Quality of Life: Prevalence and Its Association on the Intention to Leave in Nursing Career.

Nittaya Phosrikham ID.5671100081

Contents

BACKGROUND1

MATERIALS AND METHODS2

RESULTS3

DISCUSSIONS4

BACKGROUND

What is Quality of Life (QOL) assessed by Euroqol-5D (Eq-5D)?

What is Quality of Life (QOL) assessed by Euroqol-5D (Eq-5D)?

related to health or health care. It represent those element of quality of life direct affect and individual'

health, there aspect are physical, psychological, social, spiritual and role functioning, as well as general well-

being (Spilker and Revicki, 1996)

related to health or health care. It represent those element of quality of life direct affect and individual'

health, there aspect are physical, psychological, social, spiritual and role functioning, as well as general well-

being (Spilker and Revicki, 1996)

Quality of Life (QOL) is an important health indicator of a person

Quality of Life (QOL) is an important health indicator of a person

BACKGROUND

Wu et al. 2011==> Nurses in ChinaWu et al. 2011==> Nurses in China

He et al. 2012 ==>Doctors and nurses in ChinaHe et al. 2012 ==>Doctors and nurses in China

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

Previous study : QOL of nurses was lower than that in general population

BACKGROUND

*** Relationship between QOL and ITL has been not clarified and in cortex of the Registered Thai

Nurses has not been studied.

QOL in nurses is affected by many factors, Not clarified about its effect on another factors, including Intention to

Leave (ITL) in nursing career.

QOL in nurses is affected by many factors, Not clarified about its effect on another factors, including Intention to

Leave (ITL) in nursing career.

To investigate the prevalence of QOL among registered nurses (RNs) in Thailand

Objective To investigate the association of QOL and intention to leave in a nursing career among Registered Thai Nurses in Thailand

Research Question and Objective

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

QOL associated with intention to leave in nursing career or not?

RQ

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

survey of Thai nurses cohort study conduct 2010.

Study outcome

- Quality of Life (QOL) was assessed by Euroqol-5D (Eq-5D)

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

MATERIALS AND METHODS

-Problem-ProblemQuality of Life (QOL)Quality of Life (QOL)

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

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

- ITL”- ITL”

- No ITL”- No ITL”

Outcome measurement

- Not problems- Not problems

MATERIALS AND METHODS

Statistical analysis*Descriptive Statistics: Frequency, percentage, Mean,

Standard deviation, Median, Minimum, Maximum

* Bivariate Analysis (Crude ORs) : Simple logistic regression and p-

value

* Multivariable Analysis (Adjusted ORs) : Multiple logistic regression and p-

value

Statistical analysis*Descriptive Statistics: Frequency, percentage, Mean,

Standard deviation, Median, Minimum, Maximum

* Bivariate Analysis (Crude ORs) : Simple logistic regression and p-

value

* Multivariable Analysis (Adjusted ORs) : Multiple logistic regression and p-

valueStatistics software: STATA version 12.0 (StataCorp, College Station, TX)Statistics software: STATA version 12.0 (StataCorp, College Station, TX)

RESULTS

Excluded (n = 1,709)currently not involved in nursing career

Excluded (n = 1,709)currently not involved in nursing career

Excluded missing data on QOL (n = 77)Excluded missing data on QOL (n = 77)

18,200 could not be contacted due to wrong addresses

18,200 could not be contacted due to wrong addresses

RESULTS

Demographic Characteristics

RESULTS

67.4%

3.3%

23.1%

3.3 2.9%

0102030405060708090

100

Practical nurses Nurse lecturers Head ward/ Head of department

Head of nurse/ Director/ Dean

Technical officer/ Researcher

Currently major work position

Demographic Characteristics

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RESULTS

Demographic Characteristics

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RESULTS Prevalence of QOL

QOL Dimensions no % of problems

95%CI

Mobility 16,944 24.1 23.4 to 24.7

Self care‐ 16,953 2.0 1.8 to 2.3

Usual activities 16,960 17.5 16.9 to 18.1

Pain/ Discomfort 16,948 55.8 55.0 to 56.5

Anxiety/ Depression

16,932 40.4 39.6 to 41.1

Overall mean QOL score : 0.693 (SD= 0.119)

DISCUSSIONS

•Pain/ Discomfort : 55.8% (95%CI: 55.0 to 56.5)

•Anxiety/ Depression : 40.4% (95%CI: 55.0 to 56.5)

•Mobility : 24.1% (95%CI: 23.4 to 24.7)

•Self care and ‐ : 2.0% (95%CI: 1.8 to 2.37)

•Usual activities : 17.5% (95%CI: 16.9 to 18.1)

-Thai population was 65.0% in Pain/ Discomfort

- 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)

•Pain/ Discomfort : 55.8% (95%CI: 55.0 to 56.5)

•Anxiety/ Depression : 40.4% (95%CI: 55.0 to 56.5)

•Mobility : 24.1% (95%CI: 23.4 to 24.7)

•Self care and ‐ : 2.0% (95%CI: 1.8 to 2.37)

•Usual activities : 17.5% (95%CI: 16.9 to 18.1)

-Thai population was 65.0% in Pain/ Discomfort

- 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 service 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 service nurses who having job characteristic which use more physical

effort

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DISCUSSIONS

There were association between Usual activities (OR=1.49; 95%CI: 1.26 to 1.76; P <0.001) and

Anxiety/ Depression (OR=1.39; 95%CI: 1.21 to 1.60; P <0.001) with intention to leave in nursing

career when adjusted for another factors

There were association between Usual activities (OR=1.49; 95%CI: 1.26 to 1.76; P <0.001) and

Anxiety/ Depression (OR=1.39; 95%CI: 1.21 to 1.60; P <0.001) with intention to leave in nursing

career when adjusted for another factors

Indicate the need to improve the health related quality of life.

Strength of the study : a large of sample sizesStrength of the study : a large of sample sizes

Limitation of the study - The questionnaires was created for several

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

- The cross sectional design cannot indicated the causal factors and could explain only the

relationship.

CONCLUSION

* The prevalence of reported problem in Registered Thai Nurses was low compared with

that in the Thai general population

* Pain or discomfort should be improve .

* The prevalence of reported problem in Registered Thai Nurses was low compared with

that in the Thai general population

* Pain or discomfort should be improve .

* Usual activities and anxiety/ depression associate to intention to leave a nursing career .

* Usual activities and anxiety/ depression associate to intention to leave a nursing career .

Recommendations

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

to improve health related quality of life.

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

to improve 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 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 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