Nurse-Physician Collaboration and Healthcare Associated Infections in Critical Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/304171
Category:
Abstract
Type:
Presentation
Title:
Nurse-Physician Collaboration and Healthcare Associated Infections in Critical Care
Author(s):
Boev, Christine A.
Lead Author STTI Affiliation:
Delta Sigma
Author Details:
Christine A. Boev, PhD, RN, CCRN, cboev@sjfc.edu
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: The purpose of this study was to examine the relationship between nurse/physician collaboration and healthcare associated infections (HAIs) in adult critical care. Preliminary research suggests that a relationship may exist between effective nurse/physician collaboration and patient outcomes. However, this study was the first to examine this relationship exclusively in critical care using the appropriate statistical analysis techniques.

Methods: This study was a secondary analysis of existing data. Nurse/physician collaboration was measured annually for five years (2005-2009) using the Collaboration and Satisfaction about Care Decisions (CSACD) developed by Baggs (1994). A total of 671 surveys were collected from four intensive care units over the five year study period and the data were aggregated at the unit level. HAIs measured were ventilator-associated pneumonia (VAP) and central line-associated blood stream infection (CLABSI). Nursing demographics, certification, education, and experience were included in the models. Patient age and severity of illness served as control variables. Multilevel modeling was used to examine the relationships between nurse/physician collaboration and HAIs.

Results: Nurse-physician collaboration was significantly related to both VAP and CLABSI. Units with higher nurse-physician collaboration were assoicated with a 2.25 decrease in VAP (p<.004) and a 5.95 decrease in CLABSI (p<.005). ICU units with a higher proportion of CCRN certified nurses were associated with a 0.44 lower incidence of CLABSI (p<.01) as well as a .17l ower incidence of VAP (p<.01). RN hours per patient day served as a covariate and we found that units with higher RN hours per patient days were associated with a 0.42 decrease in CLABSI (p<.05).

Conclusion: Nurse-physician collaboration is an important aspect of the nursing work environment and was significnatly related to HAIs.

Keywords:
Patient outcomes; Nurse-physician collaboration; Healthcare associated infections
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleNurse-Physician Collaboration and Healthcare Associated Infections in Critical Careen_GB
dc.contributor.authorBoev, Christine A.en_GB
dc.contributor.departmentDelta Sigmaen_GB
dc.author.detailsChristine A. Boev, PhD, RN, CCRN, cboev@sjfc.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304171-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b>The purpose of this study was to examine the relationship between nurse/physician collaboration and healthcare associated infections (HAIs) in adult critical care. Preliminary research suggests that a relationship may exist between effective nurse/physician collaboration and patient outcomes. However, this study was the first to examine this relationship exclusively in critical care using the appropriate statistical analysis techniques. <p><b>Methods: </b>This study was a secondary analysis of existing data. Nurse/physician collaboration was measured annually for five years (2005-2009) using the Collaboration and Satisfaction about Care Decisions (CSACD) developed by Baggs (1994). A total of 671 surveys were collected from four intensive care units over the five year study period and the data were aggregated at the unit level. HAIs measured were ventilator-associated pneumonia (VAP) and central line-associated blood stream infection (CLABSI). Nursing demographics, certification, education, and experience were included in the models. Patient age and severity of illness served as control variables. Multilevel modeling was used to examine the relationships between nurse/physician collaboration and HAIs. <p><b>Results: </b>Nurse-physician collaboration was significantly related to both VAP and CLABSI. Units with higher nurse-physician collaboration were assoicated with a 2.25 decrease in VAP (p<.004) and a 5.95 decrease in CLABSI (p<.005). ICU units with a higher proportion of CCRN certified nurses were associated with a 0.44 lower incidence of CLABSI (p<.01) as well as a .17l ower incidence of VAP (p<.01). RN hours per patient day served as a covariate and we found that units with higher RN hours per patient days were associated with a 0.42 decrease in CLABSI (p<.05). <p><b>Conclusion: </b>Nurse-physician collaboration is an important aspect of the nursing work environment and was significnatly related to HAIs.en_GB
dc.subjectPatient outcomesen_GB
dc.subjectNurse-physician collaborationen_GB
dc.subjectHealthcare associated infectionsen_GB
dc.date.available2013-10-22T20:30:29Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:30:29Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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