The critical care nurse work environment, physician staffing, and risk for ventilator-associated pneumonia

Deena Kelly Costa; James J Yang; Milisa Manojlovich

doi:10.1016/j.ajic.2016.03.028

The critical care nurse work environment, physician staffing, and risk for ventilator-associated pneumonia

Am J Infect Control. 2016 Oct 1;44(10):1181-1183. doi: 10.1016/j.ajic.2016.03.028. Epub 2016 May 12.

Authors

Deena Kelly Costa¹, James J Yang², Milisa Manojlovich³

Affiliations

¹ Department of Systems, Populations, and Leadership, School of Nursing, University of Michigan, Ann Arbor, MI. Electronic address: dkcosta@umich.edu.
² School of Nursing, University of Michigan, Ann Arbor, MI.
³ Department of Systems, Populations, and Leadership, School of Nursing, University of Michigan, Ann Arbor, MI.

PMID: 27181221
DOI: 10.1016/j.ajic.2016.03.028

Abstract

We examined the relationship between intensivist physician staffing, nurse work environment, and ventilator-associated pneumonia (VAP) in 25 intensive care units. We found a significant interaction between the nurse work environment, intensivist physician staffing, and VAP. Future work may need to focus on fostering organizational collaboration between nursing and medicine to leverage skills of both clinician groups to reduce risk for VAP in critically ill patients.

Keywords: Collaboration; Critical care staffing; Health care delivery; Health care-associated infections.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Critical Care / organization & administration*
Cross Infection / epidemiology*
Cross Infection / prevention & control
Cross-Sectional Studies
Health Facility Environment
Humans
Intensive Care Units / organization & administration*
Michigan
Nursing Staff, Hospital / organization & administration
Nursing Staff, Hospital / psychology*
Personnel Staffing and Scheduling
Physicians / organization & administration*
Pneumonia, Ventilator-Associated / epidemiology*
Pneumonia, Ventilator-Associated / prevention & control
Risk
Workplace