Health Related Quality of Life: Prevalence and Its Associate on the Intention to Leave Nursing Career.

Nittaya Phosrikham

Contents

BACKGROUND1

MATERIALS AND METHODS2

RESULTS3

DISCUSSIONS4

BACKGROUND Health Related Quality of Life (HRQOL) is an

important health outcome indicator Previous study : HRQOL of nurses was lower

than that in general populationWu et al. 2011==> Nurses in China : HRQOL of nurses was low compared with that in the population of Shanghai

Wu et al. 2011==> Nurses in China : HRQOL of nurses was low compared with that in the population of Shanghai

He et al. 2012 ==>Doctors and nurses in China : doctors and nurses have relatively poor HRQOL especially in self-reporting pain/discomfort and anxiety/depression compared with inhabitants aged 15–64 years.

He et al. 2012 ==>Doctors and nurses in China : doctors and nurses have relatively poor HRQOL especially in self-reporting pain/discomfort and anxiety/depression compared with inhabitants aged 15–64 years.

***In cortex of the Registered Thai Nurses has not been studied.

HRQOL in nurses is affected by many factors, Not clarified about its effect on another factors, including Intention to Leave (ITL) of

nursing career.

Relationship between ITL with many factors such as QWL, burnout, stress and depression but HRQOL has been not clarified and in cortex of the Registered Thai Nurses has not been studied.

BACKGROUND

To investigate the prevalence of Health Related Quality of Life among registered nurses (RNs) in Thailand

Objective To investigate the association of health related quality of life and intention to leave in a nursing career among Registered Thai Nurses in Thailand

Research Question and Objective

What is the prevalence of HRQOL among registered nurses (RNs) in Thailand ?

What is the magnitude of effect of HRQOL on the intention to leave a nursing career?

RQ

Study Design- A cross sectional study, part of the first

wave survey of Thai nurses cohort study conduct 2010

Study outcome -Primary outcome : Health Related

Quality of Life (HRQOL)

-Secondary outcome : Intention to Leave (ITL)

MATERIALS AND METHODS

good, mild, moderate,

severe health states

good, mild, moderate,

severe health states

- good health -fair or poor

health”

- good health -fair or poor

health”

Health Related Quality of Life (HRQOL) was assessed by Euroqol-5D (Eq-5D

Health Related Quality of Life (HRQOL) was assessed by Euroqol-5D (Eq-5D

Intention to Leave (ITL) a nursing career within 1-2 years or after 2 years

Intention to Leave (ITL) a nursing career within 1-2 years or after 2 years

- ITL”- ITL”

- No ITL”- No ITL”

MATERIALS AND METHODS

MATERIALS AND METHODS

Statistical analysisDescriptive : Frequency , percentage

Statistics : Mean, Standard deviation, Median, Minimum,

MaximumBivariate Analysis : Crude ORs

Multiple Analysis : Adjusted ORs

Statistical analysisDescriptive : Frequency , percentage

Statistics : Mean, Standard deviation, Median, Minimum,

MaximumBivariate Analysis : Crude ORs

Multiple Analysis : Adjusted ORs

STATA version

12.0

Covariate : Gender, Age, Marital status, Highest education attainment, Current major work position, Workplace, Liabilities, Sufficiency of monthly income, Scheduled time, Schedule usually worked in main nursing job, Working experienced and Having musculoskeletal disorders.

Covariate : Gender, Age, Marital status, Highest education attainment, Current major work position, Workplace, Liabilities, Sufficiency of monthly income, Scheduled time, Schedule usually worked in main nursing job, Working experienced and Having musculoskeletal disorders.

RESULTS

Aim 1Aim 1

Aim 2Aim 2

Excluded (n = 2,125) - Currently not involved in nursing career (n = 1,709) - Missing data on current working status and/or health related quality of life (n = 416)

Excluded (n = 2,125) - Currently not involved in nursing career (n = 1,709) - Missing data on current working status and/or health related quality of life (n = 416)

Excluded Missing data on intention to leave in nursing career (n = 315)

Excluded Missing data on intention to leave in nursing career (n = 315)

18,200 could not be contacted due to wrong addresses

18,200 could not be contacted due to wrong addresses

Demographic Characteristics

- Female : 96.8%

- Mean age: 43.09.4 years old (ranged: 18.6-65.3)

- Bachelor’s degree: 57.3%

- Practical nurses: 67.4%

- Married: 60.8%

- Workplace: Hospital (83.0%)

- Sufficiency of monthly income: Saving (35.3%)

-Schedule time: 8 hr per shift (94.4%)

-Schedule usually worked in main nursing job : Regular daytime shift (51.0%)

- Mean of Work experience: 20.5.09.6 years

RESULTS

RESULTS

56.2%43.8%

Prevalence of HRQOL

Fair or Poor state Good state

95%CI: 43.1 to 44.6 95%CI: 55.4 to 56.9

RESULTS

DISCUSSIONS

* The prevalence of Fair or Poor health state among registered nurses was 43.8% (95%CI: 43.1 to 44.6) ,

Thai population, 54.2%

* Overall mean HRQOL score HRQOL score of 0.693 (standard deviation = 0.119).

