Occurrence of hospital-acquired infections in relation to missed nursing care: a literature review (original) (raw)
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PREVENTIVE NURSE ACTIONS AND RISK FACTORS ASSOCIATED WITH HEALTH CARE RELATED INFECTIONS: A NARRATIVE REVIEW (Atena Editora), 2024
In Brazil, it is estimated that 3% to 15% of hospitalized patients develop some kind of Healthcare-Associated Infection (HAI). The vast majority of HAIs are caused by an imbalance in the relationship between the normal human microbiota and the host's defense mechanisms and can affect both patients and healthcare professionals. Therefore, in this narrative review we sought to identify the main infection risk factors related to healthcare and list the main preventive actions taken by nurses within the hospital environment to avoid HAIs. The different risk factors related to healthcare in hospitalized adult patients found in the selected studies were described according to the sites of infection: urinary tract, primary bloodstream infection, surgical site and respiratory tract. And we list four practices that meet a consensus regarding some basic elements necessary for the prevention of HAIs. We can conclude that nurses' actions are essential for both the detection and prevention and control of HAIs.
Nursing care in combating and preventing the risks of hospital infection
International Journal for Innovation Education and Research
The aim of this study was to understand the factors predisposing to the development of hospital infections, as well as to explain the risks of contracting hospital infections to which patients and professionals are exposed in hospitals. The study was conducted through a narrative review research, with the collection of data in books, official publications of the health area and, mainly, published articles. Through this study it was possible to conclude that there are numerous biological risks to which nurses, other health professionals and patients are exposed, which predisposes them to the development of hospital infections. Therefore, it is necessary that nurses receive instructions and training on the biological risks to which they are exposed, as well as on the need for the use of personal protective equipment and other precautionary measures. Here is the warning about the importance of adopting biosecurity measures to avoid exposure to these risks.
The Factor Associated with Missed Nursing Care in Hospital: A Systematic Review
Open Access Macedonian Journal of Medical Sciences
Background: Patient safety is a major concern in the healthcare industry worldwide. Increasing patient safety is critical for avoiding negative outcomes in nursing care and achieving goals at the desired level of quality. One of the indicators of this quality care given to patient is known as missed care. Aim: Aims of this study to explore the factors influencing missed care in order to improve the quality of nursing care. Methods: This study is a systematic review that explores the factors influencing missed nursing care in hospitals. Meanwhile, the literature search was carried out in the CINAHL Pubmed, Ebsco, Science Direct, Proquest, Willey, Sage from 2017 to 2021. Results: The results from six databases (n=3702) were sorted into 22 collected articles which include 18 quantitative, 2 qualitative, and 2 mixed methods. These findings highlighted three factors that influence missed nursing care: a lack of staffing, nurse competency, and the working environment. Conclusion: The fac...
Role of nurses in prevention from hospital infections
Hospital infections are defined as infections that develop 48-72 hours after the hospitalization or within 10 days following the discharge. In Turkey, the hospital infections are encountered in 5-10% of hospitalized patients in general. Being an important public health problem in both developed and developing countries, hospital infections are considered the most important indicator of the care quality at hospitals and cause the extension of the hospitalization duration and increase of morbidity, mortality and treatment cost. It may also cause functional disorders, emotional stress, lower life quality and death in patients. Hospital infections are secondary preventable infections and nurses play an important role in applying these preventions. Being known as the defender of patients, ünurses have a unique position of developing the patient care standards and creating a change. Nurses should be aware that nosocomial infections are preventable, have up-to-date information about universal preventions that are accepted in the entire world concerning the prevention and control of infections and provide the most efficient care for patients in line with this information.
Missed Nursing Care in Hospitalized Patients
Aquichan, 2015
Objective: Determine missed nursing care in hospitalized patients and the factors related to missed care, according to the perception of the nursing staff and the patient. Method: Correlational descriptive study of a sample of 160 nurses and hospitalized patients, using the MISSCARE Nursing Survey. Results: Nursing personnel indicated there were fewer care omissions in continuous evaluation interventions (M=94.56; SD=11.10). The greatest number of omissions pertained to basic care interventions (M=80.2; SD=19.40). Patients mentioned there were fewer omissions in continuous evaluation interventions (M=96.32; SD=7.96), while the greatest number of omissions pertained to patient discharge and education (M=45.00; SD=23.22). The factors that contributed to missed nursing care, according to the nursing staff, were related to human resources (M=80.67; SD=17.06) and material resources (M=69.72; SD=23.45); patients mentioned human resources and communication. Conclusions: Nursing care that i...
Journal of Nursing Management, 2021
Aim To compare the perceptions of nurses with infection control expertise and ward nurses as to what infection control activities are missed and the reasons why these activities are omitted. Background Infection prevention activities are viewed as important for reducing health care‐acquired infections (HAIs) but are often poorly performed. Methods Data were collected through the Missed Nursing Care Infection Prevention and Control (MNCIPC) Survey delivered to 500 Australian nurses prior to COVID‐19. Results Significant differences were found on the mean scores between infection control and other nurses on ten items. In eight cases, five relating to hand hygiene, infection control specialists viewed the activity as more likely to be missed. Factors viewed as having greater contribution to omission of infection control prevention were as follows: 'Patients have to share bathrooms', 'Urgent patient situation' and 'Unexpected rise in patient volume and/or acuity on t...
Nurse staffing and health care-associated infections: Proceedings from a working group meeting
American Journal of Infection Control, 2002
The nation is facing a nursing shortage that is creating a crisis for quality health care and patient safety. Research has documented that problems with nurse staffing are associated with health care-associated infections and other adverse events that affect patient outcomes. These ominous facts, stated during the opening of an expert consultants meeting convened by the Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, laid the foundation for a day-long discussion and a call to action to address a growing crisis in health care. The authors summarize the proceedings of this meeting and present the consultants' suggestions for drawing national attention to this issue. (Am J Infect Control
Nursing Workload as a Risk Factor for Healthcare Associated Infections in ICU: A Prospective Study
PLoS ONE, 2012
Introduction: Nurse understaffing is frequently hypothesized as a potential risk factor for healthcare-associated infections (HAI). This study aimed to evaluate the role of nursing workload in the occurrence of HAI, using Nursing Activities Score (NAS). Methods: This prospective cohort study enrolled all patients admitted to 3 Medical ICUs and one step-down unit during 3 months (2009). Patients were followed-up until HAI, discharge or death. Information was obtained from direct daily observation of medical and nursing rounds, chart review and monitoring of laboratory system. Nursing workload was determined using NAS. Non-compliance to the nurses' patient care plans (NPC) was identified. Demographic data, clinical severity, invasive procedures, hospital interventions, and the occurrence of other adverse events were also recorded. Patients who developed HAI were compared with those who did not. Results: 195 patients were included and 43 (22%) developed HAI: 16 pneumonia, 12 urinary-tract, 8 bloodstream, 2 surgical site, 2 other respiratory infections and 3 other. Average NAS and average proportion of non compliance with NPC were significantly higher in HAI patients. They were also more likely to suffer other adverse events. Only excessive nursing workload (OR: 11.41; p: 0.019) and severity of patient's clinical condition (OR: 1.13; p: 0.015) remained as risk factors to HAI. Conclusions: Excessive nursing workload was the main risk factor for HAI, when evaluated together with other invasive devices except mechanical ventilation. To our knowledge, this study is the first to evaluate prospectively the nursing workload as a potential risk factor for HAI, using NAS.
International Journal of Africa Nursing Sciences, 2021
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