全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Study on the Relationship between Nursing Staffing and Nosocomial Infection in Very Low Birth Weight Infants

DOI: 10.4236/jbm.2020.811016, PP. 179-186

Keywords: Neonatal Intensive Care Unit, Nursing Staff, Urinary Tract Infection, Very Low Birth Weight Infants

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: At present, there is no domestic research on the relationship between nurse staffing and hospital infection in very low birth weight infants. In this paper, we will explore the relationship between nurses of very low birth weight (VLBW) infants in neonatal intensive care unit (NICU) and nosocomial infections. Methods: The clinical data of 280 very low birth weight infants born in our hospital from January 2010 to January 2020 were collected, and the chi-square test and multiple logistic regression analysis were used to study the nursing staff of each very low birth weight infant who was admitted to the NICU The relationship between the number of infections and hospital infections. Results: On average, each nurse needs to care for 4.3 very low birth weight infants (lowest to highest: 2.50 - 8.42). In the univariate analysis, the higher the incidence of urinary tract infection (P < 0.05), the multivariate logistic regression analysis of neonatal nosocomial infection showed that nurse staffing was significantly related to the incidence of urinary tract infection (OR = 1.78; 95% confidence interval, 1.17 - 2.35, P < 0.05). However, there was no significant correlation between nurse staffing and bloodstream infection (OR = 0.91; 95% confidence interval, 0.74 - 1.06, P > 0.05) or Ventilator associated pneumonia (VAP) infection (OR = 1.17; 95% confidence interval, 0.94 - 1.47, P > 0.05). Conclusion: Our research shows that in the neonatal intensive care unit, the reasonable deployment of nursing staff is an important factor in preventing urinary tract infections in very low birth weight infants. It is important for improving the survival rate of very low birth weight infants and reducing the occurrence of sequelae.

