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Occup Environ Med 64:769-775 doi:10.1136/oem.2006.031914
  • Original article

Work-related injury among direct care occupations in British Columbia, Canada

Table 5 Association of nursing occupations with the risk of total injuries and MSIs by health sector
Sector Occupation FTEs in this sector Adjusted RR all injuries (95 CIs) Adjusted-RR MSIs (95 CIs)
Acute care RNs 5015 71.9 1.00 (ref.) 1.00 (ref.)
LPNs 814 11.7 1.33 (1.10 to 1.60) 1.75 (1.42 to 2.16)
p0.0026 p<0.0001
CAs 1146 16.4 1.40 (1.20 to 1.64) 1.82 (1.56 to 2.12)
p<0.0001 p<0.0001
Total acute care 6,975 100
Community care RNs 1,348 57.4 1.00 (ref.) 1.00 (ref.)
LPN 9 0.4 No data No data
CAs 992 42.2 3.27 (2.44 to 4.37) 4.76 (4.35 to 5.21)
p<0.0001 p<0.0001
Total community Care 2349 100
Nursing homes RNs 484 20.9 1.00 (ref.) 1.00 (ref.)
LPNs 269 11.6 1.43 (1.08 to 1.87) 1.28 (0.94 to 1.75)
p0.0112 p0.1150
CAs 1561 67.5 2.06 (1.69 to 2.51) 2.16 (1.54 to 3.03)
p<0.0001 p<0.0001
Total nursing homes 2314 100
  • ref., reference.

  • CA represents care-aides, nursing assistants and community health workers.

  • RRs, 95 CIs and p values were derived from Poisson regression model with generalized estimating equations.

  • Adjusted variables: sex and age, health region were treated as cluster variables in the model.

  • LPNs were under-utilised in community care. There were very few LPNs requested for community care posted positions. The combined productive hours in three health regions produced the equivalent of nine FTEs.40

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