1. Health Related Quality of Life: Prevalence and Its Association on the Intention to Leave in Nursing Career. Nittaya Phosrikham ID.5671100081

2. Contents BACKGROUND 1 MATERIALS AND METHODS 2 RESULTS 3 DISCUSSIONS 4

3. BACKGROUND What 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

4. 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

5. 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.

6. 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

7.  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

8. -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

9. 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-value  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-value Statistics software: STATA version 12.0 (StataCorp, College Station, TX)

10. 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 = 16,631) Currently in nursing career (n = 16,316) 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 (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

11. RESULTS Demographic Characteristics

12. RESULTS Demographic Characteristics

13. RESULTS Fair or Poor state Good state 95%CI: 43.1 to 44.695%CI: 55.4 to 56.9 overall mean HRQOL score : 0.693 (SD= 0.119) Median (Min: Max): 0.726 (-0.331: 0.798).

14. RESULTS 

15. 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) * 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)

16. 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 * 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 )

17. 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.

18. 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. * 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.

19. 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.

20. - 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