Nurse staffing and hospital‐acquired conditions: A systematic review

Shin, Sujin; Park, Jin Hwa; Bae, Sung Heui

doi:10.1111/jocn.15046

Cited by 28 publications

(24 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous work has shown that healthcare staffing potentially influences the incidence of healthcare-associated infections (14). In the present study, the incidence of HA-COVID-19 correlated positively with healthcare staff absence due to COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Incidence and outcomes of healthcare-associated COVID-19 infections: significance of delayed diagnosis and correlation with staff absence

Khonyongwa

Taori

Soares

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The sudden increase in COVID-19 admissions in hospitals during the SARS-CoV2 pandemic of 2020 has led to onward transmissions among vulnerable inpatients. Aims: This study was performed to evaluate the prevalence and clinical outcomes of Healthcare-associated COVID-19 infections (HA-COVID-19) during the 2020 epidemic and study factors which may promote or correlate with its incidence and transmission in a London Teaching Hospital Trust. Methods: Electronic laboratory, patient and staff self-reported sickness records were interrogated for the period 1st March to 18th April 2020. HA-COVID-19 was defined as symptom onset >14d of admission. Test performance of a single combined throat and nose swab (CTNS) for patient placement and the effect of delayed RNA positivity (DRP, defined as >48h delay) on patient outcomes was evaluated. The incidence of staff self-reported COVID-19 sickness absence, hospital bed occupancy, community incidence and DRP was compared HA-COVID-19. The incidence of other significant hospital-acquired bacterial infections (OHAI) was compared to previous years. Results: 58 HA-COVID-19 (7.1%) cases were identified. As compared to community-acquired cases, significant differences were observed in age (p=0.018), ethnicity (p<0.001) and comorbidity burden (p<0.001) but not in 30d mortality. CTNS negative predictive value was 60.3%. DRP was associated with greater mortality (p=0.034) and 34.5% HA-COVID-19 cases could be traced to delayed diagnosis in CA-COVID-19. Incidence of HA-COVID-19 correlated positively with DRP (R=0.7108) and staff sickness absence (R=0.7815). OHAI rates were similar to previous 2 years. Conclusion: Early diagnosis and isolation of COVID-19 would help reduce transmission. A single CTNS has limited value in segregating patients into positive and negative pathways.

show abstract

Section: Discussionmentioning

confidence: 99%

Incidence and outcomes of healthcare-associated COVID-19 infections: significance of delayed diagnosis and correlation with staff absence

Khonyongwa

Taori

Soares

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous work has shown that healthcare staffing potentially influences the incidence of HAIs ( 14 ). In the present study, the incidence of HA-COVID-19 correlated positively with healthcare staff absence due to COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Incidence and outcomes of healthcare-associated COVID-19 infections: significance of delayed diagnosis and correlation with staff absence

Khonyongwa

Taori

Soares

et al. 2020

Journal of Hospital Infection

View full text Add to dashboard Cite

Background The sudden increase in COVID-19 admissions in hospitals during the SARS-CoV2 pandemic of 2020 led to onward transmissions among vulnerable inpatients. Aims This study was performed to evaluate the prevalence and clinical outcomes of Healthcare-associated COVID-19 infections (HA-COVID-19) during the 2020 epidemic and study factors which may promote or correlate with its incidence and transmission in a Teaching Hospital NHS Trust in London, England. Methods Electronic laboratory, patient and staff self-reported sickness records were interrogated from 1 st March to 18 th April 2020. HA-COVID-19 was defined as COVID-19 with symptom onset >14 days of admission. Test performance of a single combined throat and nose swab (CTNS) for patient placement was calculated. The effect of delayed RNA positivity (DRP, defined as >48h delay), staff self-reported COVID-19 sickness absence, hospital bed occupancy, and community incidence of COVID-19 was compared for HA-COVID-19. The incidence of other significant hospital-acquired bacterial infections (HAB) was compared to previous years. Results 58 HA-COVID-19 (7.1%) cases were identified. When compared to community-acquired admitted cases (CA-COVID-19), significant differences were observed in age (p=0.018), ethnicity (p<0.001) and comorbidity burden (p<0.001) but not in 30 d mortality. CTNS negative predictive value was 60.3%. DRP was associated with greater mortality (p=0.034) and incidence of HA-COVID-19 correlated positively with DRP (R=0.7108) and staff sickness absence (R=0.7815). For the study period HAB rates were similar to previous 2 years. Conclusion Early diagnosis and isolation of COVID-19 patients would help reduce transmission. A single CTNS has limited value in segregating patients into positive and negative pathways.

show abstract

“…The global turnover rate of nurse ranges between 15-44% and differs by country (Duffield et al 2014). The high turnover rate of nurses is a critical healthcare issue globally, as it results in higher nurse-to-patient ratios, leading to negative results such as increased workload and a lower quality of patient care (Buchan et al 2018;Hwang & Bae 2017;Shin et al 2019).…”

Section: Fundingmentioning

confidence: 99%

Depressive symptoms, professional quality of life and turnover intention in Korean nurses

Pang

Dan

Jung

et al. 2020

International Nursing Review

View full text Add to dashboard Cite

Aim The purpose of this study was to identify the effects of depressive symptoms and professional quality of life on turnover intention. Background The high turnover rate of nurses is a critical healthcare issue globally. Introduction Nurses often experience depressive symptoms and compassion fatigue due to the efforts of patient care. The impact of such psychological health issues on turnover intention needs to be confirmed. Methods Participants were 10 163 female nurses who completed an online or mobile survey using the Korea Nurses’ Health Study. To identify the influencing factors on the turnover intention of nurses, descriptive statistics, spearman’s correlation coefficients and multivariable ordinal logistic regression were performed. Results The turnover intention increased by about 2.81–4.60 times when depressive symptom was moderate or more, 1.14 times when secondary traumatic stress disorder was moderate or more, and 1.54 times when burnout was moderate or more. When compassion satisfaction was moderate or high, the turnover intention decreased by 0.72 and 0.52 times. Discussion Korean nurses demonstrated high levels of depressive symptoms, secondary traumatic stress and burnout, while demonstrating lower levels of compassion satisfaction. The results of this study demonstrate that depressive symptoms, secondary traumatic stress, burnout and compassion satisfaction affect turnover intention. Conclusions To reduce nurses’ turnover intention, it is necessary to reduce depressive symptoms and enhance the quality of professional life. Implications for nursing and health policy Hospital managers need to maintain adequate nurse‐to‐patient ratios and provide nurses with a supportive work environment. Also, health policymakers need to identify factors affecting hospital nurses’ turnover intention and provide strategies to address them. These conditions may reduce the excessive workload placed on nurses, thereby preventing depression and burnout and improving nurses’ quality of work–life.

show abstract

Nurse staffing and hospital‐acquired conditions: A systematic review

Cited by 28 publications

References 39 publications

Incidence and outcomes of healthcare-associated COVID-19 infections: significance of delayed diagnosis and correlation with staff absence

Incidence and outcomes of healthcare-associated COVID-19 infections: significance of delayed diagnosis and correlation with staff absence

Incidence and outcomes of healthcare-associated COVID-19 infections: significance of delayed diagnosis and correlation with staff absence

Depressive symptoms, professional quality of life and turnover intention in Korean nurses

Contact Info

Product

Resources

About