital (patient-level outcome)						Patients rating the hospital (patient-level outcome)
	Clinical care left undone (hospital-level mediator)		Planning/communication left undone (hospital-level outcome)		Patient experience (patient-level outcome)		Clinical care left undone (hospital-level mediator)		Planning/communication left undone (hospital-level outcome)		Patient experience (patient-level outcome)
	Est.	95% CI	Est.	95% CI	Est.	95% CI	Est.	95% CI	Est.	95% CI	Est.	95% CI
Organization of nursing care (hospital-level main covariates)
Nursing work environment	−1.740*	[−2.127, −1.369]	−0.904*	[−1.164, −0.667]	0.246*	[0.152, 0.341]	−1.736*	[−2.109, −1.389]	−0.890*	[−1.142, −0.636]	0.151	[−0.126, 0.318]
Patient-to-nurse ratio	0.037*	[0.006, 0.073]	0.051*	[0.030, 0.075]	−0.027*	[−0.055, −0.002]	0.037*	[0.003, 0.071]	0.051*	[0.027, 0.076]	−0.033*	[−0.055, −0.010]
Nonnursing tasks	—	—	0.402*	[0.002, 0.734]	—	—	—	—	0.387*	[0.042, 0.725]	—	—
Years of experience	−0.031*	[−0.057, −0.008]	—	—	—	—	−0.031*	[−0.057, −0.006]	—	—	—	—
Overtime	1.165*	[0.613, 1.694]	0.579*	[0.175, 0.948]	—	—	1.169*	[0.614, 1.687]	0.561*	[0.166, 0.953]	—	—
Care left undone (hospital-level mediator)
Clinical care left undone					−0.163*	[−0.269, −0.070]					−0.168*	[−0.257, −0.088]
Indirect effects
Work environment on patient experience, through clinical care left undone					0.280*	[0.112, 0.509]					0.289*	[0.147, 0.470]
Staffing on patient experience, through clinical care left undone					−0.006*	[−0.014, −0.001]					−0.006*	[−0.014, 0.000]

Note. Est. = estimate; CI = credibility interval;

^*indicates statistical significance.