Title

Nursing Job Satisfaction, Certification and Healthcare-associated Infections in Critical Care

Document Type

Article

Publication Date

2015

Keywords

fsc2015

Abstract

Objective:

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

Methods:

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

Results:

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

Conclusion:

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

© 2015 Elsevier Ltd. All rights reserved.

DOI

http://dx.doi.org/10.1016/j.iccn.2015.04.001