Association of hospital nursing and postsurgical sepsis

Despite concerted research and clinical efforts, sepsis remains a common, costly, and often fatal occurrence. Little evidence exists for the relationship between institutional nursing resources and the incidence and outcomes of sepsis after surgery. The objective of this study was to examine whether...

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Bibliographic Details
Published in:PloS one Vol. 16; no. 10; p. e0258787
Main Authors: Dierkes, Andrew M., Aiken, Linda H., Sloane, Douglas M., McHugh, Matthew D.
Format: Journal Article
Language:English
Published: United States Public Library of Science 18.10.2021
Public Library of Science (PLoS)
Subjects:
Adult
Aged
Aged, 80 and over
Biology and Life Sciences
Care and treatment
Cross-Sectional Studies
Data analysis
Education
Environmental education
Evaluation
Female
Hospital Mortality
Humans
Incidence
Male
Medical care
Medical personnel
Medicine and Health Sciences
Middle Aged
Mortality
Nurses
Nursing
Nursing care
Nursing Staff, Hospital - education
Organizational change
Patient outcomes
Patient safety
Patients
People and Places
Personnel Staffing and Scheduling
Postoperative Complications - mortality
Postoperative Complications - nursing
Quality management
Research and Analysis Methods
Sepsis
Sepsis - etiology
Sepsis - mortality
Sepsis - nursing
Working conditions
Workplace
Young Adult
United States
California
Florida
United States > US
New Jersey
Pennsylvania
ISSN:1932-6203, 1932-6203
Online Access:Get full text
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Summary:Despite concerted research and clinical efforts, sepsis remains a common, costly, and often fatal occurrence. Little evidence exists for the relationship between institutional nursing resources and the incidence and outcomes of sepsis after surgery. The objective of this study was to examine whether hospital nursing resource quality is associated with postsurgical sepsis incidence and survival. This cross-sectional, secondary data analysis used registered nurses’ reports on hospital nursing resources—staffing, education, and work environment—and multivariate logistic regressions to model their association with risk-adjusted postsurgical sepsis and mortality in 568 hospitals across four states. Better work environment quality was associated with lower odds of sepsis. While the likelihood of death among septic patients was nearly seven times that of non-septic patients, better nursing resources were associated with reduced mortality for all patients. Whereas the preponderance of sepsis research has focused on clinical interventions to prevent and treat sepsis, this study describes organizational characteristics hospital administrators may modify through organizational change targeting nurse staffing, education, and work environments to improve patient outcomes.
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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0258787