But that wasn't the strongest link to infection rates when patients' co-morbidities and hospital characteristics were risk adjusted. Levels of burnout, however, were.
Cimiotti was asked if the survey were administered today, in an era where infection prevention bundles, checklists, hand washing compliance and environmental services are much higher on the hospital pecking order, whether the results would be different.
She replied "I don't think so, especially when it comes to catheter-associated urinary tract infections.
When caregivers get burned out, "they emotionally and cognitively detach. They're going through the motions but they're not really there. Maybe during a busy schedule she looks at a patient and says "cleaning out that urinary catheter is not a priority today. I have other things to worry about, and other patients."
"I hypothesize that in hospitals that still have a high proportion of nurses with job-related burnout, their infection rates would be higher than in hospitals where nurses do not report high levels of burnout. Although rates might be different, we'll see the same type of things."