Changes in nursing team composition and risk of device-associated infection in intensive care units

•Nursing team variables beyond nurse:patient ratios may affect team ability to focus on infection prevention in critically ill patients.•Nursing shift staffing records were used to investigate if periods of relative staffing vulnerabilty were associated with periods of risk occuring a few days befor...

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Veröffentlicht in:American journal of infection control 2022-02, Vol.50 (2), p.226-228
Hauptverfasser: Shah, Hirsh, Srivastava, Meha, Roberson, Audrey, Lockhart, Sherry, McKinney, Wesley, Beavers, Shirley, Knowlson, Shelley, Currie, Linda, Godbout, Emily, Stevens, Michael P., Bearman, Gonzalo, Cooper, Kaila, Doll, Michelle
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container_end_page 228
container_issue 2
container_start_page 226
container_title American journal of infection control
container_volume 50
creator Shah, Hirsh
Srivastava, Meha
Roberson, Audrey
Lockhart, Sherry
McKinney, Wesley
Beavers, Shirley
Knowlson, Shelley
Currie, Linda
Godbout, Emily
Stevens, Michael P.
Bearman, Gonzalo
Cooper, Kaila
Doll, Michelle
description •Nursing team variables beyond nurse:patient ratios may affect team ability to focus on infection prevention in critically ill patients.•Nursing shift staffing records were used to investigate if periods of relative staffing vulnerabilty were associated with periods of risk occuring a few days before a device associated infection.•Changes in team composition may be associated with acquisition of device associated infection in vulnerable patients. The relationship between nursing staffing levels and healthcare-associated infections (HAIs) has been explored previously with conflicting results. This study uses daily shift records from 2 intensive care units (ICUs) to evaluate whether nuanced changes in nursing team composition impacts subsequent risk for device associated HAIs. Staffing deficiencies may be associated with periods of risk prior to central line-associated bloodstream infection in the ICU.
doi_str_mv 10.1016/j.ajic.2021.09.009
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subjects Catheter associated urinary tract infection
Catheter-Related Infections
Central line associated bloodstream infection
Cross Infection - epidemiology
Healthcare associated infections
Humans
Infection prevention
Intensive Care Units
Pneumonia, Ventilator-Associated
Urinary Tract Infections
title Changes in nursing team composition and risk of device-associated infection in intensive care units
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