Observational studyNursing open2025
The Nursing Organisational Context and the Surgical Site Infections: A Structural Equational Model.
Observational study in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed.
- Resilient nursing in ICU: Aadaptive practices beyond IPC protocols for MDRO management. A qualitative study.PloS one · 2026Article
- The Nursing Organisational Context and the Surgical Site Infections: A Structural Equational Model.Nursing open · 2025Observational
- Designing implementation strategies for improving infection prevention and control in acute healthcare facilities in Malawi: A formative study protocol.Wellcome open research · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess the relationships existing among variables of the organisational context-staffing, stress-related demands, workloads-and the occurrence of Surgical Site Infections (SSIs).
designAn observational study was conducted.
methodsA convenience sample of nurses directly involved in patient care was recruited. Staffing levels, workload and stress were measured using valid and reliable instruments. The prevalence of SSIs was recorded over 30 days using the European Centre for Disease Prevention and Control (ECDC) classification. Data were analysed using structural equation modelling.
resultsThis study enrolled 133 nurses. Higher SSI rates were associated with inadequate nurse staffing during daily shifts, increased workloads, evolving patient care needs and elevated stress levels among nurses due to work demands. DISCUSSION: While the prevention of SSIs requires multidisciplinary collaboration, findings from this study suggest that the nursing organisational context-especially staffing and workload-had a direct impact on nurses' stress levels and an indirect influence on the prevalence of SSIs.
conclusionNurse managers and head nurses should improve nurses' working conditions and promote specific interventions for their organisational well-being to influence SSI prevalence. PATIENT OR PUBLIC CONTRIBUTION: Despite patients and the public not being involved in the study's design and interpretation, the findings suggest new insights for healthcare organisations. Managing staffing levels, workloads and stress levels among nurses could improve patient safety and reduce the rates of SSIs. These outcomes advocate for strategic planning and organisational changes to boost the quality of care in surgical environments.
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