- nurses possess more knowledge and skills for disease prevention

- nurses access health care service more conveniently than the Thai population (70% of sample

lived in rural area)

* The prevalence of Fair or Poor health state among registered nurses was 43.8% (95%CI: 43.1 to 44.6) ,

Thai population, 54.2%

* Overall mean HRQOL score HRQOL score of 0.693 (standard deviation = 0.119).

- nurses possess more knowledge and skills for disease prevention

- nurses access health care service more conveniently than the Thai population (70% of sample

lived in rural area)

DISCUSSIONS

* According each dimension : percentage of nurses who having some problem was quite high in pain/

discomfort dimension

- 67.4% were currently practical nurses who having job characteristic which use more physical

effort

* According each dimension : percentage of nurses who having some problem was quite high in pain/

discomfort dimension

- 67.4% were currently practical nurses who having job characteristic which use more physical

effort

* Nurses of the other country found that the previous HRQOL study which was assessed by Euroqol-5D

(Eq-5D) can’t be compared

* Nurses of the other country found that the previous HRQOL study which was assessed by Euroqol-5D

(Eq-5D) can’t be compared

* There was association between HRQOL and intention to leave nursing career

- not controlled by other factors that there was association (OR = 0.15; 95%CI: 0.11 to 0.21; p-value

<0.001- adjusted for another factors that there were

associated (OR = 0.17; 95%CI: 0.10 to 0.18; p-value <0.001) (high protective factors )

* There was association between HRQOL and intention to leave nursing career

- not controlled by other factors that there was association (OR = 0.15; 95%CI: 0.11 to 0.21; p-value

<0.001- adjusted for another factors that there were

associated (OR = 0.17; 95%CI: 0.10 to 0.18; p-value <0.001) (high protective factors )

DISCUSSIONS

* The findings indicate the need to improve the health related quality of life.

* The findings indicate the need to improve the health related quality of life.

Strength of the study : a large of sample sizes which could accurately represent the situation of health

related quality of life and intention to leave nursing career among Thai registered nurses.

Strength of the study : a large of sample sizes which could accurately represent the situation of health

related quality of life and intention to leave nursing career among Thai registered nurses.

Limitation of the study - The questionnaires was created for several

research purposes which was not specific in this study. - Self-administration questionnaire could

create information and recalled bias. - The cross sectional design cannot indicated

the causal factors and could explain only the relationship.

Limitation of the study - The questionnaires was created for several

research purposes which was not specific in this study. - Self-administration questionnaire could

create information and recalled bias. - The cross sectional design cannot indicated

the causal factors and could explain only the relationship.

CONCLUSION

The prevalence of fair or poor health state was 43.8% (95%CI: 43.1 to 44.6) and Overall mean HRQOL

score HRQOL score of 0.693 (SD = 0.119). Health related quality of life associate to intention

to leave a nursing career : adjusted for another factors that there were associated (OR = 0.17; 95%CI: 0.10 to

0.18; p-value <0.001 

The prevalence of fair or poor health state was 43.8% (95%CI: 43.1 to 44.6) and Overall mean HRQOL

score HRQOL score of 0.693 (SD = 0.119). Health related quality of life associate to intention

to leave a nursing career : adjusted for another factors that there were associated (OR = 0.17; 95%CI: 0.10 to

0.18; p-value <0.001 

These finding should encourage nursing administrators and policy makers to deliver focused

interventions to reduce nurses’ intention to leave nursing career through improving the health related

quality of life dimensions.

These finding should encourage nursing administrators and policy makers to deliver focused

interventions to reduce nurses’ intention to leave nursing career through improving the health related

quality of life dimensions.

Recommendations

Recommendation for organization: organization should encourage nursing administrators and policy makers

to reduce nurses’ intention to leave nursing career.

Recommendation for organization: organization should encourage nursing administrators and policy makers

to reduce nurses’ intention to leave nursing career.

Recommendation for future study: should be conducted to determine causes of health related quality of life

and practical intervention program to improve improving the health related quality of life.

Recommendation for future study: should be conducted to determine causes of health related quality of life

and practical intervention program to improve improving the health related quality of life.

- Human Resource for Health Research and Development Office, Health System Research Institute, the International Health Planning and Policy, and the

Thailand Nursing and Midwifery Council- Prof. Dr. Bandit Thinkamrop

- Dr.Cameron Hurst- Miss Wilaiphorn Thinkamrop

- Dr. PH Batch 4- My classmate

ACKNOWLEDGEMENTS