Does nurse job satisfaction influence adherence to the central line insertion checklist and central line–associated bloodstream infections in the Veterans Health Administration?

Published:December 15, 2017DOI:


      • We conducted an analysis using 4 years of data from intensive care nurses in Veterans Health Administration hospitals.
      • Rates of global job satisfaction were assessed for a relationship with reported adherence to the central line insertion checklist and central line–associated bloodstream infections.
      • Higher job satisfaction was related to a decreased relative risk of central line–associated bloodstream infections, but not an increase in reported checklist adherence.
      Nurses satisfied with their jobs report less job stress, more effective nurse-physician collaboration, and higher patient satisfaction scores. It is unknown if job satisfaction influences adherence to best practices or patient outcomes. This secondary data analysis investigated the relationship between job satisfaction, adherence to the central line insertion checklist, and central line–associated bloodstream infections (CLABSIs). Results showed a decreased risk of CLABSI with higher job satisfaction, on average. No relationship was observed with checklist adherence.

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        • Magill S.S.
        • Edwards J.R.
        • Bamberg W.
        • Beldavs Z.G.
        • Dumyati G.
        • Kainer M.A.
        • et al.
        Multistate point-prevalence survey of health care-associated infections.
        N Engl J Med. 2014; 370: 1198-1208
        • Zimlichman E.
        • Henderson D.
        • Tamir O.
        • Franz C.
        • Song P.
        • Yamin C.K.
        • et al.
        Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system.
        JAMA Intern Med. 2013; 173: 2039-2046
        • Stone P.
        • Pogorzelska-Maziarz M.
        • Herzig C.T.
        • Weiner L.M.
        • Furuya E.Y.
        • Dick A.
        • et al.
        State of infection prevention in US hospitals enrolled in the National Health and Safety Network.
        Am J Infect Control. 2014; 42: 94-99
        • Cimiotti J.P.
        • Aiken L.H.
        • Sloane D.M.
        • Wu E.S.
        Nurse staffing, burnout, and health care-associated infection.
        Am J Infect Control. 2012; 40: 486-490
        • Locke E.
        The nature and causes of job satisfaction.
        in: Dunnette M. Handbook of industrial and organizational psychology. Rand McNally, Chicago (IL)1976: 1297-1343
        • Zangaro G.A.
        • Soeken K.L.
        A meta-analysis of studies of nurses' job satisfaction.
        Res Nurs Health. 2007; 30: 445-458
        • Collins K.S.
        • Collins S.K.
        • McKinnies R.
        • Jensen S.
        Employee satisfaction and employee retention: catalysts to patient satisfaction.
        Health Care Manag (Frederick). 2008; 27: 245-251
        • Furuya E.Y.
        • Dick A.
        • Perencevich E.N.
        • Pogorzelska M.
        • Goldmann D.
        • Stone P.
        Central line bundle implementation in US intensive care units and impact on bloodstream infections.
        PLoS ONE. 2011; 6: 1-6
        • Render M.L.
        • Hasselbeck R.
        • Freyberg R.W.
        • Hofer T.P.
        • Sales A.E.
        • Almenoff P.L.
        Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement.
        BMJ Qual Saf. 2011; 20: 725-732
        • Gilmartin H.M.
        • Langner P.
        • Gokhale M.
        • Osatuke K.
        • Hasselbeck R.
        • Maddox T.M.
        • et al.
        Relationship between psychological safety and reporting nonadherence to a safety checklist.
        J Nurs Care Qual. 2018; 33: 53-60