Nursing job satisfaction, certification and healthcare-associated infections in critical care

Boev, Christine; Xue, Ying; Ingersoll, Gail L.

doi:10.1016/j.iccn.2015.04.001

Cited by 36 publications

(25 citation statements)

References 30 publications

(26 reference statements)

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“…Similar results were reported in a number of studies. 34,35,39,51 In contrast, Mami et al 52 reported that 90% of nurses are dissatisfied with their jobs. Differences in the organizational culture of different medical centers appear to affect people’s satisfaction.…”

Section: Discussionmentioning

confidence: 99%

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Relationship between moral distress and ethical climate with job satisfaction in nurses

et al. 2017

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Section: Discussionmentioning

confidence: 99%

“…29,30 Job satisfaction also improves the quality of life in nurses 31 and enhances the quality of nursing care provided and reduces job burnout, 32 emotional exhaustion, 33 job turnover, 34 patient dissatisfaction, 32 and ultimately, infections in patients. 35 Poor job satisfaction exposes nurses to certain diseases in the future. 36…”

Section: Introductionmentioning

confidence: 99%

Relationship between moral distress and ethical climate with job satisfaction in nurses

et al. 2017

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“…An ICU is a fast-paced high-stress environment, therefore prioritization is very crucial in this setting [31, 32]. However, beyond patients’ comfort, bathing of ICU patients has other benefits such as patients’ relaxation, reducing pyrexia and stimulating circulation [33].…”

Section: Discussionmentioning

confidence: 99%

Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran’s Hospital by examining nurses’ perspectives and experiences

et al. 2017

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BackgroundDaily bathing with chlorhexidine gluconate (CHG) of intensive care unit (ICU) patients has been shown to reduce healthcare-associated infections and colonization by multidrug resistant organisms. The objective of this project was to describe the process of daily CHG bathing and identify the barriers and facilitators that can influence its successful adoption and sustainability in an ICU of a Veterans Administration Hospital.MethodsWe conducted 26 semi-structured interviews with a convenience sample of 4 nurse managers (NMs), 13 registered nurses (RNs) and 9 health care technicians (HCTs) working in the ICU. We used qualitative content analysis to code and analyze the data. Dedoose software was used to facilitate data management and coding. Trustworthiness and scientific integrity of the data were ensured by having two authors corroborate the coding process, conducting member checks and keeping an audit trail of all the decisions made.ResultsDuration of the interviews was 15 to 39 min (average = 26 min). Five steps of bathing were identified: 1) decision to give a bath; 2) ability to give a bath; 3) decision about which soap to use; 4) delegation of a bath; and 5) getting assistance to do a bath. The bathing process resulted in one of the following three outcomes: 1) complete bath; 2) interrupted bath; and 3) bath not done. The outcome was influenced by a combination of barriers and facilitators at each step. Most barriers were related to perceived workload, patient factors, and scheduling. Facilitators were mainly organizational factors such as the policy of daily CHG bathing, the consistent supply of CHG soap, and support such as reminders to conduct CHG baths by nurse managers.ConclusionsPatient bathing in ICUs is a complex process that can be hindered and interrupted by numerous factors. The decision to use CHG soap for bathing was only one of 5 steps of bathing and was largely influenced by scheduling/workload and patient factors such as clinical stability, hypersensitivity to CHG, patient refusal, presence of IV lines and general hygiene. Interventions that address the organizational, provider, and patient barriers to bathing could improve adherence to a daily CHG bathing protocol.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-017-2180-8) contains supplementary material, which is available to authorized users.

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“…The vast majority, if not all, were members of a professional organization, highly educated, and highly certified. Based on other research examining demographic variable of individuals belonging to professional organization membership (DeLeskey, 2003; White & Olson, 2004) and certification of nurses (Boey, Xue, & Ingersoll, 2015; Boyle, Cramer, Potter, & Staggs, 2015) correlated with nursing knowledge and performance; the nurses in this sample were likely to be more knowledgeable and performing better than the population. In addition, this is the first time the patient vignettes have been used.…”

Section: Discussionmentioning

confidence: 94%

Nutrition-Related Clinical Decision Making of Pediatric Oncology Nurses

Lulloff

Vessey

Bashore

et al. 2019

J Pediatr Oncol Nurs

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Children with a cancer diagnosis have risk factors leading to unique nutritional challenges. Malnutrition in this population is correlated with worse patient outcomes. Nurses are responsible for providing holistic care to their patients; however, the quality of nutritional assessments by pediatric oncology nurses is unknown. The purpose of this study was to investigate staff nurses’ clinical decision making regarding nutritional assessment of children with cancer. A web-based survey composed of a demographic form, vignettes of patients with diverse nutritional status and the New General Self-Efficacy Scale, was distributed to members of the Association of Pediatric Hematology Oncology Nurses. Participants were also asked to rate their confidence in responses as well as select key nutritional cues. Nurses were significantly more likely to under-rate the nutritional status and select far fewer cues than the experts. Further research regarding nutritional assessment is warranted. Evidenced-based guidelines for nutritional assessment of children with cancer should be developed to ensure the highest quality of care is provided to this patient population.

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Nursing job satisfaction, certification and healthcare-associated infections in critical care

Cited by 36 publications

References 30 publications

Relationship between moral distress and ethical climate with job satisfaction in nurses

Relationship between moral distress and ethical climate with job satisfaction in nurses

Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran’s Hospital by examining nurses’ perspectives and experiences

Nutrition-Related Clinical Decision Making of Pediatric Oncology Nurses

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