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The critical care work environment and nurse-reported health care-associated infections.
- Source :
-
American journal of critical care : an official publication, American Association of Critical-Care Nurses [Am J Crit Care] 2013 Nov; Vol. 22 (6), pp. 482-8. - Publication Year :
- 2013
-
Abstract
- Background: Critically ill patients are susceptible to health care-associated infections because of their illnesses and the need for intravenous access and invasive monitoring. The critical care work environment may influence the likelihood of infection in these patients.<br />Objective: To determine whether or not the critical care nurse work environment is predictive of nurse-reported health care-associated infections.<br />Methods: A retrospective, cross-sectional design was used with linked nurse and hospital survey data. Nurses assessed the critical care work environment and provided the frequencies of ventilator-associated pneumonias, urinary tract infections, and infections associated with central catheters. Logistic regression models were used to determine if critical care work environments were predictive of nurse-reported frequent health care-associated infections, with controls for nurse and hospital characteristics. Results The final sample consisted of 3217 critical care nurses in 320 hospitals. Compared with nurses working in poor work environments, nurses working in better work environments were 36% to 41% less likely to report that health care-associated infections occurred frequently.<br />Conclusion: Health care-associated infections are less likely in favorable critical care work environments. These findings, based on the largest sample of critical care nurses to date, substantiate efforts to focus on the quality of the work environment as a way to minimize the frequency of health care-associated infections.
- Subjects :
- Adult
Critical Care standards
Critical Care statistics & numerical data
Cross Infection etiology
Cross Infection prevention & control
Cross-Sectional Studies
Female
Health Care Surveys
Health Facility Environment statistics & numerical data
Humans
Intensive Care Units organization & administration
Intensive Care Units standards
Logistic Models
Male
Middle Aged
Nursing Staff, Hospital organization & administration
Nursing Staff, Hospital standards
Organizational Culture
Personnel Staffing and Scheduling
Physician-Nurse Relations
Quality Indicators, Health Care
Retrospective Studies
United States epidemiology
Workforce
Workload
Young Adult
Attitude of Health Personnel
Critical Care organization & administration
Cross Infection epidemiology
Health Facility Environment standards
Nursing Staff, Hospital psychology
Patient Safety standards
Subjects
Details
- Language :
- English
- ISSN :
- 1937-710X
- Volume :
- 22
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- American journal of critical care : an official publication, American Association of Critical-Care Nurses
- Publication Type :
- Academic Journal
- Accession number :
- 24186818
- Full Text :
- https://doi.org/10.4037/ajcc2013298