The Effect of Nurse Staffing on Intensive Care Unit-acquired Infections and Mortality in a Medical Center: A Case-crossover Study
Date Issued
2009
Date
2009
Author(s)
Chen, Yu-Kuei
Abstract
Objective: To determinate whether low nurse staffing increase intensive care unit-required infections in medical intensive care units.esign: Observational, single center, retrospective study, case-control design to analyze. etting: Medical intensive care unit in a Taiwan university hospital, all patients with ICU-required infections stayed more than 7 days over a 2-yr period.easure and Result: Study variables include daily nurse-to-patient ratio, demographic characteristics, admission diagnosis, comorbidities, daily individual exposure to invasive devices. Of 319 patients, 430 ICU-required infections events. We dichotomized the exposure using mean of 24-hr nurse-to-patient ratio was 1.335 as cutoff. The study showed the lower staffing level was associated with decreased ICU-required infections (OR: 0.687, 0.472-0.999, p=0.049) and decreased mortality in patients who had cancer, total parenteral nutrition or bloodstream infection(p<.05).onclusion: Nurse staffing is main determinant of patient outcomes in ICU. We need further investigation of the impact of nurse staffing in ICU
Subjects
ntensive Care Unit-acquired Infections
nurse staffing
mortality
nosocomial infections
SDGs
Type
thesis
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