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Nittaya Phosrikham ID.5671100081

Health Related Quality of Life: Prevalence and Its Association on the Intention to Leave in Nursing Career. Nittaya Phosrikham ID.5671100081. BACKGROUND. 1. MATERIALS AND METHODS. 2. RESULTS. 3. DISCUSSIONS. 4. Contents. BACKGROUND. What is Health Related Quality of Life (HRQOL)?.

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Nittaya Phosrikham ID.5671100081

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

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

  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 • Previous study : HRQOL of nurses was lower than that in general population Wu et al. 2011==> Nurses in China ********In cortex of the Registered Thai Nurses has not been studied** He et al. 2012 ==>Doctors and nurses in China

  5. BACKGROUND HRQOL in nurses is affected by many factors, Not clarified about its effect on another factors, including Intention to Leave (ITL) in nursing career. *** Relationship between HRQOL and ITL has been not clarified and in cortex of the Registered Thai Nurses has not been studied.

  6. To investigate the prevalence of HRQOL among registered nurses (RNs) in Thailand What is the prevalence of HRQOL among registered nurses (RNs) in Thailand ? HRQOL associated with intention to leave in nursing career or not? To investigate the association of HRQOL and intention to leave in a nursing career among Registered Thai Nurses in Thailand Research Question and Objective RQ Objective

  7. MATERIALS AND METHODS • 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 • .

  8. Outcome measurement Health Related Quality of Life (HRQOL) - Good health -fair or poor health” - ITL” Intention to Leave (ITL) in nursing career within 1-2 years or after 2 years - No ITL”

  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 Statistics software: STATA version 12.0 (StataCorp, College Station, TX)

  10. RESULTS 18,200 could not be contacted due to wrong addresses 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) Obj. 1 Excluded Missing data on intention to leave in nursing career (n = 315) Obj. 2

  11. RESULTS Demographic Characteristics

  12. RESULTS Demographic Characteristics

  13. RESULTS Good state Fair or Poor 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).

  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)

  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 * 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.

  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 . * 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. ACKNOWLEDGEMENTS - 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

  21. Thank You for your attention

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