Association of nursing overtime, nurse staffing and unit occupancy with medical incidents and outcomes of very preterm infants
| Autor: | Guy Lacroix, Marc Beltempo, Michèle Cabot, Bruno Piedboeuf, Régis Blais |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Occupancy MEDLINE Personnel Staffing and Scheduling Infant Premature Diseases Unit (housing) 03 medical and health sciences 0302 clinical medicine Nursing 030225 pediatrics Intensive Care Units Neonatal Infant Mortality Medicine Humans 030212 general & internal medicine Bed Occupancy Retrospective Studies business.industry Nurse staffing Infant Newborn Quebec Obstetrics and Gynecology Overtime Infant Retrospective cohort study medicine.disease Very preterm Infant Extremely Low Birth Weight Infant Extremely Premature Pediatrics Perinatology and Child Health Emergency medicine Workforce Regression Analysis Female Nursing Staff Medical emergency business |
| Zdroj: | Journal of perinatology : official journal of the California Perinatal Association. 38(2) |
| ISSN: | 1476-5543 |
| Popis: | To examine the association of nursing overtime, nursing provision and unit occupancy rate with medical incident rates in the neonatal intensive care unit (NICU) and the risk of mortality or major morbidity among very preterm infants.Single center retrospective cohort study of infants born within 23 to 29 weeks of gestational age or birth weight1000 g admitted at a 56 bed, level III NICU. Nursing overtime ratios (nursing overtime hours/total nursing hours), nursing provision ratios (nursing hours/recommended nursing hours based on patient dependency categories) and unit occupancy rates were pooled for all shifts during NICU hospitalization of each infant. Log-binomial models assessed their association with the composite outcome (mortality or major morbidity).Of the 257 infants that met the inclusion criteria, 131 (51%) developed the composite outcome. In the adjusted multivariable analyses, high (3.4%) relative to low nursing overtime ratios (⩽3.4%) were not associated with the composite outcome (relative risk (RR): 0.93; 95% confidence interval (CI): 0.86 to 1.02). High nursing provision ratios (1) were associated with a lower risk of the composite outcome relative to low ones (⩽1) (RR: 0.81; 95% CI: 0.74 to 0.90). NICU occupancy rates were not associated with the composite outcome (RR: 0.98; 95% CI: 0.89 to 1.07, high (100%) vs low (⩽100%)). Days with high nursing provision ratios (1) were also associated with lower risk of having medical incidents (RR: 0.91; 95% CI: 0.82 to 0.99).High nursing provision ratio during NICU hospitalization is associated with a lower risk of a composite adverse outcome in very preterm infants. |
| Databáze: | OpenAIRE |
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