Judith Arnetz1, Sukhesh Sudan, Courtney Goetz, Scott Counts, Bengt Arnetz. 1. Department of Family Medicine (Dr Arnetz, Mr Sudan, Ms Goetz, Dr Counts, Dr Arnetz); Department of Translational Science and Molecular Medicine (Dr Counts), Michigan State University College of Human Medicine, Grand Rapids, Michigan.
Abstract
OBJECTIVE: To examine associations between nurse work environment, serum biomarkers, and patient outcomes in a large hospital. METHODS: A work environment questionnaire was administered in 2017 to the total sample of nurses in a Midwestern hospital. A subsample of nurses (n = 83) provided blood samples. Correlation analyses examined associations between work environment ratings, biomarkers (dehydroepiandrosterone-sulphate [DHEA-S] and interleukin-6 [IL-6]), and unit-level patient outcomes. RESULTS: Work stress was negatively correlated with DHEA-S (r = -0.23) and positively correlated with IL-6 (r = 0.31; P < 0.05). Psychological safety (r = 0.22) and competence development (r = 0.25) were both positively correlated with DHEA-S (P < 0.05). DHEA-S was negatively correlated with central line-associated bloodstream infections (rho = -0.61; P < 0.05). CONCLUSIONS: Work environment-associated physiological mechanisms might adversely impact patient safety, in addition to nurse health.
OBJECTIVE: To examine associations between nurse work environment, serum biomarkers, and patient outcomes in a large hospital. METHODS: A work environment questionnaire was administered in 2017 to the total sample of nurses in a Midwestern hospital. A subsample of nurses (n = 83) provided blood samples. Correlation analyses examined associations between work environment ratings, biomarkers (dehydroepiandrosterone-sulphate [DHEA-S] and interleukin-6 [IL-6]), and unit-level patient outcomes. RESULTS: Work stress was negatively correlated with DHEA-S (r = -0.23) and positively correlated with IL-6 (r = 0.31; P < 0.05). Psychological safety (r = 0.22) and competence development (r = 0.25) were both positively correlated with DHEA-S (P < 0.05). DHEA-S was negatively correlated with central line-associated bloodstream infections (rho = -0.61; P < 0.05). CONCLUSIONS: Work environment-associated physiological mechanisms might adversely impact patient safety, in addition to nurse health.
Authors: Virginia Navajas-Romero; Antonio Ariza-Montes; Felipe Hernández-Perlines Journal: Int J Environ Res Public Health Date: 2020-04-21 Impact factor: 3.390
Authors: Ann M Mazzella-Ebstein; Kay See Tan; Katherine S Panageas; Judith E Arnetz; Margaret Barton-Burke Journal: Asia Pac J Oncol Nurs Date: 2021-05-31