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

Christine Boev, Ying Xue, Gail L. Ingersoll

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)276-284
Number of pages9
JournalIntensive and Critical Care Nursing
Volume31
Issue number5
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

Keywords

  • Certification
  • Healthcare-associated infections
  • Multilevel modelling
  • Nursing job satisfaction
  • Work environment

ASJC Scopus subject areas

  • Critical Care

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