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Fisher's exact 2-tailed test was used to examine simple significance of the association between QWL and location of cross-training, NSS total stress scores, type of hospital (e.g., teaching vs.
Multivariable factors associated with obstetrical RN QWL
The following variables in the multivariable logistic model were considered in relation to the outcomes of either high or low QWL: location of cross-training, age, occupational stress, income, employment status, and type of hospital (e.g., teaching or community hospital).
Nurses who were cross-trained were over 5 times as likely as non-cross-trained nurses to have a high QWL. Nurses with total stress scores greater than 65 were 5 times as likely to experience low QWL.
Similarly, analysis of the subscales of the WRQoL and the NSS were not statistically significant with our variables of interest used in relation to either high or low QWL.
Analysis of the semi-structured interviews yielded 5 core themes: workplace stress, relationships with colleagues, changes in care delivery and model of care, demands for resources, and QWL.
The purpose of this mixed methods study was to examine the quality of work life of registered nurses working in obstetrics at 4 hospitals in Northeastern Ontario and to explore factors influencing the nurses' quality of work life (QWL).
The association between a high QWL and location of cross-training emphasizes the importance of positive workplace conditions for nurses' QWL and for their empowerment.
This research provides preliminary evidence regarding the work environment of nurses in Northeastern Ontario as it relates the relationship between cross-training and QWL. These results support the proposal that given the limited number of employment opportunities in the north, employers and employees need to work together to create a positive workplace that fosters work environments that promote higher QWL levels.
Secondly, those nurses who had left obstetrics were not reflected in the sample and may provide a different view of the relationship between QWL and cross-training.
Finally, the study outcome (i.e., high QWL) was prevalent and not rare, therefore, the multivariable odds ratio estimates may be an overestimation of the relative risk.
The present study highlights the relationship between factors associated (location of cross-training) with QWL of registered nurses working in 4 small urban hospital-based obstetric programs.
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