{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T01:29:04Z","timestamp":1789522144376,"version":"build-2803163510"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T00:00:00Z","timestamp":1694563200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X23001848_as1\"><jats:title>Objective:<\/jats:title><jats:p>To explore infection preventionists\u2019 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.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23001848_as2\"><jats:title>Design:<\/jats:title><jats:p>Cross-sectional survey, administered April through December 2021.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23001848_as3\"><jats:title>Setting:<\/jats:title><jats:p>Random sample of non-federal acute-care hospitals in the United States.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23001848_as4\"><jats:title>Participants:<\/jats:title><jats:p>Lead infection preventionists.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23001848_as5\"><jats:title>Results:<\/jats:title><jats:p>We 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, \u223c30% responded positively for all 7 psychological safety questions and were deemed to have \u201chigh psychological safety,\u201d and 76% responded positively to the 2 safety climate questions and were deemed to have a \u201chigh safety climate.\u201d Our results indicate an association between strong hospital leadership support and lower burnout (IRR, 0.61; 95% CI, 0.50\u20130.74), higher perceptions of psychological safety (IRR, 3.20; 95% CI, 2.00\u20135.10), and a corresponding 1.2 increase in safety climate on an ascending Likert scale from 1 to 10 (\u03b2, 1.21; 95% CI, 0.93\u20131.49).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23001848_as6\"><jats:title>Conclusions:<\/jats:title><jats:p>Our 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.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2023.184","type":"journal-article","created":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T08:54:00Z","timestamp":1694595240000},"page":"310-315","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":11,"title":["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"],"prefix":"10.1017","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0264-4059","authenticated-orcid":false,"given":"Heather M.","family":"Gilmartin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9579-6990","authenticated-orcid":false,"given":"Sanjay","family":"Saint","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ratz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Chrouser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8274-8407","authenticated-orcid":false,"given":"Karen E.","family":"Fowler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7175-0832","authenticated-orcid":false,"given":"M. Todd","family":"Greene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,9,13]]},"reference":[{"key":"S0899823X23001848_ref28","unstructured":"28. Psychological PPE: promote healthcare workforce mental health and well-being. Institute for Healthcare Improvement. https:\/\/www.ihi.org\/resources\/Pages\/Tools\/psychological-PPE-promote-health-care-workforce-mental-health-and-well-being.aspx. Accessed April 24, 2023."},{"key":"S0899823X23001848_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmqr.2022.100130"},{"key":"S0899823X23001848_ref20","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2018-009111"},{"key":"S0899823X23001848_ref30","unstructured":"30. Gilmartin, H , Saint, S. Finding joy in medicine: a remedy for challenging times. N Engl J Med Catalyst September 1, 2022. NEJM Catalyst website. https:\/\/catalyst.nejm.org\/doi\/full\/10.1056\/CAT.22.0215. 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Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}