Rezaei Satar, Karami Matin Behzad, Moradi Khalil, Akbari Shahram, Naghibzadeh Amirhossein, Daroudi Rajabali
Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Emergency and Critical Care Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
BMC Nurs. 2025 May 29;24(1):613. doi: 10.1186/s12912-025-03284-6.
Understanding the relationship between health-related quality of life (HRQoL) and labor supply is essential for developing effective policies to improve nurses' working conditions. Therefore, this study seeks to evaluate the HRQoL of nurses and explore how HRQoL influences their labor supply.
In this cross-sectional study, data were collected from 577 nurses working in seven public hospitals in Kermanshah city through multistage sampling. Data collection was conducted using a two-part self-administered questionnaire from September 20 to November 15, 2024. The first section aimed to gather information on nurses' labor supply and included 22 items related to sociodemographic, economic, and non-economic factors. The second section comprised the EuroQoL 5 dimensions (EQ-5D) with a five-level scoring system and the EuroQoL visual analog scale (EQ-VAS). A multiple linear regression model was employed to explore the association between HRQoL scores and nurses' labor supply among the study participants.
The study found that the average weekly working hours for nurses across all medical centers were 47.9 h, while the average at the main hospital was 45.9 h. The mean health-related quality of life (HRQoL) score among the nurses was 0.76 ± 0.23, and the average EQ-VAS score was 74.4 ± 18.9. Our study across the five dimensions of the EQ-5D-5 L indicated that the percentages of nurses reporting no problems were 78.2% for mobility, 97.1% for self-care, 81.3% for usual activities, 47.5% for pain/discomfort, and 37.4% for anxiety/depression. The analysis revealed a statistically significant positive relationship between HRQoL and the labor supply of nurses, indicated by a HRQoL score coefficient of 3.692 (p = 0.046), although this significance is marginally close to the threshold. Additionally, the EQ-VAS score demonstrated a positive association, nearing significance at the 10% level, with a coefficient of 4.095 (p = 0.060). These findings suggest that a higher HRQoL is associated with an increased labor supply among nurses.
The study highlights the positive relationship between HRQoL and nurses' labor supply in Iran. Understanding this relationship is essential for developing effective strategies that can help mitigate nursing shortages and improve working conditions for nursing professionals.
了解健康相关生活质量（HRQoL）与劳动力供给之间的关系对于制定改善护士工作条件的有效政策至关重要。因此，本研究旨在评估护士的健康相关生活质量，并探讨健康相关生活质量如何影响他们的劳动力供给。
在这项横断面研究中，通过多阶段抽样从克尔曼沙赫市七家公立医院工作的577名护士中收集数据。数据收集于2024年9月20日至11月15日使用两部分自填式问卷进行。第一部分旨在收集有关护士劳动力供给的信息，包括22项与社会人口统计学、经济和非经济因素相关的项目。第二部分包括具有五级评分系统的欧洲五维健康量表（EQ-5D）和欧洲视觉模拟量表（EQ-VAS）。采用多元线性回归模型探讨研究参与者中健康相关生活质量得分与护士劳动力供给之间的关联。
研究发现，所有医疗中心护士的平均每周工作时长为47.9小时，而主要医院的平均工作时长为45.9小时。护士的平均健康相关生活质量（HRQoL）得分为0.76±0.23，平均EQ-VAS得分为74.4±18.9。我们在EQ-5D-5L五个维度上的研究表明，报告无问题的护士比例在活动能力方面为78.2%，自我护理方面为97.1%，日常活动方面为81.3%，疼痛/不适方面为47.5%，焦虑/抑郁方面为37.4%。分析显示健康相关生活质量与护士的劳动力供给之间存在统计学上显著的正相关关系，健康相关生活质量得分系数为3.692（p=0.046），尽管这一显著性略接近阈值。此外，EQ-VAS得分显示出正相关关系，在10%水平接近显著性，系数为4.095（p=0.060）。这些发现表明，较高的健康相关生活质量与护士劳动力供给增加有关。
该研究突出了伊朗健康相关生活质量与护士劳动力供给之间的正相关关系。了解这种关系对于制定有助于缓解护理短缺和改善护理专业人员工作条件有效的策略至关重要。
