title: The critical care nurse work environment, physician staffing, and risk for ventilator-associated pneumonia.
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.
authors.affiliation: Department of Systems, Populations, and Leadership, School of Nursing, University of Michigan, Ann Arbor, MI. Electronic address: dkcosta@umich.edu.
authors.forename: Deena Kelly
authors.initials: DK
authors.lastname: Costa
authors.affiliation: School of Nursing, University of Michigan, Ann Arbor, MI.
authors.forename: James J
authors.initials: JJ
authors.lastname: Yang
authors.affiliation: Department of Systems, Populations, and Leadership, School of Nursing, University of Michigan, Ann Arbor, MI.
authors.forename: Milisa
authors.initials: M
authors.lastname: Manojlovich
mesh_terms: D003422:Critical Care / Q000458:organization & administration*; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control; D003430:Cross-Sectional Studies; D006272:Health Facility Environment; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D008824:Michigan; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology*; D010561:Personnel Staffing and Scheduling; D010820:Physicians / Q000458:organization & administration*; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology* / Q000517:prevention & control; D012306:Risk; D017132:Workplace
keywords: Collaboration; Critical care staffing; Health care delivery; Health care-associated infections