Nurse-to-Nurse Familiarity and Mortality in the Critically Ill: A Multicenter Observational Study

Nurse-to-nurse familiarity at work should strengthen the components of teamwork and enhance its efficiency. However, its impact on patient outcomes in critical care remains poorly investigated. To explore the role of nurse-to-nurse familiarity on inpatient deaths during ICU stay. This was a retrospe...

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Published in:American journal of respiratory and critical care medicine 2023-04, Vol.207 (8), p.1022-1029
Main Authors: Duclos, Antoine, Payet, Cécile, Baboi, Loredana, Allaouchiche, Bernard, Argaud, Laurent, Aubrun, Frédéric, Bohé, Julien, Dailler, Frédéric, Fellahi, Jean-Luc, Lehot, Jean-Jacques, Piriou, Vincent, Rimmelé, Thomas, Terragrossa, Delphine, Polazzi, Stéphanie, Guérin, Claude
Format: Article
Language:English
Subjects:
Adult
Continuity of care
Critical care
Critical Illness
Food and Nutrition
Hospital Mortality
Humans
Intensive care
Intensive Care Units
Life Sciences
Mortality
Nurses
Nursing care
Observational studies
Patient safety
Personnel Staffing and Scheduling
Teamwork
Workload
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Summary:Nurse-to-nurse familiarity at work should strengthen the components of teamwork and enhance its efficiency. However, its impact on patient outcomes in critical care remains poorly investigated. To explore the role of nurse-to-nurse familiarity on inpatient deaths during ICU stay. This was a retrospective observational study in eight adult academic ICUs between January 1, 2011 and December 31, 2016. Nurse-to-nurse familiarity was measured across day and night 12-hour daily shifts as the mean number of previous collaborations between each nursing team member during previous shifts within the given ICU (suboptimal if 2.5 and >4, respectively) were associated with increased risk of shift with mortality (relative risk, 1.84; 95% confidence interval, 1.15-2.96;  
ISSN:1073-449X
1535-4970
DOI:10.1164/rccm.202204-0696OC