Nursing Job Satisfaction, Certification and Healthcare-associated Infections in Critical Care
The purpose of this study was to examine the relationship between nursing jobsatisfaction and healthcare-associated infections (HAIs) in adult critical care.
Multilevel modelling was used to examine the relationship between nursing jobsatisfaction and two HAIs, ventilator-associated pneumonia (VAP) and central-line associatedbloodstream infections (CLABSI).
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).
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.
Boev, Christine; Xue, Ying; and Ingersoll, Gail L. (2015). "Nursing Job Satisfaction, Certification and Healthcare-associated Infections in Critical Care." Intensive and Critical Care Nursing 31.5, 276-284.
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