Table 4.
Adjusted ORs [95% CI] |
|||||
---|---|---|---|---|---|
Unadjusted ORs [95% CI] |
PES-NWI |
Magnet Hospital |
|||
Without wage | With wage | Without wage | With wage | ||
Job dissatisfaction | |||||
Wage | 0.81 [0.77, 0.86]*** | – | 0.91 [0.86, 0.96]*** | – | 0.91 [0.84, 0.99]* |
Work environment | 0.66 [0.64, 0.69]*** | 0.70 [0.67, 0.72]*** | 0.70 [0.67, 0.72]*** | – | – |
Magnet status | 0.82 [0.71, 0.94]** | – | – | 0.82 [0.72, 0.94]** | 0.82 [0.72, 0.94]** |
Staffinga | 0.78 [0.75, 0.82]*** | 0.90 [0.86, 0.95]*** | 0.91 [0.86, 0.95]*** | 0.84 [0.79, 0.90]*** | 0.84 [0.79, 0.90]*** |
Burnout | |||||
Wage | 0.88 [0.84, 0.92]*** | – | 0.96 [0.91, 1.02] | – | 0.97 [0.90, 1.04] |
Work environment | 0.77 [0.74, 0.79]*** | 0.78 [0.75, 0.81]*** | 0.77 [0.75, 0.81]*** | – | – |
Magnet status | 0.90 [0.80, 1.00] | – | – | 0.87 [0.78, 0.97]* | 0.87 [0.78, 0.97]* |
Staffinga | 0.86 [0.82, 0.89]*** | 0.92 [0.87, 0.96]** | 0.92 [0.88, 0.96]** | 0.87 [0.83, 0.92]*** | 0.87 [0.83, 0.92]*** |
Intent to leave | |||||
Wage | 0.89 [0.84, 0.94]*** | – | 0.89 [0.82, 0.97]** | – | 0.90 [0.81, 0.99]* |
Work environment | 0.75 [0.71, 0.80]*** | 0.72 [0.68, 0.76]*** | 0.72 [0.68, 0.76]*** | – | – |
Magnet status | 0.81 [0.70, 0.94]*** | – | – | 0.84 [0.73, 0.97]* | 0.84 [0.73, 0.97]* |
Staffinga | 0.94 [0.89, 0.99]* | 0.93 [0.86, 0.99]* | 0.93 [0.87, 1.00] | 0.87 [0.80, 0.94]*** | 0.86 [0.80, 0.94]*** |
Note. PES-NWI=Practice Environment Scale of the Nursing Work Index; OR=odds ratio; CI=confidence interval. For interpretability, we report standardized coefficients. Unadjusted estimates are based on models evaluating the effect of a predictor variable, separately, without accounting for any other covariates. Adjusted models account for nurse gender, education level, unit type, years of experience, and hospital characteristics including market competition with the Herfindahl–Hirschman index, teaching status, number of beds, technology level, ownership, state, and urban–rural location.
To interpret coefficients in a similar direction, the standardized staffing variable is based on the reciprocal of the patient-to-nurse ratio.
p <.05.
p<.01.
p<.001.