The Correlation between Nurse Staffing and Nosocomial Infection Outcome in Central Thailand Hospitals

Authors

  • Rachanee Sujijantararat
  • Khantarut Chansiri
  • Rungrat Sukadaecha
  • Pensri Sumdangrith
  • Cheewarat Wipak

Keywords:

Nurse staffing, Patient safety outcome, Nosocomial infection

Abstract

The objectives of this retrospective descriptive correlational research were to study the relationship between nurse staffing and Catheter associated Urinary Tract Infections (CAUTI), Ventilator associated Pneumonia (VAP), Central Line associated Bloodstream Infection (CLABSI). Sample was in-patient ward in tertiary care hospitals in Central Thailand under Department of Disease Control, Region 5. They consisted of 100 wards. The research instruments consisted of the nurse staffing record and nosocomial infection rate of each ward collected from the hospital database and related sector, calculated into yearly average rate. Data then were analyzed using Spearman rank correlation statistic.
The results were disclosed as the followings.
1) The average Nursing Hour Per Patient Day (NHPPD) was 7.15 (S.D.= 5.31), the average Expected Nursing Hour Per Patient Day (Expected NHPPD) was 7.40 (S.D.= 2.37), and the average Shortage of Nursing Hour Per Patient Day (Short NHPPD) was 1.94 (S.D.= 3.60).
2) There was a significant positive correlation between Short NHPPD and CAUTI, VAP and CLABSI (r = .427, .287, .276, p < .01 consecutively).
3) Percentage of RN (Percent RN) had a positive correlation with CAUTI, VAP at p < .01 (r = .360, .384, p < .01 consecutively) and CLABSI at p < .05 (r = .249, p < .05).
4) On the other hand, Percentage of Non-Registered Nurse (Percent Non-RN) had a negative correlation with CAUTI, VAP and CLABSI at p < .01 (r = .388, .358, .325, p < .01 consecutively).

References

American Nurses Association (ANA). (1996). Nursing quality indicators: Definitions and implications: Patient safety nursing quality. Washington DC: Author.

American Nurses Association (ANA). (1999). Nursing-sensitive quality indicators for acute care setting and ANA’s Safety & Quality Initiative. Retrieved June 24, from http://www.nursing world.org/readroom /fssafety.html

Behnke, M., Aghdassi, S. J., Hansen, S., Diaz, L. A., Gastmeier, P., & Piening, B. (2017). The Prevalence of Nosocomial Infection and Antibiotic Use in German Hospitals. Deutsches Ärzteblatt International, 114, 851–857.

Bumrungsak , R., Watagulsin, P., Kasemsaisuwan, A., Tantilipikara, P., Samanmit, Y., & Sawanpanyalert, N. (2018). Surveillance for Healthcare-Associated Bloodstream Infections. Journal of the Department of Medical Services, 43(1), 125-130.

Cimiotti, J. P., Aiken, L. H., Sloan, D. M., & Wu, E. S. (2012). Nurse staffing, burnout, and health care-associated infection. American Journal of Infection Control, 40, 489-490.

Cho, E., Sloane, D. M., Kim, E., Kim, S., Choi, M., Yoo, Y., … Aiken, L. (2015). Effects of nurse staffing, work environments, and education on patient mortality: An observational study. International Journal of Nursing Studies, 52(2), 535–542.

Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159.

Donabedian, A. (1988). The quality of care: How can it be assessed? Journal of American Medical Association, 60, 1743-1748.

Donabedian, A. (1992). The role of outcomes in quality assessment and assurance. Quality Review Bulletin: Journal of Quality Improvement. 18, 356-360.

Indrawattana, N., & Vanaporn, M. (2015). Nosocomial infection. Journal of Medicine and Health Sciences, 22(1), 81-92.

Jansson, M. M., Syrjala, H. P., & Ala-Kokko, T. I. (2019). Association of nurse staffing and nursing workload with ventilator-associated pneumonia and mortality: a prospective, single-center cohort study. Journal of Hospital Infection, 101(3), 257–263.

