Health Related 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

BACKGROUNDWhat is Health Related Quality of Life (HRQOL)?

HRQOL is some aspect of quality of life and is 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)

Health Related Quality of Life (HRQOL) is an important health outcome indicator

BACKGROUND

Wu et al. 2011==> Nurses in China

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

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

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

BACKGROUND

*** Relationship between HRQOL and ITL has been not clarified and 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) in nursing career.

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

Objective To investigate the association of HRQOL 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 ?

HRQOL 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

-Primary outcome : Health Related Quality of Life (HRQOL)

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

.

MATERIALS AND METHODS

-fair or poor health”

Health Related Quality of Life

(HRQOL)

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

- ITL”

- No ITL”

Outcome measurement

- Good health

MATERIALS AND METHODS

Statistical analysis*DescriptiveStatistics: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)

RESULTS

Obj. 1

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

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

19.3%

34.0%42.8

3.9%

Sufficiency of monthly income

Insufficient

Sufficient

Saving

Unstable income

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

overall mean HRQOL score : 0.693 (SD= 0.119)Median (Min: Max): 0.726 (-0.331: 0.798).

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 was 54.2%

- 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

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

for another factors (protective factors )

Strength 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.

CONCLUSION

* The prevalence of fair or poor health state in Registered Thai Nurses was low compared with

that in the Thai general population * Pain or discomfort should be improve .

* Health related quality of life 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 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