6Table <strong>of</strong> Contents (continued)9. Associations Between Variables………………………………………………………649.1. Associations Between Employment Patterns, Preferences, andDemographic Characteristics………………………………………………..649.2. Associations Between Stress, Burnout, and Employment Patterns andPreferences…………………………………………………………………..689.3. Associations Between Physical <strong>Health</strong> and Employment Patterns andPreferences…………………………………………………………………..729.4. Associations Between Commitment and Employment Patterns andPreferences…………………………………………………………………..769.5. Associations Between Job Satisfaction and Employment Patterns andPreferences…………………………………………………………………..799.6. Associations Between Propensity to Leave, Absenteeism,Employment Patterns and Preferences………………………………….…...839.7. Associations Between Commitment, Job Satisfaction, Propensity to Leave,and Stress and Burnout……………………………………………………...859.8. Associations Between Commitment and Job Satisfaction and Retention…..8710. Summary and Conclusions…………………………………………………………..89References………………………………………………………………………………..95
71. Introduction, Background and <strong>the</strong> Conceptual FrameworkThe world <strong>of</strong> work in Canada and most o<strong>the</strong>r industrialized countries has changedtremendously in <strong>the</strong> last few decades (Zeytinoglu 1999; 2002). A variety <strong>of</strong> non-standardemployment patterns such as part-time work, temporary (casual) work, and job sharing havebecome common in newly created jobs. Nursing work has also changed with many nurses nowemployed in part-time, casual and temporary jobs. In addition to <strong>the</strong> changes in employmentpatterns, <strong>the</strong>re are nursing shortages and recruitment and retention problems in Canada, asdiscussed in <strong>the</strong> qualitative results section <strong>of</strong> this study (Bauman et al., forthcoming).The purpose <strong>of</strong> this report is to examine <strong>the</strong> effects <strong>of</strong> contemporary employmentarrangements on <strong>the</strong> quality <strong>of</strong> nursing work life, and <strong>the</strong> implications <strong>of</strong> <strong>the</strong>se employmentarrangements for individual nurses, <strong>the</strong> nursing workplace, and also for <strong>the</strong> organization. Inexamining changing employment patterns in nursing, we focus on work statuses (full-time, parttimeor casual jobs), contract statuses (permanent or temporary) and employment conditions(hours <strong>of</strong> work, overtime, shiftwork, scheduling, pay and benefits) <strong>of</strong> nurses. Stress, burnout,and physical health problems are examined as factors affecting nurses’ and <strong>the</strong>ir employinghospitals’ outcomes. Nurse outcomes that we focus on are nurses’ commitment to <strong>the</strong>ir careersand hospitals, satisfaction with <strong>the</strong>ir jobs, diagnosed health problems and self-reportedmusculoskeletal disorders (MSDs). Hospital outcomes examined here include absenteeismamong nurses and retention concerns.This report presents <strong>the</strong> survey results <strong>of</strong> our research project titled, “The <strong>New</strong> <strong>Health</strong><strong>Care</strong> <strong>Worker</strong>: The <strong>Implications</strong> <strong>of</strong> Changing Employment Patterns”. The study concentrated onnurses’ preferences for standard and non-standard employment arrangements. It investigatedhow <strong>the</strong> quality <strong>of</strong> nursing worklife and career choices differ for nurses in full-time, part-time