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Table 5 Bivariate and multilevel mixed-effects logistic regression of risk factors of neglect

From: Factors associated with staff-to-resident abuse in Norwegian nursing homes: a cross-sectional exploratory study

Characteristics

Bivariate logistic regression

Mixed effect logistic regression model 1*

Mixed effect logistic regression model 2*

OR

95% CI

p

OR

95% CI

p

OR

95% CI

p

Fixed effects

 Nursing staff

  Sex (0 = female, 1 = male)

0.76

0.59–0.97

0.026

2.52

0.99–6.39

0.052

2.67

1.05–6.79

0.039

  Age (in years)

1.00

1.00–1.01

0.408

1.00

1.00–1.01

0.235

1.00

0.99–1.01

0.227

  Interaction age*sex

–

–

–

0.97

0.95–0.99

0.012

0.97

0.95–0.99

0.009

  Professional occupation (ref: nursing assistant)

   Licensed practical nurse

1.73

1.46–2.04

< 0.001

1.75

1.41–2.19

< 0.001

1.77

1.42–2.21

< 0.001

   Registered nurse/social educator

2.06

1.71–2.46

< 0.001

1.81

1.44–2.27

< 0.001

1.81

1.44–2.27

< 0.001

  Continuous health education (0 = yes, 1 = no)

1.02

0.88–1.18

0.779

–

–

–

–

–

–

  Overall health (1 = very good, 5 = very bad)

1.16

1.05–1.28

0.003

0.93

0.82–1.06

0.265

0.93

0.81–1.06

0.257

  Feeling exhausted (0 = no, 1 = yes)

1.42

1.22–1.66

< 0.001

1.14

0.93–1.41

0.216

1.13

0.92–1.39

0.256

  Psychological distress (0 = no, 1 = yes)

1.84

1.52–2.23

< 0.001

1.44

1.13–1.83

0.003

1.44

1.14–1.84

0.003

  Childhood (1 = very good, 5 = very difficult)

1.16

1.08–1.25

< 0.001

1.13

1.03–1.25

0.008

1.14

1.03–1.25

0.008

  Job satisfaction (1 = very satisfied, 5 = very unsatisfied)

1.44

1.31–1.58

< 0.001

1.13

0.99–1.28

0.064

1.13

0.99–1.28

0.069

  Intention to leave (0 = no, 1 = yes)

1.83

1.59–2.12

< 0.001

1.40

1.16–1.71

0.001

1.39

1.15–1.69

0.001

  Attitudes (8–40 ➔ higher score = poor attitudes)

0.96

0.95–0.97

< 0.001

1.15

1.03–1.28

0.010

1.15

1.03–1.28

0.011

  Attitudes (quadratic polynomial term)

–

–

–

0.99

0.99–0.99

0.001

0.99

0.99–0.99

0.001

 Relational

  Resident aggression (0 = less aggression, 1 = high aggression)

1.86

1.62–2.13

< 0.001

1.39

1.17–1.64

< 0.001

1.36

1.14–1.61

0.001

  Care-related conflicts (0 = few conflicts, 1 = high conflicts)

2.02

1.76–2.32

< 0.001

1.96

1.66–2.33

< 0.001

1.97

1.66–2.33

< 0.001

 Institutional

  Job demands (1–5 ➔ higher score = more demands)

1.65

1.21–2.23

0.001

   

1.56

0.99–2.48

0.057

  Support from manager (1–5 ➔ higher score = less support)

1.24

1.02–1.50

0.033

   

0.93

0.69–1.26

0.655

  Support from co-workers (1–5 ➔ higher score = less support)

1.27

1.01–1.59

0.042

   

0.99

0.70–1.41

0.966

  Size (number of beds)

1.00

1.00–1.00

0.889

   

1.00

1.00–1.00

0.595

  Location (ref: urban)

   Suburban

1.13

0.97–1.31

0.128

   

1.20

0.97–1.50

0.096

   Rural

1.20

1.00–1.45

0.049

   

1.23

0.94–1.62

0.135

Random effects

 N

   

2773

2773

 Intraclass Correlation Coefficient (ICC)

   

0.012

0.008

 Standard Error (SE)

   

0.009

0.008

  1. Intercept only model: N (obs.) = 3460, N (groups) = 100, ICC = 0.020, SE = 0.009
  2. *Model 1 = level 1-variables; Model 2 = level 1- and 2-variables