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

Table 6

The association among working hours, covariates, and QNC.

		Day shift-4 knots						Night shift-4 knots
		B	SD	t	OR	CI		B	SD	t	OR	CI
Poor|average		−7.12	0.51	−14.10	0.000	0.00–0.00	<0.001	−8.249	1.151	−7.166	0.000	0.00–0.00	<0.001
Average|good		−3.07	0.45	−6.84	0.050	0.02–0.11	<0.001	−3.371	1.037	−3.250	0.020	0.01–0.06	<0.001
Good|excellent		−0.63	0.45	−1.42	0.530	0.22–1.28	0.157	−0.905	1.036	−0.874	0.240	0.08–0.68	0.008
Working hours		0.00	0.06	−0.03	1.000	0.88–1.13	0.977	−0.163	0.072	−2.280	0.850	0.74–0.98	0.023
Working hours (spline1)		−0.77	0.34	−2.23	0.460	0.24–0.91	0.026	3.110	0.795	3.914	22.430	4.75–107.20	<0.001
Working hours (spline2)		4.42	1.88	2.35	83.510	2.07–3350.34	0.019	−7.080	1.762	−4.017	0.000	0.00–0.03	<0.001
Overtime work-yes		−0.70	0.05	−13.08	0.500	0.45–0.55	<0.001	−0.893	0.075	−11.883	0.410	0.35–0.47	<0.001
Professional-technical title	Senior nurse	0.01	0.08	0.17	1.010	0.86–1.19	0.862	−0.173	0.104	−1.659	0.840	0.69–1.03	0.097
	Nurse in charge	0.00	0.10	−0.04	1.000	0.83–1.20	0.971	−0.181	0.132	−1.374	0.830	0.64–1.08	0.170
	Assistant director nurse or above	0.02	0.15	0.11	1.020	0.76–1.35	0.916	−3.248	1.094	−2.970	0.040	0.00–0.27	0.003
Work seniority (years)	2–5	−0.24	0.10	−2.37	0.790	0.65–0.96	0.018	−0.239	0.118	−2.019	0.790	0.62–0.99	0.044
	5–10	−0.30	0.10	−2.95	0.740	0.60–0.90	0.003	−0.121	0.126	−0.956	0.890	0.69–1.13	0.339
	10–20	−0.27	0.11	−2.44	0.770	0.62–0.95	0.015	−0.018	0.139	−0.130	0.980	0.75–1.29	0.897
	>20	−0.43	0.13	−3.35	0.650	0.51–0.84	0.001	0.007	0.269	0.026	1.010	0.60–1.71	0.980
N-P ratio		−0.01	0.00	−5.38	0.990	0.99–0.99	<0.001	−0.003	0.003	−1.111	1.000	0.99–1.00	0.267
Department units	Surgery	0.09	0.05	1.66	1.090	0.98–1.21	0.096	0.106	0.082	1.289	1.110	0.95–1.31	0.198
	Gynecology and obstetrics	0.12	0.09	1.33	1.120	0.95–1.33	0.184	0.311	0.139	2.238	1.360	1.04–1.79	0.025
	Pediatric	−0.03	0.10	−0.31	0.970	0.80–1.17	0.754	0.314	0.154	2.039	1.370	1.01–1.85	0.042
	Neonatology	0.35	0.33	1.05	1.420	0.75–2.77	0.296	−0.200	0.404	−0.496	0.820	0.37–1.83	0.620
	Others	0.22	0.07	3.36	1.250	1.10–1.42	0.001	−0.087	0.110	−0.790	0.920	0.74–1.14	0.430
	ICU	0.08	0.11	0.80	1.090	0.88–1.34	0.425	−0.103	0.132	−0.779	0.900	0.70–1.17	0.436
	NICU	0.37	0.17	2.21	1.440	1.05–2.01	0.027	0.379	0.207	1.830	1.460	0.98–2.20	0.067
	PICU	0.47	0.30	1.57	1.600	0.90–2.93	0.116	0.310	0.365	0.849	1.360	0.67–2.84	0.396
	Specialist ICU	0.35	0.13	2.70	1.420	1.10–1.84	0.007	0.076	0.149	0.511	1.080	0.81–1.45	0.610
Patient-care grade (%)	Special level							0.001	0.001	1.312	1.000	1.00–1.00	0.190
	First level							−0.001	0.001	−1.616	1.000	1.00–1.00	0.106
	Second level							−0.001	0.001	−2.088	1.000	1.00–1.00	0.037
	Third level							0.004	0.002	2.301	1.000	1.00–1.01	0.021