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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Vydáno v:	PloS one Ročník 16; číslo 10; s. e0258787
Hlavní autoři:	Dierkes, Andrew M., Aiken, Linda H., Sloane, Douglas M., McHugh, Matthew D.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Public Library of Science 18.10.2021 Public Library of Science (PLoS)
Témata:	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
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Abstract	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.
AbstractList	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. 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.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.
Audience	Academic
Author	Sloane, Douglas M. Dierkes, Andrew M. Aiken, Linda H. McHugh, Matthew D.
AuthorAffiliation	Heidelberg University Hospital, GERMANY 1 Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America 2 Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
AuthorAffiliation_xml	– name: 1 Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America – name: Heidelberg University Hospital, GERMANY – name: 2 Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
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BackLink	https://www.ncbi.nlm.nih.gov/pubmed/34662355$$D View this record in MEDLINE/PubMed
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CitedBy_id	crossref_primary_10_1002_nur_70013 crossref_primary_10_1016_j_teln_2023_09_016 crossref_primary_10_1016_j_cnc_2025_07_001 crossref_primary_10_1080_08959420_2023_2297596 crossref_primary_10_1155_2022_1411371 crossref_primary_10_1016_j_ijnurstu_2024_104830
Cites_doi	10.1002/nur.21709 10.1097/MLR.0b013e31812e01cc 10.1097/MLR.0b013e3182330b6e 10.1377/hlthaff.2012.0504 10.1007/s00134-017-4683-6 10.17226/12956 10.1097/MLR.0000000000001002 10.1097/00005650-199801000-00004 10.1093/intqhc/mzw007 10.1097/CCM.0000000000003324 10.1111/j.1532-5415.2012.03990.x 10.1001/jama.288.16.1987 10.1097/SLA.0b013e3181dcf36e 10.1001/jama.2014.5804 10.1056/NEJMsa0903048 10.1001/jama.290.12.1617 10.1097/MLR.0000000000000355 10.1186/s13054-016-1423-1 10.1001/archsurg.2011.78 10.1001/jamasurg.2015.4908 10.1002/nur.10032
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SubjectTerms	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
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Title	Association of hospital nursing and postsurgical sepsis
URI	https://www.ncbi.nlm.nih.gov/pubmed/34662355 https://www.proquest.com/docview/2583059619 https://www.proquest.com/docview/2583442043 https://pubmed.ncbi.nlm.nih.gov/PMC8523045 https://doaj.org/article/6dfc520677874a82a650ec28d81dec72 http://dx.doi.org/10.1371/journal.pone.0258787
Volume	16
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