• Christine Boev and Yinglin Xia.
• Christine Boev is an assistant professor of nursing, St John Fisher College, Rochester, New York.Yinglin Xia is a research assistant professor, Department of Biostatistics and Computational Biology, University of Rochester, Rochester, New York. cboev@sjfc.edu.
• Crit Care Nurse. 2015 Apr 1; 35 (2): 66-72.

BackgroundNurse-physician collaboration may be related to outcomes in health care-associated infections. OBJECTIVE To examine the relationship between nurse-physician collaboration and health care-associated infections in critically ill adults.MethodsA secondary analysis was done of 5 years of nurses' perception data from 671 surveys from 4 intensive care units. Ventilator-associated pneumonia and central catheter-associated bloodstream infections were examined. Multilevel modeling was used to examine relationships between nurse-physician collaboration and the 2 infections.ResultsNurse-physician collaboration was significantly related to both infections. For every 0.5 unit increase in collaboration, the rate of the bloodstream infections decreased by 2.98 (P= .005) and that of pneumonia by 1.13 (P= .005). Intensive care units with a higher proportion of certified nurses were associated with a 0.43 lower incidence of bloodstream infections (P= .02) and a 0.17 lower rate of the pneumonia (P= .01). With nursing hours per patient day as a covariate, units with more nursing hours per patient day were associated with a 0.42 decrease in the rate of bloodstream infections (P= .05).ConclusionNurse-physician collaboration was significantly related to health care-associated infections.©2015 American Association of Critical-Care Nurses.

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