TABLE 4

Unadjusted and Adjusted Logistic and Linear Regression Models With Results Displaying the Relationships Between Nurse Workload, the Quality of the Nurse Work Environment, and Missed Nursing Care

Unadjusted Joint Model (n = 2187)Joint Model Adjusting for Nurse and Hospital Characteristics (n = 2163)
Any missed careOR (95% CI)OR (95% CI)
 Nurse workload1.56*** (1.43 to 1.70)1.70*** (1.51 to 1.90)
 Mixed environment0.67** (0.51 to 0.89)0.64*** (0.50 to 0.82)
 Better environment0.59*** (0.44 to 0.78)0.59*** (0.46 to 0.76)
Sum of missed care activitiesEstimate (95% CI)Estimate (95% CI)
 Nurse workload0.44*** (0.36 to 0.52)0.50*** (0.41 to 0.60)
 Mixed environment−0.38** (−0.65 to −0.11)−0.40*** (−0.62 to −0.18)
 Better environment−0.55*** (−0.78 to −0.32)−0.53*** (−0.74 to −0.33)
  • Models control for nurse characteristics (BSN or higher degree; years of RN experience) and hospital characteristics (bed size, technology status, teaching status, type of children’s hospital). Work environment variables are hospital level. Nurse workload is nurse level. The dependent variable is nurse level. For the work environment, the reference group is the “poor” work environment subgroup of hospitals with 0 or 1 subscale above the sample median. Results were considered statistically significant at P < .05 for a 2-tailed test. CI, confidence interval.

  • ** P < .01, ***P < .001.