Assessing Excess Nurse Work Load Generated by Multiresistant Nosocomial Bacteria in Intensive Care

To compare three methods for assessing the excess nurse work load related to recommended procedures for managing nosocomial infections (NI) due to multiresistant bacteria (MRB): two activity scores, the Omega score and the Projet de Recherche en Nursing (PRN) system, and a specific evaluation based...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 2001-05, Vol.22 (5), p.273-278
Main Authors: Saulnier, Fabienne F., Hubert, Hervè, Onimus, Thierry M., Beague, Sébastien, Nseir, Saad, Grandbastien, Bruno, Renault, Catherine Y., Idzik, Myrian, Erb, Martine P., Durocher, Alain V.
Format: Article
Language:English
Subjects:
Antiseptics
Bacteria
Biological and medical sciences
Cross Infection - microbiology
Cross Infection - nursing
Cross Infection - prevention & control
Drug Resistance, Microbial
Epidemiology. Vaccinations
Female
Functional analysis
General aspects
Humans
Infection control
Infection Control - methods
Infections
Infectious diseases
Intensive care
Intensive care units
Intensive Care Units - manpower
Intensive Care Units - statistics & numerical data
Length of Stay - statistics & numerical data
Male
Medical sciences
Medical treatment
Middle Aged
Nurses
Nursing
Original Articles
Retrospective Studies
Statistics, Nonparametric
Understaffing
Workload - statistics & numerical data
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Summary:To compare three methods for assessing the excess nurse work load related to recommended procedures for managing nosocomial infections (NI) due to multiresistant bacteria (MRB): two activity scores, the Omega score and the Projet de Recherche en Nursing (PRN) system, and a specific evaluation based on functional analysis of nursing procedures. 10 beds in a medical intensive care unit (MICU). Patients admitted from November 15, 1995, to June 15, 1996, were included and divided in two groups based on presence of MRB colonization or infection (MRB+ and MRB-groups). Data were collected regarding length of stay (LOS) in days; Omega score for the entire stay; PRN score for the entire stay and per day; and time required to perform correctly four nursing procedures related to MRB NI, as evaluated specifically by the nursing staff, using a detailed functional analysis document that described all elementary nursing tasks in chronological order and all material needed to carry out those tasks. The LOS and total Omega and PRN scores were higher in the MRB+ group than in the MRB- group: LOS, 23 +/- 20.6 versus 12 +/- 15.3 days, (P
ISSN:0899-823X
1559-6834
DOI:10.1086/501899