Nurse staffing, burnout, and health care-associated infection.
Nurse staffing, burnout, and health care-associated infection.
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DOI：
10.1016/j.ajic.2012.02.029
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发表时间：
2012-08
影响因子：
4.9
通讯作者：
Wu ES
中科院分区：
文献类型：
--
作者：
Cimiotti JP;Aiken LH;Sloane DM;Wu ES
每年有近700万住院患者在接受其他疾病治疗时感染。医院内的感染传播与护士配备有关，但几乎没有证据可以解释这种联系。我们将护士调查数据与宾夕法尼亚州卫生保健成本控制理事会关于医院感染的报告和美国医院协会年度调查联系起来。我们检查了泌尿道和手术部位感染，最普遍的感染报告和那些可能在医院内的任何单位获得。线性回归被用来估计护士和医院的特点对卫生保健相关感染的影响。患者与护士比率与尿路感染（0.86; P = 0.02）和手术部位感染（0.93; P = 0.04）之间存在显著相关性。在控制患者严重程度、护士和医院特征的多变量模型中，只有护士职业倦怠与尿路感染（0.82; P = 0.03）和手术部位感染（1.56; P <0.01）显著相关。工作倦怠减少30%的医院总共减少了6,239例感染，每年节省的费用高达6800万美元。我们提供了一个合理的解释之间的关联，护士配备和卫生保健相关的感染。减少注册护士的职业倦怠是一个很有前途的策略，以帮助控制急性护理设施的感染。
Each year, nearly 7 million hospitalized patients acquire infections while being treated for other conditions. Nurse staffing has been implicated in the spread of infection within hospitals, yet little evidence is available to explain this association. We linked nurse survey data to the Pennsylvania Health Care Cost Containment Council report on hospital infections and the American Hospital Association Annual Survey. We examined urinary tract and surgical site infection, the most prevalent infections reported and those likely to be acquired on any unit within a hospital. Linear regression was used to estimate the effect of nurse and hospital characteristics on health care–associated infections. There was a significant association between patient-to-nurse ratio and urinary tract infection (0.86; P = .02) and surgical site infection (0.93; P = .04). In a multivariate model controlling for patient severity and nurse and hospital characteristics, only nurse burnout remained significantly associated with urinary tract infection (0.82; P = .03) and surgical site infection (1.56; P < .01) infection. Hospitals in which burnout was reduced by 30% had a total of 6,239 fewer infections, for an annual cost saving of up to $68 million. We provide a plausible explanation for the association between nurse staffing and health care–associated infections. Reducing burnout in registered nurses is a promising strategy to help control infections in acute care facilities.
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影响因子：
3.6
作者：
Graham, PL;Begg, MD;Saiman, L
通讯作者：
Saiman, L
影响因子：
120.7
作者：
Aiken, LH;Clarke, SP;Silber, JH
通讯作者：
Silber, JH
影响因子：
4.5
作者：
Gilio, AE;Stape, A;Troster, EJ
通讯作者：
Troster, EJ
DOI：
10.1186/cc5974
发表时间：
2007
期刊：
Critical care (London, England)
影响因子：
--
作者：
Hugonnet S;Uçkay I;Pittet D
通讯作者：
Pittet D
影响因子：
4.9
作者：
Horan, Teresa C.;Andrus, Mary;Dudeck, Margaret A.
通讯作者：
Dudeck, Margaret A.