References

[1]  Profit, J., Petersen, L.A., McCormick, M.C., et al. (2010) Patient-to-Nurse Ratios and Outcomes of Moderately Preterm Infants. Pediatrics, 125, 320-326.
https://doi.org/10.1542/peds.2008-3140
[2]  Li, J.H. and Mu, D.Z. (2020) Discussion on Hot Issues in Clinical Management of Preterm Infants. Chinese Journal of Maternal and Child Clinical Medicine (Electronic Edition), 16, 1-7.
[3]  Kaplan, H.C., Lorch, S.A., Pinto-Martin, J., Putt, M. and Silber, J.H. (2011) Assessment of Surfactant Use in Preterm Infants as a Marker of Neonatal Intensive Care Unit Quality. BMC Health Services Research, 11, Article No.: 22.
https://doi.org/10.1186/1472-6963-11-22
[4]  Cheng, J., Yu, Z.B., Qiu, Y.F., et al. (2020) The Effect of Admission Body Temperature on the Clinical Outcome of Very/Ultra-Low Birth Weight Infants. Journal of Nanjing Medical University, No. 4, 600-603.
[5]  Brennan, P.F. and Bakken, S. (2015) Nursing Needs Big Data and Big Data Needs Nursing. Journal of Nursing Scholarship, 47, 477-484.
https://doi.org/10.1111/jnu.12159
[6]  McConnell, E.A., Birkett, M. and Shattell, M. (2015) The Future of Big Data: Innovative Methodological Approaches. Issues in Mental Health Nursing, 36, 478-480.
https://doi.org/10.3109/01612840.2015.1017626
[7]  Spetz, J., Donaldson, N., Aydin, C. and Brown, D.S. (2008) How Many Nurses per Patient? Measurements of Nurse Staffing in Health Services Research. Health Services Research, 43, 1674-1692.
https://doi.org/10.1111/j.1475-6773.2008.00850.x
[8]  Cimiotti, J.P., Haas, J., Saiman, L. and Larson, E.L. (2006) Impact of Staffing on Bloodstream Infections in the Neonatal Intensive Care Unit. Archives of Pediatrics and Adolescent Medicine, 160, 832-836.
https://doi.org/10.1001/archpedi.160.8.832
[9]  Rogowski, J.A., Staiger, D., Patrick, T., Horbar, J., Kenny, M. and Lake, E.T. (2013) Nurse Staffing and NICU Infection Rates. JAMA Pediatrics, 167, 444-450.
https://doi.org/10.1001/jamapediatrics.2013.18
[10]  Salem, M.R. and Youssef, M.R.L. (2017) Health Care Providers’ Perspectives for Providing Quality Infection Control Measures at the Neonatal Intensive Care Unit, Cairo University Hospital. American Journal of Infection Control, 45, 99-102.
https://doi.org/10.1016/j.ajic.2017.03.013
[11]  Yu, S. and Kim, T.G. (2015) Evaluation of Nurse Staffing Levels and Outcomes under the Government-Recommended Staffing Levels in Korea. Journal of Nursing Management, 23, 479-486.
https://doi.org/10.1111/jonm.12155
[12]  Cho, S.-H. (2003) Using Multilevel Analysis in Patient and Organizational Outcomes Research. Nursing Research, 52, 61-65.
https://doi.org/10.1097/00006199-200301000-00010
[13]  Feng, Z.S., Wu, F., Jia, C.H., et al. (2020) Clinical Treatment of Ultra-Immature Infants. Electronic Journal of Developmental Medicine, No. 1, 60-66.
[14]  Crealey, M.R., Bowden, L., Ludusan, E., Pathan, M., Kenny, B., Hannigan, A., et al. (2019) Utilization of Conventional Radiography in a Regional Neonatal Intensive Care Unit in Ireland. The Journal of Maternal-Fetal & Neonatal Medicine, 32, 2667-2673.
https://doi.org/10.1080/14767058.2018.1445713
[15]  Teiserskas, J., Bartasiene, R. and Tameliene, R. (2019) Associations between Red Blood Cell Transfusions and Necrotizing Enterocolitis in Very Low Birth Weight Infants: Ten-Year Data of a Tertiary Neonatal Unit. Medicina, 55, 16.
https://doi.org/10.3390/medicina55010016
[16]  Hu, X.Y., Chang, Y.M. and Li, Z.L. (2020) Clinical Features and Risk Factors of Feeding Intolerance in Preterm Infants. Chinese Journal of Perinatal Medicine, 23, 182-187.
[17]  Kim, C.-G. and Bae, K.-S. (2018) Relationship between Nurse Staffing Level and Adult Nursing-Sensitive Outcomes in Tertiary Hospitals of Korea: Retrospective Observational Study. International Journal of Nursing Studies, 80, 155-164.
https://doi.org/10.1016/j.ijnurstu.2018.01.001
[18]  Yee, A.L., Miller, E., Dishaw, L.J., Gordon, J.M., et al. (2019) Longitudinal Microbiome Composition and Stability Correlate with Increased Weight and Length of Very-Low-Birth-Weight Infants. mSystems, 4, 11-15.
https://doi.org/10.1128/mSystems.00229-18
[19]  Foglia, E.E. and Lorch, S.A. (2012) Clinical Predictors of Urinary Tract Infection in the Neonatal Intensive Care Unit. Journal of Neonatal-Perinatal Medicine, 5, 327-333.
https://doi.org/10.3233/NPM-1262812
[20]  Levy, I., Comarsca, J., Davidovits, M., Klinger, G., Sirota, L. and Linder, N. (2009) Urinary Tract Infection in Preterm Infants: The Protective Role of Breastfeeding. Pediatric Nephrology, 24, 527-531.
https://doi.org/10.1007/s00467-008-1007-7
[21]  Ruangkit, C., Satpute, A., Vogt, B.A., Hoyen, C. and Viswanathan, S. (2016) Incidence and Risk Factors of Urinary Tract Infection in Very Low-Birth-Weight Infants. Journal of Neonatal-Perinatal Medicine, 9, 83-90.
https://doi.org/10.3233/NPM-16915055
[22]  Leistner, R., Thurnagel, S., Schwab, F., Piening, B., Gastmeier, P. and Geffers, C. (2013) The Impact of Staffing on Central Venous Catheter-Associated Bloodstream Infections in Preterm Neonates Results of Nation-Wide Cohort Study in Germany. Antimicrobial Resistance and Infection Control, 2, Article No.: 11.
https://doi.org/10.1186/2047-2994-2-11
[23]  Sovie, M.D. and Jawad, A.F. (2001) Hospital Restructuring and Its Impact on Outcomes: Nursing Staff Regulations Are Premature. The Journal of Nursing Administration, 31, 588-600.
https://doi.org/10.1097/00005110-200112000-00010
[24]  Lu, J., Tan, S.R., Wei, H.F. and Li, Y. (2018) To Explore the Related Factors and Countermeasures of Nosocomial Infection in Patients in Intensive Care Unit. Heilongjiang Medicine, 42, 262-263.
[25]  Beltempo, M., Blais, R., Lacroix, G., Cabot, M. and Piedboeuf, B. (2017) Association of Nursing Overtime, Nurse Staffing, and Unit Occupancy with Health Care-Associated Infections in the NICU. American Journal of Perinatology, 34, 996-1002.
https://doi.org/10.1055/s-0037-1601459

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133