Volume 10, Number 11—November 2004
ICEID & ICWID 2004
International Conference on Women and Infectious Diseases (ICWID)
Nurses’ Working Conditions: Implications for Infectious Disease
|Anderson et al. (17)||36-bed neonatal ICU; 8 cases||During MRSA outbreak, 42% staff untrained, up to 62% from outside facility|
|Archibald et al. (28)||1 pediatric ICU; 43 patients||Decrease 2 infections/1,000 patient days for each unit increase in RN h: patient-day ratiob|
|Fridkin et al. (25)||230-bed VA center; 170 patients||Patient-nurse ratio increased during BSI outbreakc|
|Harbarth et al. (22)||15-bed neonatal ICU; 8 cases||Enterobacter cloacae outbreak terminated after decrease workload|
|Vicca (23)||1 adult unit; 50 cases||MRSAb cases associated with increase workload, decrease RN-patient ratio|
|Alonso-Echanove et al. (16)||8 ICUs; 4,535 patients||Float RNs >60% central venous catheter days increased risk for BSId|
|Haley et al. (26)||85-bed neonatal ICU; 76 infants||MRSA infections increased within 1 month of worsening workloadc|
|Robert et al. (21)||20-bed surgical ICU; 28 cases||BSI associated with lower regular nurse-patient and higher pooled staff-patient ratiosb|
|Amaravadi et al. (19)||32 hospitals; 353 patients||Night nurse-patient ratio <1:2 associated with pneumoniac and BSIc|
|Arnow et al. (27)||1 burn unit; 147 patients||New cases MRSAb paralleled number of overtime h and number of shifts by outside staff|
|Knauf et al. (30)||502 hospitals||Pneumonia,c postoperative infection,c UTIc associated with low RN h and skill mix|
|Kovner et al. (15)||530–570 hospitals; 10 states||Increase nurse h per adjusted patient day associated with decreased pneumoniac|
|Kovner & Gergen (24)||589 hospitals; 1,993 patients||Increase RN FTEs associated with decreased UTIb and pneumoniab|
|Lichtig et al. (20)||1,575 hospitals||Pneumonia,b postoperative infection,b UTIb associated with low RN skill mix|
|Needleman et al. (29)||799 hospitals; 6,180,628 patients||Higher proportion RN h, higher RN h per day resulted in decreased UTIb|
|Stegenga et al. (18)||44-bed pediatric unit; 2,929 admissions||<10.5 nurse h per patient day resulted in increased gastrointestinal infectionsc|
aHAI, healthcare-associated infections; RN, registered nurse; MRSA, methicillin-resistant Staphylococcus aureus; BSI, bloodstream infection; UTI, urinary tract infection; VA, Veterans Administration; ICU, intensive care unit; FTE, full-time equivalent.
bSignificant at <0.005.
cSignificant at <0.05.
dSignificant at 0.01.