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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Autores principales:	Andrew M Dierkes, Linda H Aiken, Douglas M Sloane, Matthew D McHugh
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ca1b7dfa8f7f4150a6cc288465a9dbf9
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spelling	oai:doaj.org-article:ca1b7dfa8f7f4150a6cc288465a9dbf92021-12-02T20:16:49ZAssociation of hospital nursing and postsurgical sepsis.1932-620310.1371/journal.pone.0258787https://doaj.org/article/ca1b7dfa8f7f4150a6cc288465a9dbf92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258787https://doaj.org/toc/1932-6203Despite 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.Andrew M DierkesLinda H AikenDouglas M SloaneMatthew D McHughPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258787 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Andrew M Dierkes Linda H Aiken Douglas M Sloane Matthew D McHugh Association of hospital nursing and postsurgical sepsis.
description	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.
format	article
author	Andrew M Dierkes Linda H Aiken Douglas M Sloane Matthew D McHugh
author_facet	Andrew M Dierkes Linda H Aiken Douglas M Sloane Matthew D McHugh
author_sort	Andrew M Dierkes
title	Association of hospital nursing and postsurgical sepsis.
title_short	Association of hospital nursing and postsurgical sepsis.
title_full	Association of hospital nursing and postsurgical sepsis.
title_fullStr	Association of hospital nursing and postsurgical sepsis.
title_full_unstemmed	Association of hospital nursing and postsurgical sepsis.
title_sort	association of hospital nursing and postsurgical sepsis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ca1b7dfa8f7f4150a6cc288465a9dbf9
work_keys_str_mv	AT andrewmdierkes associationofhospitalnursingandpostsurgicalsepsis AT lindahaiken associationofhospitalnursingandpostsurgicalsepsis AT douglasmsloane associationofhospitalnursingandpostsurgicalsepsis AT matthewdmchugh associationofhospitalnursingandpostsurgicalsepsis
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Association of hospital nursing and postsurgical sepsis.

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