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Our study did not measure patient outcomes, but a US study also found that nursing homes that used a greater proportion of contract licensed staff were more likely to receive the worst quality deficiency ratings (29).
Notwithstanding the proportion of contract work, 60% of respondents had been in their current role for >4 years, and 82% had been involved in biocuration (in various roles) for ≥7 years.
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To facilitate interpretation of the results, we multiplied both the hospital proportion of contract-based nurses and the hospital proportion of dissatisfied contract-based nurses by 10.
The proportion of contract-based nurses employed by Chinese hospitals has been reported to vary by hospitals from 20 to 54% [ 2- 4].
On average, about half of nurses in China's more comprehensive hospitals, that is level 2 and level 3, were contract-based, and the proportion of contract-based nurses varied across hospitals from none to almost all nurses being contract-based.
This shortage, along with the continuing transformation of the Chinese economic system, led to the evolution of two types of employment arrangements for nurses including some traditional 'bianzhi' jobs and an increasing proportion of contract-based nurses [ 7].
In the analyses, hospital nursing organizational factors included: 1) the percent of contract-based nurses employed in each hospital which is treated as a continuous variable; and 2) the hospital proportion of contract-based nurses that were dissatisfied with each of the specific items: salary, health insurance benefits, pension, and tuition benefits.
The proportions of contract-based nurses did not differ by hospital level (level 2/level 3) or location (municipality/capital city/non-capital city) (Table 1).
Those who understandably question this spending when money is tight should keep in mind that the cost of building the new submarines would give a near-unique bang for buck in boosting advanced UK manufacturing and creating highly skilled hi-tech jobs here in Britain, given that national security considerations require a very high proportion of the contracts to be let within the UK.
And where a large proportion of wage contracts is indexed to prices, as in Spain, higher inflation would rapidly work its way through to wages.The wrong cureAn exit from the euro would not tackle weak productivity growth and inflexible wages, which are the root causes of low competitiveness.
It also underpins a large proportion of mortgage contracts and designs.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com