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

Contents BACKGROUND 1 MATERIALS AND METHODS 2 RESULTS 3 DISCUSSIONS 4

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

BACKGROUND Wu et al. 2011==> Nurses in China He et al ==>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.

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  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 Quality of Life (QOL) Intention to Leave (ITL) in nursing career within 1-2 years or after 2 years - ITL” - No ITL” Outcome measurement - 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-value Statistics software: STATA version 12.0 (StataCorp, College Station, TX)

RESULTS Total number of registered nurses (N = 142,699) Sampled and mailed the questionnaires (n = 50,209) Contactable (n= 30,209) Returned questionnaires and enrolled (n= 18,756) Currently in nursing career (n = 17,047) Currently in nursing career (n = 16,970) 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) 18,200 could not be contacted due to wrong addresses

RESULTS Demographic Characteristics

RESULTS Demographic Characteristics

Company Logo RESULTS Demographic Characteristics

Company Logo RESULTS Prevalence of QOL QOL Dimensionsno% of problems 95%CI Mobility16, to 24.7 Self‐care16, to 2.3 Usual activities16, to 18.1 Pain/ Discomfort16, to 56.5 Anxiety/ Depression 16, to 41.1 Overall mean QOL score : (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 % 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 % were currently service nurses who having job characteristic which use more physical effort

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

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. 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.

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