Table 3 Hospital-level linear regression models determining the relationship between hospital profiles and clinician job and patient care quality and safety outcomes
Beta Coefficient Unadjusted (95% CI) | Beta Coefficient Adjusted for Hospital Characteristics (95% CI) | |
|---|---|---|
Burnout | ||
Agree, Favorable Environment (ref) | ––- | ––– |
Agree, Unfavorable Environment | 22.6*** (11.3, 33.9) | 25.8*** (11.6, 40.1) |
Disagree, Less Favorable among Nurses | 16.1** (6.8, 25.3) | 15.4** (3.7, 27.2) |
Nurse (reference: physician) | 21.4*** (13.3, 29.4) | 21.4* (13.1, 27.2) |
Job Dissatisfaction | ||
Agree, Favorable Environment (ref) | ––- | ––– |
Agree, Unfavorable Environment | 30.4*** (23.7, 37.2) | 32.5*** (24.2, 40.9) |
Disagree, Less Favorable among Nurses | 11.7** (6.2, 17.3) | 12.6*** (5.7, 19.5) |
Nurse (reference: physician) | 12.2*** (7.4, 17.0) | 12.2*** (7.3,17.0) |
Intent to Leave | ||
Agree, Favorable Environment (ref) | ––– | ––– |
Agree, Unfavorable Environment | 30.3*** (21.0, 39.6) | 31.7*** (20.0, 42.3) |
Disagree, Less Favorable among Nurses | 11.8** (4.2, 19.4) | 12.7* (3.1, 22.3) |
Nurse (reference: physician) | 29.5*** (22.8, 36.1) | 29.5*** (22.7, 36.2) |
Unfavorable patient care quality | ||
Agree, Favorable Environment (ref) | ––– | ––– |
Agree, Unfavorable Environment | 18.7*** (12.5, 24.9) | 18.4*** (10.8, 25.9) |
Disagree, Less Favorable among Nurses | 7.5** (2.4, 12.6) | 6.26* (2.7, 12.5) |
Nurse (reference: physician) | 9.3** (4.8, 12.6) | 9.3*** (4.9, 13.7) |
Unfavorable patient safety grade | ||
Agree, Favorable Environment (ref) | ––– | ––– |
Agree, Unfavorable Environment | 27.6*** (18.7, 36.5) | 29.1*** (18.4, 39.8) |
Disagree, Less Favorable among Nurses | 11.7** (4.4, 19.1) | 11.9** (3.0, 20.8) |
Nurse (reference: physician) | 15.9*** (9.5, 22.2) | 15.9*** (9.6, 22.1) |