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Table 5 Associations between hospital utilization of contract-based nurses, contract-based nurse dissatisfaction, and patient outcomes

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

Association

Patient-reported outcomes

 

Patient rating of hospital (n = 6,080)

Patient recommending hospital to others (n = 6,073)

 

OR

95% CI

OR

95% CI

 

Model 1A

Model 1B

Hospital proportion of contract nurses

1.01

0.95 to 1.07

1.03

0.97 to 1.08

Hospital proportion of contract nurses dissatisfied with salary

0.95

0.89 to 0.99*

1.03

0.97 to 1.08

 

Model 2A

Model 2B

Hospital proportion of contract nurses

1.01

0.96 to 1.07

1.03

0.97 to 1.08

Hospital proportion of contract nurses dissatisfied with health insurance

0.98

0.94 to 1.03

0.96

0.92 to 1.01

 

Model 3A

Model 3B

Hospital proportion of contract nurses

1.01

0.96 to 1.07

1.03

0.97 to 1.09

Hospital proportion of contract nurses dissatisfied with pension

0.99

0.95 to 1.04

0.98

0.93 to 1.03

 

Model 4A

Model 4B

Hospital proportion of contract nurses

1.01

0.96 to 1.07

1.03

0.98 to 1.09

Hospital proportion of contract nurses dissatisfied with tuition benefit

0.97

0.92 to 1.03

0.94

0.89 to 0.99*

  1. All models controlled for individual patient characteristics and hospital characteristics (including the nurse practice environment), and were adjusted for the clustering of patients in hospitals.
  2. Odds ratios indicate the effect of a 10-point increase in the percentage of contract nurses;
  3. odds ratios indicate the effect of a 10-point increase in the percentage of dissatisfied contract nurses.
  4. *P < 0.05. CI, confidence interval; OR, odds ratio.
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Human Resources for Health

ISSN: 1478-4491