3. RESULTS
1,787 nurses worked in inpatient
unit community hospital /medical center, non-federal, 238 nurses working
in outpatient clinic owned by a community hospital/medical center, and
264 nurses working in other administrative or functional area Community
hospital. 147 of nurses in an inpatient unit Specialty hospital,
non-Federal, 321 nurses in a nursing home/extended care facility (not in
a hospital), 154 nurses in-home health agency (non-hospital based),
81nurses in School or school system (K-12), 224 nurses in
Medical/physician practice, 96 nurses in Insurance company or other
private claims/benefits/utilization, 1048 nurses were not applicable,
and 1789 nurses in the other category. For the age group, nurses aged 50
to 54 contributed to about 15.9 %, the highest frequency distribution
within the sample. Nurses 75 and over cohorts accounted for .4% of the
sample, the lowest frequency distribution. The frequency distribution
for the study is shown in Table 1.
[Insert Table 1 Here]
The results for the multiple logistic regression analysis can be seen in
Table 2. Medical/physician practice nurses had higher ([OR ] =
1.618, p = .003) odds of changing jobs related to work stress
than inpatient unit community hospital /medical center, non-federal, the
reference category. An insurance company or other private
claims/benefits/utilization nurses had substantially higher
([OR ] = 2.373, p <.001) odds for job-related
change because of stress when compared to inpatient unit community
hospital /medical center, non-federal, the reference category. Nurses in
other work settings had higher ([OR ] = 1.300, p =
.002) odds of job change due to stress than inpatient unit community
hospital /medical center, non-federal, the reference category.
Nurses in the age group between 65 to 69 cohorts had significantly lower
([OR ] = .482, p = .003) odds of not changing jobs due
to stress compared to the age group between 50 to 54 years reference
category. Nurses who were Neither satisfied nor dissatisfied had a
higher ([OR ] = 1.505, p <.001) odd for job
change due to work stress when compared to the moderately satisfied, the
reference category. Moderately dissatisfied nurses had higher
([OR ] = 1.441, p <.001) odds for job change
due to work stress when compared to the moderately satisfied, the
reference category. Extremely dissatisfied nurses had substantially
higher ([OR ] = 2.172, p <.001) odds for job
change due to work stress when compared to moderately satisfied, the
reference category.
A part-time nurse had lower ([OR ] = .809, p =.005)
odds for no job change due to work stress when compared to full-time
nurses, the reference category. Nurses who said yes to intention
regarding principal Registered Nurse (RN) position, including having
left or will leave within the next 12 months ([OR ] = .786,p = .005), had lower odd for having no job change due to work
stress when compared to a nurse who had no plans to leave within next 3
years, the reference category. Nurses who said they had no plans to
remain in the nursing profession had higher ([OR ] = 1.7730,p = .005) odds for job change due to work stress when compared to
nurses who said yes to planning on remaining in the nursing profession,
the reference category.
Nurses who were unsure whether they would remain in nursing positions
had significantly higher ([OR ] = 2.022, p<.001) odds for job change due to work stress when compared to
nurses who said yes to planning on remaining in the nursing profession,
the reference category. Nurses employed through an employment agency as
a traveling nurse had lower ([OR ] = .505, p<.001) odd for not changing job due to work stress when
compared to an employee of the organization or facility, the reference
category. Thus, nurses in 2008 principal RN position type employed
through an employment agency as a traveling nurse were cut in half for
the likelihood of not changing jobs due to stress.
[Insert Table 2 Here]
In summary, nurses working in medical/physician practice, insurance
company or other private claims/benefits/utilization, and other
settings, including nurses who were neither satisfied nor dissatisfied,
moderately dissatisfied, and extremely dissatisfied had higher odds for
changing jobs due to stress when compared to inpatient unit community
hospital /medical center, non-federal and moderately satisfied the
reference category, respectively. Nurses who were unsure and had no
plans to remain in the profession had higher odds for job change due to
stress than a nurse who said yes to staying in the profession, the
reference category. However, nurses in the 65 to 69 age cohort had
substantially lower odds for job change due to stress when compared to
the age group between 50 to 54, the reference category. Although nurses
who answered Yes, have left or will leave within the next 12 months and
nurses employed through an employment agency as a traveling nurse both
had lower odds for not changing jobs. The odds for nurses who were aged
between 65 to 69 were substantially lower than nurses who answered Yes,
have left, or will leave within the next 12 months and nurses employed
through an employment agency as a traveling nurse. The odds for
part-time nurses were also lower when compared to full-time nurses, the
reference category; the part-time nurse had a low likelihood of
switching jobs.