Impact of the patient-nurse ratio on health outcomes in public hospitals of the Andalusian Health Service. Ecological study

Ayuso-Fernandez, Maria Antonia; Gomez-Rosado, Juan-Carlos; Barrientos‐Trigo, Sergio; Rodríguez-Gómez, Susana; Pórcel‐Gálvez, Ana María

doi:10.1016/j.enfcle.2020.11.003

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…In recent years, there has been an important development in nursing, particularly in the field of critical care, where new professional competencies have had to be acquired to improve the care of these patients [ 6 , 12 , 18 , 24 , 25 ]. The improvement in nurses’ training and professional environments implies better results in complex patients (reduction of nosocomial infections, lower prevalence of pressure ulcers, better follow-up of diseases, lower mortality rate) and a reduction in associated costs [ 26 , 27 , 28 ], which is why it is so important to evaluate nurses’ knowledge in these units and how to improve it, through integration in standardized, and at the same time individualized, care plans [ 25 , 27 ]. These positive results generate an increase in the quality of care, an objective pursued by any hospital center [ 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge Level of ICU Nurses Regarding Nutritional Assessment of Critically Ill Patients: A Systematic Review

Doménech Briz,

Gea-Caballero,

Chover-Sierra

et al. 2024

Nursing Reports

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Background: Nutritional assessment on admission of critical patients is of vital importance to determine critical patients in whom there is a risk of malnutrition. Currently, it has been detected in most of the patients admitted to the Intensive Care Unit (ICU) that 60% of the daily calories are not achieved. Nurses play an essential role in the comprehensive assessment of the patient, including the nutritional area; however, significant deficits have been detected in some knowledge regarding Enteral Nutrition (EN). Objective: We aim to determine the level of knowledge of nurses in the nutritional assessment of critically ill patients. Methodology: A systematic review of the scientific literature was conducted using the PRISMA statement. Between January 2017 and February 2023, articles were rescued from the electronic databases “Pubmed”, “Scopus” and “The Cochrane Library”, which analyzed the level of knowledge of ICU nurses regarding nutritional assessment. Results: Most of the results found showed that nurses had deficient levels of knowledge in relation to nutritional assessment and practices. Interventions related to nutritional assessment were scarce, in contrast to those associated with the management of Nasogastric Tube (NGT) or patient positioning. Conclusions: The level of knowledge described was low or inadequate in relation to the care associated with the nutritional assessment of critically ill patients. The use of scales to assess the risk of malnutrition was not reported. This study was prospectively registered at PROSPERO on 25/10/2023 (insert date) with registration number CRD: 42023426924.

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Section: Introductionmentioning

confidence: 99%

Knowledge Level of ICU Nurses Regarding Nutritional Assessment of Critically Ill Patients: A Systematic Review

Doménech Briz,

Gea-Caballero,

Chover-Sierra

et al. 2024

Nursing Reports

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“…HCAI prevention strategies include hospital hygiene, hand hygiene, personal protective equipment, safe use and disposal of sharps, asepsis, assessment of the need for catheterization, catheter type selection, catheter insertion, catheter maintenance, and education of patients, family members, and healthcare personnel [5][6][7] . In addition, a poor patient-nurse ratio (PNR) has been associated with higher proportions of HCAIs [8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

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

Rosa-Zamboni¹,

Carrasco-González²,

Blas-Barrientos³

et al. 2023

BMHIM

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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;, procedure-related pneumonia (OR 2.08; and varicella (OR 2.33;. 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.

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“…Con este fin, se recomienda la clasificación de los pacientes según el grado de dependencia de los cuidados de enfermería, para poder adecuar la carga de trabajo del personal enfermero y ofrecer una atención personalizada y de calidad a los pacientes 2 . En relación a la carga de trabajo, la evidencia sostiene que cuando la ratio enfermero-paciente es elevada, los resultados de salud en los pacientes son peores, aumenta la incidencia de eventos adversos, infecciones intrahospitalarias, lesiones por presión e incluso la mortalidad en pacientes hospitalizados 3 . Por el contrario, con una relación enfermero-paciente adecuada, los cuidados de enfermería redundan en una atención oportu-na, pudiendo anticiparse y detectar los problemas de los pacientes e intervenir con rapidez.…”

Section: Introductionunclassified

Medición del nivel de dependencia de los pacientes pediátricos en un hospital de alta complejidad del Gran Buenos Aires

Brunelli¹

2022

RFEM

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Introducción. La categorización de los pacientes según el grado de dependencia de cuidados permite adecuar la carga de trabajo del personal enfermero y ofrecer una atención personalizada y de calidad. El paciente pediátrico tiene características propias a considerar para lograr una categorización adecuada. El estudio midió el nivel de dependencia de cuidados de enfermería en pacientes de una internación general pediátrica de un hospital de alta complejidad. Material y método. Estudio de tipo cuantitativo, descriptivo y transversal. Se recogieron datos de 196 pacientes internados. Se excluyeron a aquellos no presentes en su cama en el momento de la recolección de datos por diversas causas. Se utilizó el Instrumento de Clasificación del Paciente Pediátrico (ICPP). Se realizó un análisis descriptivo de las variables. Resultados. El 87% de los pacientes fue categorizado en un nivel de dependencia intermedio. Un 13% clasificó como alta dependencia. El indicador con mayor dependencia de cuidados de enfermería fue la administración de medicación/soluciones/hemoderivados (81%). Conclusiones. El nivel de dependencia de cuidados de enfermería de la internación general pediátrica que predominó fue de tipo intermedio (nivel 2).Palabras clave: cuidado del niño, clasificación, atención de enfermería, servicio de enfermería en hospital, enfermería pediátrica.

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Impact of the patient-nurse ratio on health outcomes in public hospitals of the Andalusian Health Service. Ecological study

Cited by 5 publications

References 13 publications

Knowledge Level of ICU Nurses Regarding Nutritional Assessment of Critically Ill Patients: A Systematic Review

Knowledge Level of ICU Nurses Regarding Nutritional Assessment of Critically Ill Patients: A Systematic Review

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

Medición del nivel de dependencia de los pacientes pediátricos en un hospital de alta complejidad del Gran Buenos Aires

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