Nurse employment contracts in Chinese hospitals: impact of inequitable benefit structures on nurse and patient satisfaction

Table 4 Associations between hospital contract-based nurse utilization, hospital contract-based nurse dissatisfactions, and contract-based nurses’ intent to leave current position (n = 4,568)

Association	Contract-based nurses’ intent to leave current position within a year
	OR	95% CI	P value
Hospital proportion of contract nurses	0.92	0.82 to 1.04	0.18
Hospital proportion of contract nurses dissatisfied with salary	1.32	1.15 to 1.51***	0.000
Hospital proportion of contract nurses	0.94	0.84 to 1.06	0.31
Hospital proportion of contract nurses dissatisfied with health insurance	1.23	1.09 to 1.39**	0.001
Hospital proportion of contract nurses	0.93	0.83 to 1.05	0.22
Hospital proportion of contract nurses dissatisfied with pensions	1.24	1.10 to 1.40**	0.001
Hospital proportion of contract nurses	0.91	0.81 to 1.02	0.10
Hospital proportion of contract nurses dissatisfied with tuition benefit	1.33	1.15 to 1.55***	0.000

All models controlled for individual nurse characteristics and hospital characteristics (including the nurse practice environment), and were adjusted for the clustering of nurses in hospitals.
Odds ratios indicate the effect of a 10-point increase in the percentage of contract nurses;
odds ratios indicate the effect of a 10-point increase in the percentage of dissatisfied contract nurses.
**P < 0.01; ***P < 0.001. CI, confidence interval; OR, odds ratio.

ISSN: 1478-4491