Nursing job satisfaction, certification and healthcare-associated infections in critical care.

Abstract

OBJECTIVE:

The purpose of this study was to examine the relationship between nursing job satisfaction and healthcare-associated infections (HAIs) in adult critical care.

METHODS:

Multilevel modelling was used to examine the relationship between nursing job satisfaction and two HAIs, ventilator-associated pneumonia (VAP) and central-line associated bloodstream infections (CLABSI).

RESULTS:

Units with nurses that reported satisfaction with organisational policies were associated with a 6.08 decrease in VAP (p=0.013) and units with nurses reporting favourable perception of task requirements were associated with a 7.02 decrease in VAP (.014). Positive perception of organisational policies was associated with lower rates of CLABSI (p=0.002). Unexpected findings include a positive relationship between perception of pay and autonomy and CLABSI as well as perception of interactions and VAP. Units with a higher proportion of Critical Care Registered Nurse (CCRN) certified nurses were associated with lower rates of both CLABSI (p<0.001) and VAP (p=0.037).

CONCLUSION:

This study provides preliminary evidence to support the relationship between nursing job satisfaction and HAIs in critical care, although some relationships were counterintuitive. A secondary finding included significant relationships between CCRN certified nurses and HAIs.

• Authors: Christine Boev, Ying Xue, Gail L Ingersoll
• Journal: Intensive & critical care nursing (Intensive Crit Care Nurs) Vol. 31 Issue 5 Pg. 276-84 (Oct 2015) ISSN: 1532-4036 [Electronic] Netherlands
• PMID: 26169234 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2015 Elsevier Ltd. All rights reserved.

Topics

• Adult
• Catheter-Related Infections (epidemiology)
• Catheterization, Central Venous
• Certification (statistics & numerical data)
• Critical Care Nursing (statistics & numerical data)
• Cross Infection (epidemiology)
• Female
• Hospitals, University (organization & administration)
• Humans
• Job Satisfaction
• Male
• Middle Aged
• Multilevel Analysis
• Nurses
• Organizational Policy
• Pneumonia, Ventilator-Associated (epidemiology)
• United States (epidemiology)
• Young Adult