title: Nursing job satisfaction, certification and healthcare-associated infections in critical care.
abstract: OBJECTIVE
  The purpose of this study was to examine the relationship between nursing job satisfaction and healthcare-associated infections (HAIs) in adult critical care.
  
  
  METHODS
  Multilevel modelling was used to examine the relationship between nursing job satisfaction and two HAIs, ventilator-associated pneumonia (VAP) and central-line associated bloodstream infections (CLABSI).
  
  
  RESULTS
  Units with nurses that reported satisfaction with organisational policies were associated with a 6.08 decrease in VAP (p=0.013) and units with nurses reporting favourable perception of task requirements were associated with a 7.02 decrease in VAP (.014). Positive perception of organisational policies was associated with lower rates of CLABSI (p=0.002). Unexpected findings include a positive relationship between perception of pay and autonomy and CLABSI as well as perception of interactions and VAP. Units with a higher proportion of Critical Care Registered Nurse (CCRN) certified nurses were associated with lower rates of both CLABSI (p<0.001) and VAP (p=0.037).
  
  
  CONCLUSIONS
  This study provides preliminary evidence to support the relationship between nursing job satisfaction and HAIs in critical care, although some relationships were counterintuitive. A secondary finding included significant relationships between CCRN certified nurses and HAIs.
authors.affiliation: University of Rochester Medical Center, Rochester, NY, United States. Electronic address: cboev@sjfc.edu.
authors.forename: Christine
authors.initials: C
authors.lastname: Boev
authors.affiliation: University of Rochester Medical Center, Rochester, NY, United States.
authors.forename: Ying
authors.initials: Y
authors.lastname: Xue
authors.affiliation: University of Rochester Medical Center, Rochester, NY, United States.
authors.forename: Gail L
authors.initials: GL
authors.lastname: Ingersoll
mesh_terms: D000328:Adult; D055499:Catheter-Related Infections / Q000453:epidemiology*; D002405:Catheterization, Central Venous; D002568:Certification / Q000706:statistics & numerical data*; D064648:Critical Care Nursing / Q000706:statistics & numerical data*; D003428:Cross Infection / Q000453:epidemiology; D005260:Female; D006785:Hospitals, University / Q000458:organization & administration; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D055361:Multilevel Analysis; D009726:Nurses; D016134:Organizational Policy; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Certification; Healthcare-associated infections; Multilevel modelling; Nursing job satisfaction; Work environment