Khan, H. A., Baig, F. K., & Mehboob, R. (2017). Nosocomial infections: Epidemiology, prevention, control and surveillance. Asian Pacific Journal of Tropical Biomedicine, 7(5), 478-482.

Khunthar, A. (2014). The impacts and solutions to nursing workforce shortage in Thailand. Journal of Nursing Science, 32(1), 81-90.

Lasater, K. B., Sloane, D. M., McHugh,M. D., Cimiotti, J. P., Riman, K. A., Martin, B., … Aiken, L. H. (2021). Evaluation of hospital nurse-to-patient staffing ratios and sepsis bundles on patient outcomes. American Journal of Infection Control, 49, 868-873.

Morioka, N., Okubo, S., Moriwaki, M., & Hayashida, K. (2022). Evidence of the association between nurse staffing levels and patient and nurse’s outcomes in acute care hospitals across Japan: A scoping review. Healthcare, 10, 1052.

Musy, S. N., Endrich, O., Leichtle, A. B., Griffiths, P., Nakas, C. T., & Simon, M. (2021). The association between nurse staffing and inpatient mortality: A shift-level retrospective longitudinal study. International Journal of Nursing Studies, 120, 1-9.

Park, J. I., Bliss, D. Z., Chih-Lin Chi, Delaney, C. W., & Westra, B. L. (2018). Factors Associated with Healthcare-Acquired Catheter-Associated Urinary Tract Infections: Analysis Using Multiple Data Sources and Data Mining Techniques. Journal of Wound, Ostomy & Continence Nursing, 45(2), 168–173.

Ramirez, M. S. (2018). Urinary Tract Infection: Cost Study. HOSPITAL TOPICS, 96(2), 42-46.

Sawaengdee, K., Jaichuen, W., & Daecha, N. (2019). Manpower Reform Plan and Health Mission of the Ministry of Public Health. Nonthaburi: Suetawan. (in Thai)

Sujijantararat, R. (2019). Nurse staffing and scheduling. In Sukadecha, R. & Sujijantararat, R. (Eds.). Nursing Administration. Nakorn-ratchasima: Somboon Publishing. (in Thai)

Sujijantararat, R., Booth, Z. R., & Davis, L. (2005). Nosocomial urinary tract infection: Nursing sensitive quality indicator in a Thai hospital. Journal of Nursing Care Quality, 20(2), 134-139.

Sujijantararat, R., Thepna, A., & Hankunasets, W. (2018). Nurse Staffing and Nosocomial Infection Outcome. Journal of Nursing, Siam University, 19(37), 6-21.

Suwannobol, N., Tapin, J., & Aanansawat, S. (2018). A Study of the Infection Situation, Preventive Actions and Infection Control in Hospitals, Northeastern Region. The Journal of Baromarajonani College of Nusing, Nakhonratchasima, 24(2), 78-95.

The Office of Disease Prevention and Control Region 5 Ratchaburi. (2022). Hospital Level A, S and M1. Department of Disease Control, Ministry of Public Health. (in Thai)

Thonggleeb, B. (2016). An analysis of nurse staffing according to nursing activities and time spent on patient care. Thai Journal of Nursing, 61(3), 52–59.

Van, T., Annis, A. M., Yosef, M., Robinson, C. H., Duffy, S. A., Li, Y. & Sales, A. (2020). Nurse staffing and healthcare-associated infections in a national healthcare system that implemented a nurse staffing directive: Multi-level interrupted time series analyses. International Journal of Nursing Studies, 104, N.PAG.

White, A. (2022). Unlicensed Assistive Personnel (UAPs) and Medication Administration. Nursing CE Central, Retrieved from https://nursingcecentral.com/unlicensed-assistive-personnel-uaps-and-medication-administration/

Additional Files

Published

2023-05-15

How to Cite

Sujijantararat, R., Chansiri, K., Sukadaecha, R., Sumdangrith, P., & Wipak, C. (2023). The Correlation between Nurse Staffing and Nosocomial Infection Outcome in Central Thailand Hospitals. Princess of Naradhiwas University Journal, 15(2), 118–135. Retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/257352

Issue

Section

Research Articles