Evidence map›Paper›PMID 37702064›Full record

ArticleInfection control and hospital epidemiology2024

The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic.

Heather M Gilmartin, Sanjay Saint, David Ratz, Kristin Chrouser, Karen E Fowler, M Todd Greene

Open access · hybridAbstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Revisiting hospital patient safety culture in China: a nationwide network analysis.Archives of public health = Archives belges de sante publique · 2025
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Heather M GilmartinDenver/Seattle Center of Innovation for Veteran-Centered and Value Driven Care, Veterans Health Administration Eastern Colorado Healthcare System, Aurora, Colorado.ORCID 0000-0002-0264-4059
Sanjay SaintVA Ann Arbor Healthcare System, Ann Arbor, Michigan.ORCID 0000-0002-9579-6990
David RatzVA Ann Arbor Healthcare System, Ann Arbor, Michigan.
Kristin ChrouserVA Ann Arbor Healthcare System, Ann Arbor, Michigan.
Karen E FowlerVA Ann Arbor Healthcare System, Ann Arbor, Michigan.ORCID 0000-0001-8274-8407
M Todd GreeneVA Ann Arbor Healthcare System, Ann Arbor, Michigan.ORCID 0000-0002-7175-0832
University of Michigan · USColorado School of Public Health · US

Funding

Building Supportive Learning Environments: Implementation Research in VA Cardiac Cath LabsIK2HX002567 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI GILMARTIN, HEATHER M. · 2020 to 2024
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HSRD VA IK2 HX002567
6 · The paper itself

Abstract

objectiveTo explore infection preventionists' perceptions of hospital leadership support for infection prevention and control programs during the coronavirus disease 2019 (COVID-19) pandemic and relationships with individual perceptions of burnout, psychological safety, and safety climate.

designCross-sectional survey, administered April through December 2021.

settingRandom sample of non-federal acute-care hospitals in the United States.

participantsLead infection preventionists.

resultsWe received responses from 415 of 881 infection preventionists, representing a response rate of 47%. Among respondents, 64% reported very good to excellent hospital leadership support for their infection prevention and control program. However, 49% reported feeling burned out from their work. Also, ∼30% responded positively for all 7 psychological safety questions and were deemed to have "high psychological safety," and 76% responded positively to the 2 safety climate questions and were deemed to have a "high safety climate." Our results indicate an association between strong hospital leadership support and lower burnout (IRR, 0.61; 95% CI, 0.50-0.74), higher perceptions of psychological safety (IRR, 3.20; 95% CI, 2.00-5.10), and a corresponding 1.2 increase in safety climate on an ascending Likert scale from 1 to 10 (β, 1.21; 95% CI, 0.93-1.49).

conclusionsOur national survey provides evidence that hospital leadership support may have helped infection preventionists avoid burnout and increase perceptions of psychological safety and safety climate during the COVID-19 pandemic. These findings aid in identifying factors that promote the well-being of infection preventionists and enhance the quality and safety of patient care.

Indexed as

Burnout, ProfessionalCOVID-19Cross-Sectional StudiesHospitalsHumansLeadershipOrganizational CulturePandemicsPsychological SafetySurveys and QuestionnairesUnited States

Identifiers

PMID37702064
PMCPMC10933498
OpenAlexW4386704881

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.