Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care. Boev, C. & Yinglin Xia Critical Care Nurse, 35(2):66–72, April, 2015. Place: Alisa Veijo, California Publisher: American Association of Critical-Care Nurses
Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care [link]Paper  doi  abstract   bibtex   
BACKGROUND Nurse-physician collaboration may be related to outcomes in health care–associated infections. OBJECTIVE To examine the relationship between nurse-physician collaboration and health care–associated infections in critically ill adults. METHODS A secondary analysis was done of 5 years of nurses’ perception data from 671 surveys from 4 intensive care units. Ventilator-associated pneumonia and central catheter–associated bloodstream infections were examined. Multilevel modeling was used to examine relationships between nurse-physician collaboration and the 2 infections. RESULTS Nurse-physician collaboration was significantly related to both infections. For every 0.5 unit increase in collaboration, the rate of the bloodstream infections decreased by 2.98 (P=.005) and that of pneumonia by 1.13 (P=.005). Intensive care units with a higher proportion of certified nurses were associated with a 0.43 lower incidence of bloodstream infections (P= .02) and a 0.17 lower rate of the pneumonia (P=.01). With nursing hours per patient day as a covariate, units with more nursing hours per patient day were associated with a 0.42 decrease in the rate of bloodstream infections (P=.05). CONCLUSION Nurse-physician collaboration was significantly related to health care–associated infections.
@article{boev_nurse-physician_2015,
	title = {Nurse-{Physician} {Collaboration} and {Hospital}-{Acquired} {Infections} in {Critical} {Care}},
	volume = {35},
	issn = {0279-5442},
	url = {https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103778868&site=ehost-live&scope=site},
	doi = {10.4037/ccn2015809},
	abstract = {BACKGROUND Nurse-physician collaboration may be related to outcomes in health care–associated infections. OBJECTIVE To examine the relationship between nurse-physician collaboration and health care–associated infections in critically ill adults. METHODS A secondary analysis was done of 5 years of nurses’ perception data from 671 surveys from 4 intensive care units. Ventilator-associated pneumonia and central catheter–associated bloodstream infections were examined. Multilevel modeling was used to examine relationships between nurse-physician collaboration and the 2 infections. RESULTS Nurse-physician collaboration was significantly related to both infections. For every 0.5 unit increase in collaboration, the rate of the bloodstream infections decreased by 2.98 (P=.005) and that of pneumonia by 1.13 (P=.005). Intensive care units with a higher proportion of certified nurses were associated with a 0.43 lower incidence of bloodstream infections (P= .02) and a 0.17 lower rate of the pneumonia (P=.01). With nursing hours per patient day as a covariate, units with more nursing hours per patient day were associated with a 0.42 decrease in the rate of bloodstream infections (P=.05). CONCLUSION Nurse-physician collaboration was significantly related to health care–associated infections.},
	number = {2},
	urldate = {2021-01-17},
	journal = {Critical Care Nurse},
	author = {Boev, Christine and {Yinglin Xia}},
	month = apr,
	year = {2015},
	note = {Place: Alisa Veijo, California
Publisher: American Association of Critical-Care Nurses},
	keywords = {Adult, Aged, Catheter-Related Bloodstream Infections -- Epidemiology, Collaboration, Communication, Conceptual Framework, Confidence Intervals, Critical Care, Critically Ill Patients, Data Analysis Software, Demography, Descriptive Statistics, Female, Funding Source, Human, Incidence, Inpatients, Intensive Care Units, Intraclass Correlation Coefficient, Magnet Hospitals, Male, Middle Age, New York, Nurse Attitudes, Nurse-Physician Relations, Outcomes (Health Care), Patient Safety, Perception, Pneumonia, Ventilator-Associated -- Epidemiology, Prospective Studies, Questionnaires, Secondary Analysis, Severity of Illness Indices, Skill Mix, Summated Rating Scaling, Surveys},
	pages = {66--72},
}

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