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Table 5 Administrative burden regressed on care workers’ outcomes, along with work environment, implicit rationing of nursing care, facility, unit and care worker characteristics (N = 2´207)

From: Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study

Care workers’ outcomes

Crude models a

Multiple adjusted model 1 (without staffing and resources adequacy, leadership and rationing of nursing care)a,b

Multiple adjusted model 2 (with staffing and resources adequacy, leadership and rationing of nursing care)a,b

OR

95%CI

SE

OR

95%CI

SE

OR

95%CI

SE

Job dissatisfaction

 Administrative burden

1.47***

1.22–1.76

0.09

1.32**

1.09–1.61

0.10

0.96

0.76–1.20

0.11

 Leadership

0.21*

0.17–0.26

0.10

   

0.30***

0.24–0.38

0.12

 Staffing and resources adequacy

0.27*

0.23–0.33

0.10

   

0.60***

0.46–0.77

0.13

 Implicit rationing of nursing care

2.99*

2.47–3.63

0.10

   

1.53***

1.19–1.96

0.13

Emotional exhaustion

 Administrative burden

1.84***

1.53–2.21

0.09

1.66***

1.36–2.03

0.10

1.22

0.98–1.52

 

 Leadership

0.39***

0.32–0.46

0.08

   

0.56***

0.45–0.69

 

 Staffing and resources adequacy

0.34***

0.29–0.41

0.09

   

0.71**

0.56–0.90

 

 Implicit rationing of nursing care

3.76***

3.10–4.56

0.10

   

2.38***

1.87–3.04

 

Intention to leave the current job

 Administrative burden

1.46***

1.26–1.68

0.07

1.42***

1.21–1.66

0.08

1.07

0.89–1.28

0.09

 Leadership

0.21***

0.17–0.25

0.09

   

0.30***

0.24–0.37

0.11

 Staffing and resources adequacy

0.28***

0.24–0.33

0.08

   

0.59***

0.48–0.73

0.11

 Implicit rationing of nursing care

3.34***

2.81–3.97

0.09

   

1.75***

1.40–2.18

0.11

Intention to leave the profession

 Administrative burden

1.49***

1.27–1.75

0.08

1.52***

1.28–1.81

0.08

1.24*

1.02–1.50

0.10

 Leadership

0.43***

0.37–0.50

0.08

   

0.59***

0.48–0.71

0.10

 Staffing and resources adequacy

0.42***

0.36–0.49

0.08

   

0.66***

0.53–0.82

0.11

 Implicit rationing of nursing care

2.31***

1.94–2.74

0.09

   

1.49***

1.19–1.85

0.11

  1. OR Odds ratio, SE Standard error, CI Confidence interval
  2. aGeneralized linear mixed model (binomial) with facility level as random effect
  3. bAdjustments for facility (i.e., language region, nursing home size, ownership status), unit (i.e., full-time equivalent per 100 beds, skill mix level) and care worker (i.e., gender, age, educational background, tenure in current facility, employment level, main shift, working overtime) characteristics
  4. P-value: *** < 0.001, ** < 0.01, * < 0.05