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Table 3 Associations between spatial, staffing, patient, and nursing perception variables and frequency of bedside interprofessional rounds in 18 hospital-based units (total n = 1241)

From: Interprofessional collaborative care characteristics and the occurrence of bedside interprofessional rounds: a cross-sectional analysis

Variable - n (%)

Bedside Interprofessional Rounds, ≥80 % (n = 669)

Unadjusted OR (95 % CI)

Adjusted OR (95 % CI)

Spatial Characteristics

 Unit type:

  General care

172 (25.7)

1

1

  Intermediate care

158 (23.6)

2.83 (1.19-6.73)

2.84 (1.37-5.87)

  Intensive care

339 (50.7)

13.65 (4.30-43.34)

9.63 (5.30-17.42)

 Number of unit beds:

   < 19

285 (42.6)

1

 

  19-35

278 (41.6)

1.57 (0.50-4.88)

 

   > 35

106 (15.8)

0.30 (0.07-1.19)

 

 Square feet per bed:

   < 410

160 (23.9)

1

 

  410-600

268 (40.1)

2.54 (0.61-10.57)

 

   > 600

241 (36.0)

2.05 (0.53-8.01)

 

Staffing/Service

 Nurse-patient ratio:

   > 1:3

228 (34.1)

1

1

   ≤ 1:3

441 (65.9)

4.71 (1.73-12.85)

1.14 (0.64-2.03)

 Number of admitting services in unit/bed:a

   < 0.35

370 (55.3)

1

 

   ≥ 0.35

299 (44.7)

0.96 (0.32-2.86)

 

 Weekday

   

  No

143 (21.4)

1

 

  Yes

526 (78.6)

1.19 (0.94-1.51)

 

Patient Characteristics

 Hospital length of stay for patients admitted to unit:

   < 5 days

114 (17.0)

1

1

  5-7 days

235 (35.1)

3.75 (1.53-9.21)

1.89 (1.05-3.38)

   > 7 days

320 (47.8)

12.82 (3.25-50.52)

2.27 (1.28-4.02)

 Severity of illness (APR-DRG):

   < 2.4

285 (42.6)

1

 

   ≥ 2.4

384 (57.4)

2.27 (0.75-6.82)

 

Nursing Perceptions

 Nurse-physician collegial score:b

   < 2.95

302 (46.1)

1

 

   ≥ 2.95

353 (53.9)

0.92 (0.29-2.90)

 

 Staffing and resource adequacy:b

   

   < 2.67

337 (51.5)

1

 

   ≥ 2.67

318 (48.6)

1.00 (0.33-3.02)

 

 BIR script score:c

   < 4

214 (32.0)

1

1

   ≥ 4

455 (68.0)

3.18 (1.11-9.13)

2.20 (1.15-4.23)

 BIR support score:d

   < 17

182 (27.2)

1

1

   ≥ 17

487 (72.8)

3.24 (1.17-8.97)

3.25 (1.83-5.77)

  1. a Number of different services admitting ≥5 patients to unit in a one-year period/unit beds
  2. b Scores obtained from Collegial Nurse-Physician Relations/Staffing/Resource Adequacy from Practice Environment of the Nursing Work Index (PES-NWI); responses 4 = strongly agree, 3 = agree, 2 = disagree, 1 = strongly disagree
  3. c Reported by units’ nursing leadership on a 1-7 scale (1 = not at all, 7 = a great extent)
  4. d Summation score from 3 domains on a 1-7 scale (1 = not at all, 7 = a great extent), max score 21
  5. e Adjusted for other significant variables in Table 3