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Association of Nurse Staffing With Nosocomial Infections of Very Low-Birth-Weight Infants

Authors
 Young Joo Lee  ;  Taewha Lee  ;  Eunhee Cho  ;  Sohee Park  ;  Choon Seon Park 
Citation
 JOURNAL OF PERINATAL & NEONATAL NURSING, Vol.34(2) : E12-E18, 2020-04 
Journal Title
 JOURNAL OF PERINATAL & NEONATAL NURSING 
ISSN
 0893-2190 
Issue Date
2020-04
Abstract
Prior studies have reported inconsistent findings regarding the relationship between nurse staffing and nosocomial infections in very low-birth-weight (VLBW) infants. Little is known about whether similar associations occur in Korea. The purpose of this study was to identify the nurse staffing of neonatal intensive care units (NICUs) in Korea and to verify the association between nurse staffing and nosocomial infections among VLBW infants in NICUs. We selected 4654 VLBW infants admitted to 52 hospitals. Nosocomial infections were defined as incidence of bloodstream infection, urinary tract infection (UTI), or rotavirus infection. The average number of NICU patients per nurse was 4.51(minimum-maximum: 2.38-8.16). Hospitals with a higher number of patients per nurse exhibited a significant increased UTI rate (P = .005) and rotavirus infection rate (P = .025) in the univariate analysis. After adjusting for all patient and hospital characteristics, UTI significantly increased with increasing number of patients per nurse (odds ratio [OR] = 1.79; 95% confidence interval, 1.29-2.47), while bloodstream infection (OR = 0.93; 95% confidence interval, 0.79-1.09) and rotavirus infection (OR = 1.14; 95% confidence interval, 0.92-1.41) were not significant. These findings revealed that a nurse staffing in NICUs is an important factor for preventing UTI among VLBW infants.
Full Text
https://journals.lww.com/jpnnjournal/Fulltext/2020/04000/Association_of_Nurse_Staffing_With_Nosocomial.19.aspx
DOI
10.1097/JPN.0000000000000475
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Park, So Hee(박소희) ORCID logo https://orcid.org/0000-0001-8513-5163
Lee, Tae Wha(이태화) ORCID logo https://orcid.org/0000-0003-2568-3074
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179160
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