Research Article

Working Hours Associated with the Quality of Nursing Care, Missed Nursing Care, and Nursing Practice Environment in China: A Multicenter Cross-Sectional Study

Table 1

Characteristics of the study participants (N = 12703).

CharacteristicsN (%)Mean (SD)Range

Hospital gradeLevel-III10476 (82.47)
Level-II2227 (17.53)

DepartmentsInternal medicine4166 (32.80)
Surgery3629 (28.57)
Gynecology and obstetrics854 (6.72)
Pediatric660 (5.20)
Neonatology59 (0.46)
Others1761 (13.86)
ICU728 (5.73)
NICU274 (2.15)
PICU81 (0.64)
Specialist ICU491 (3.87)

Age (years)32.07 (6.79)20∼60
≤251830 (14.41)
26–347473 (58.83)
35–442565 (20.19)
≥45835 (6.57)

GenderMale361 (2.84)
Female12342 (97.16)

Educational backgroundSpecial secondary school77 (0.61)
Junior college1836 (14.45)
Undergraduate10669 (83.99)
Postgraduate121 (0.95)

Overtime workYes3853 (30.33)
No8850 (69.67)

ShiftDay8831 (69.52)
Night3872 (30.48)

Work seniority (years)<21372 (10.81)
2–52008 (15.80)
5–104088 (32.18)

Work seniority (years)10–203938 (31.00)
>201297 (10.21)

Professional-technical titleNurse2066 (16.26)
Senior nurse5917 (46.58)
Nurse in charge4304 (33.88)
Assistant director nurse or above416 (3.28)

Missed nursing care (top3)a0∼4
Changing sheets5627 (7.03)
Emotional support to patient and/or family5182 (6.47)
Turning patient every 2 hours4846 (6.05)

Causes of missed nursing careb0∼18
Management62740 (25.92)4.94 (5.26)
Communication62464 (25.81)4.92 (5.16)
Labor resources82455 (34.07)6.49 (3.90)
Material resources34379 (14.2)2.71 (2.81)

Quality of nursing carePoor22 (0.17)0∼4
Average1317 (10.37)
Good5577 (43.90)
Excellent5787 (45.56)

Satisfaction of the nursing practice environment3081.88 (739.37)0∼3700

Note. a: N = rarely(1) + occasionally(2) + frequently(3) + always(4). b: N = significant reason(3) + moderate reason(2) + minor reason(1).