Table 3.

Effects of registered nurse (RN) burnout and job dissatisfaction on missed care (n=687)

	Bivariate		Adjusted for RN characteristics		Adjusted for RN and nursing home characteristics
	Odds Ratio (95% confidence interval) p-value
Burnout	5.53 (2.79-10.96)	<.001	5.41 (2.79-10.50)	<.001	4.97 (2.56-9.66)	<.001
Job dissatisfaction	2.33 (1.55-3.49)	<.001	2.60 (1.71-3.93)	<.001	2.56 (1.68-3.91)	<.001

Note: Odds ratios indicate the odds of registered nurses (RNs) with vs. without burnout, and with vs. without job dissatisfaction reporting the outcome in bivariate and adjusted robust logistic regression models. Models account for clustering of RNs within nursing homes. Missed care measures whether the RN indicated that one or more of the following care tasks were necessary but left undone on his/her last shift due to lack of time or resources: adequate patient surveillance, oral hygiene, adequate documentation, medications administered on time, treatments and procedures, skin care, pain management, care coordination, comfort/talk with patients, preparation of patients/families for discharge, care plan development/update, patient/family teaching, ambulation or range of motion, and participation in team discussions. RN characteristics: age, sex, race, years of experience, educated in U.S. or abroad, native language. Nursing home characteristics: bed size, for-profit vs. nonprofit/government ownership, chain affiliation, Medicaid census, Medicare census; RN, licensed practical nurse (LPN), and certified nursing assistant (CNA) hours per resident per day.