دورية أكاديمية

Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study

التفاصيل البيبلوغرافية
العنوان: Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study
المؤلفون: Daniela de la Rosa-Zamboni, Miroslava I. Carrasco-González, Norma de Blas-Barrientos, María L. Flores-Constatino, Erika Flores-Zamora, Martha Camacho-Pérez, Itzel G. Neri-Saldaña, Ana C. Guerrero-Díaz
المصدر: Boletín Médico del Hospital Infantil de México, Vol 80, Iss 1 (2023)
بيانات النشر: Permanyer, 2023.
سنة النشر: 2023
المجموعة: LCC:Pediatrics
LCC:Public aspects of medicine
مصطلحات موضوعية: Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing., Pediatrics, RJ1-570, Public aspects of medicine, RA1-1270
الوصف: Background: Healthcare-associated infections (HCAIs) are a hospital problem with a prevalence of approximately 5% in Mexico. HCAIs have been related to the patient-nurse ratio (PNR). This study aimed to analyze the association between PNR and HCAI in a tertiary-level pediatric hospital. Methods: We conducted a descriptive and prospective study at a tertiary-level pediatric hospital in Mexico. Nursing attendance and HCAIs records were documented from July 2017 to December 2018. PNR was calculated using nurse staffing records and patient census. Results: We obtained 63,114 staff attendance data from five hospital departments for the morning, evening, and night shifts. PNR > 2:1 was associated with a 54% (95% confidence interval (CI) 42-167%; p < 0.001) increased risk (odds ratio (OR)) for HCAIs, adjusted by shift staff, special conditions, and surveillance periods. The HCAIs more associated with PNR were urinary tract infections (OR 1.83; 95%CI 1.34-2.46), procedure-related pneumonia (OR 2.08; 95%CI 1.41-3.07), and varicella (OR 2.33; 95%CI 1.08-5.03). Conclusions: A high number of patients per nurse increased the probability of various types of HCAI. PNR needs to be established the HCAI guidelines and policies, as regulating the number of patients per nurse can prevent HCAIs and their complications.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
Spanish; Castilian
تدمد: 0539-6115
Relation: https://www.bmhim.com/frame_esp.php?id=346; https://doaj.org/toc/0539-6115
DOI: 10.24875/BMHIM.22000117
URL الوصول: https://doaj.org/article/e86ba6a32afd4675a2833062904d47da
رقم الأكسشن: edsdoj.86ba6a32afd4675a2833062904d47da
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:05396115
DOI:10.24875/BMHIM.22000117