Differences in work environment for staff as an explanation for variation in central line bundle compliance in intensive care units

Abstract

Aspects of the staff work environment are associated with maximal CLABSI bundle compliance in ICUs. Our results suggest that hospitals can foster improvement in ensuring maximal CLABSI bundle compliance-a crucial precursor to reducing CLABSI infection rates-by establishing reasonable workloads and prioritizing quality.

Defining a positive work environment for hospital healthcare professionals: A Delphi study

“…A positive work environment (WE) for healthcare professionals is important for good patient care [ 1 ]; it reduces hospital-acquired infection rates [ 2 – 4 ], hospital mortality [ 5 ], re-admissions [ 6 ], and adverse events [ 2 , 3 ]. Furthermore, a positive WE is strongly associated with attracting and retaining healthcare professionals [ 7 , 8 ], which is crucial in times of healthcare staff shortages, especially with regard to the COVID-19 pandemic.…”

“…Damschroder, Aron [ 9 ] define the WE as the inner setting of the organization where staff interact with the organization within which they work [ 9 ]. Others have added four WE contexts to this definition [ 4 , 9 ]. The first is the task context, which includes the work that needs to be performed, clarity of the role, and the workload.…”

“…For the nurses’ WE, this has been defined as [ 10 ] ‘the organizational characteristics of a work setting that enable or constrain professional nursing practice’ and includes nursing foundations in quality of care, nurses’ participation in hospital policy, staffing and resources adequacy, and collegial nurse–physician relationships. The second WE context is the social context, which includes relations, interaction between employees, and teamwork [ 4 , 9 ]. A concept used to reflect the social context is e.g.…”

“…Research has highlighted the impact this has on the constraints and complaints of employees, such as burnout [ 7 ] and the need for more sick leave [ 13 ]. The fourth context is organizational culture, which involves the values, norms, and culture [ 4 , 11 ] and has been defined as ‘the way we do things around here’ [ 14 ]. Research on organizational culture usually focuses on specific aspects, not the whole concept.…”

Conocimiento y cumplimiento del cuidado de catéteres centrales en un Hospital Mexicano

“…La gestión del capital venoso continúa siendo uno de los elementos básicos en la práctica de enfermería, pasando no solo de las habilidades en los procedimientos sino en la adecuada selección del dispositivo para el tipo de acceso vascular requerido en los pacientes. Esto ha precisado que el profesional de enfermería deba tener conocimientos específicos sobre el manejo del capital venoso, las bases de una técnica de cuidado de un catéter central y estandarizar mediante los distintos protocolos clínicos, basados en la mejor evidencia científica, dejando a un lado los criterios de actuación profesional basados en la opinión o la experiencia personal, para adoptar formas universalmente unificadas [5][6] . En ese sentido, la importancia del cuidado protocolizado de catéteres centrales o de larga estancia, se centra en dos elementos fundamentales, el primero tiene que ver con una práctica de enfermería homogenizada respecto a un procedimiento que viene a ser inherente al cuidado que día con día se realiza a un paciente, basado en guías y normas nacionales e internacionales como las propuestas por la Organización Mundial de la Salud, The Joint Comisión, la Secretaría de Salud a través de la normatividad mexicana para la vigilancia epidemiológica Norma Oficial Mexicana NOM-045-SSA2-2005 2 y la NOM-022-SSA3-2012 respecto a la terapia de infusión 4 .…”