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
On-line přístup:	Získat plný text
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Popis
Shrnutí:	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.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0258787