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 |
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| container_title | American journal of infection control |
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| 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 |
| format | Article |
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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.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2021.09.009</identifier><identifier>PMID: 34543707</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>American journal of infection control, 2022-02, Vol.50 (2), p.226-228</ispartof><rights>2021 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>Copyright © 2021 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-af817c84ad241feee5768c6045b29fa4979f7ebe6a504768419646fec10d365e3</cites><orcidid>0000-0003-3225-7233 ; 0000-0003-3413-5555 ; 0000-0003-2477-1240</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajic.2021.09.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34543707$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Hirsh</creatorcontrib><creatorcontrib>Srivastava, Meha</creatorcontrib><creatorcontrib>Roberson, Audrey</creatorcontrib><creatorcontrib>Lockhart, Sherry</creatorcontrib><creatorcontrib>McKinney, Wesley</creatorcontrib><creatorcontrib>Beavers, Shirley</creatorcontrib><creatorcontrib>Knowlson, Shelley</creatorcontrib><creatorcontrib>Currie, Linda</creatorcontrib><creatorcontrib>Godbout, Emily</creatorcontrib><creatorcontrib>Stevens, Michael P.</creatorcontrib><creatorcontrib>Bearman, Gonzalo</creatorcontrib><creatorcontrib>Cooper, Kaila</creatorcontrib><creatorcontrib>Doll, Michelle</creatorcontrib><title>Changes in nursing team composition and risk of device-associated infection in intensive care units</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><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.</description><subject>Catheter associated urinary tract infection</subject><subject>Catheter-Related Infections</subject><subject>Central line associated bloodstream infection</subject><subject>Cross Infection - epidemiology</subject><subject>Healthcare associated infections</subject><subject>Humans</subject><subject>Infection prevention</subject><subject>Intensive Care Units</subject><subject>Pneumonia, Ventilator-Associated</subject><subject>Urinary Tract Infections</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2P0zAQhi0EYruFP8AB-cglwU78UUtcUAUs0kpc4Gy5zmSZ0tjFk1Ti3-PQhSOSpTn4mXf0Poy9kqKVQpq3xzYcMbad6GQrXCuEe8I2Une26TtnnrKNkM40Ruv-ht0SHUUleqOfs5teadVbYTcs7r-H9ADEMfG0FML0wGcIE495OmfCGXPiIQ28IP3geeQDXDBCE4hyxDDDUDdHiH84XN8MifACPIYCfEk40wv2bAwngpePc8u-ffzwdX_X3H_59Hn__r6JvbBzE8adtHGnwtApOQKAtmYXjVD60LkxKGfdaOEAJmih6peq7ZSpt6UYai3ot-zNNfdc8s8FaPYTUoTTKSTIC_lOWy2MdaqvaHdFY8lEBUZ_LjiF8stL4Ve5_uhXuX6V64Xzq7ote_2YvxwmGP6t_LVZgXdXAGrLC0LxFBFShAFLVeSHjP_L_w2ZX4ve</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Shah, Hirsh</creator><creator>Srivastava, Meha</creator><creator>Roberson, Audrey</creator><creator>Lockhart, Sherry</creator><creator>McKinney, Wesley</creator><creator>Beavers, Shirley</creator><creator>Knowlson, Shelley</creator><creator>Currie, Linda</creator><creator>Godbout, Emily</creator><creator>Stevens, Michael P.</creator><creator>Bearman, Gonzalo</creator><creator>Cooper, Kaila</creator><creator>Doll, Michelle</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3225-7233</orcidid><orcidid>https://orcid.org/0000-0003-3413-5555</orcidid><orcidid>https://orcid.org/0000-0003-2477-1240</orcidid></search><sort><creationdate>202202</creationdate><title>Changes in nursing team composition and risk of device-associated infection in intensive care units</title><author>Shah, Hirsh ; 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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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34543707</pmid><doi>10.1016/j.ajic.2021.09.009</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0003-3225-7233</orcidid><orcidid>https://orcid.org/0000-0003-3413-5555</orcidid><orcidid>https://orcid.org/0000-0003-2477-1240</orcidid></addata></record> |
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| identifier | ISSN: 0196-6553 |
| ispartof | American journal of infection control, 2022-02, Vol.50 (2), p.226-228 |
| issn | 0196-6553 1527-3296 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| 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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