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Exploring the Relationship Between Nursing Specialty Certification and Surgical Site Infections
Sandra Bergquist-Beringer1, Emily Cramer, Catima Potter
1Author Affiliations: Professor (Dr Bergquist-Beringer) and Research Assistant Professor (Dr Cramer), School of Nursing, University of Kansas Medical Center, Kansas City; Senior Analyst (Ms Potter), National Database of Nursing Quality Indicators, Press Ganey, Overland Park, Kansas; Chief Executive Officer (Dr Stobinski), The Competency and Credentialing Institute, Denver, Colorado; and Wyoming Excellence Chair in Nursing and Professor (Dr Boyle), Fay W. Whitney School of Nursing, University of Wyoming, Laramie.
Nursing specialty certification and Magnet® status were explored for their impact on surgical site infections (SSIs). Magnet® designation was linked to fewer SSIs in colon and hysterectomy procedures.
Area of Science:
- Nursing Quality Indicators
- Patient Safety
- Surgical Site Infections
Background:
- Surgical site infections (SSIs) are preventable complications following colon (COLO) and abdominal hysterectomy (HYST) procedures.
- SSIs are a key metric in the Centers for Medicare & Medicaid Services' Hospital Inpatient Quality Reporting Program.
Purpose of the Study:
- To investigate the relationship between nursing specialty certification and the occurrence of SSIs.
- To analyze the impact of nursing qualifications on patient outcomes in COLO and HYST surgeries.
Main Methods:
- Multivariate logistic regression analysis was employed.
- Data from 69 hospitals, 346 units, and 6585 registered nurses (RNs) were analyzed.
- Included data from the National Database of Nursing Quality Indicators and National Healthcare Safety Network for 22,188 patient procedures.
Main Results:
- Magnet® status was associated with a reduction in SSI occurrence, even after adjusting for other variables.
- Higher American Society of Anesthesiologists (ASA) scores, longer surgical times, and wound class were correlated with increased SSI risk.
Conclusions:
- Further research is recommended to explore the association between nursing specialty certification and patient outcomes.
- Investigating the specific impact of Magnet® status on SSI rates is warranted.
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