Reorganization of Intensive Care Units for the COVID-19 pandemic: effects on nursing sensitive outcomes.

Q2 Medicine

Journal of Preventive Medicine and Hygiene Pub Date : 2022-10-27 eCollection Date: 2022-01-01 DOI:10.15167/2421-4248/jpmh2022.63.3.2557

Nicola Pagnucci, Marco Fornili, Marilena Pradal, Francesco Uccelli, Alessandra Bovone, Michele Meini, Monica Scateni, Laura Baglietto, Francesco Forfori

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引用次数: 0

Abstract

Background: Since the first months of 2020 COVID-19 patients who were seriously ill due to the development of ARDS, required admission to the intensive care unit to ensure potentially life-saving mechanical ventilation and support for vital functions. To cope with this emergency, an extremely rapid reorganization of premises, services and staff, to dedicate an entire intensive care unit exclusively to SARS-CoV-2 patients and increasing the number of beds was essential. The aim of the study was to evaluate the effects of reorganization of the COVID-19 intensive care unit in terms of nursing sensitive outcomes.

Methods: a retrospective observational study was conducted to compare nursing sensitive outcomes between pre-COVID period and COVID period.

Results: Falls (0.0 and 0.4%, respectively), physical restraint (1.8 and 1.1%, respectively), and pressure ulcers (8.0 and 3.0%, respectively) were similar in the COVID and in the pre-COVID group. After adjusting for gender, age, BMI, and number of comorbidities, the incidence of bloodstream infections was significantly higher in the COVID group than in the pre-COVID group. There were no statistically significant differences in the incidence between the two groups regarding other evaluated outcomes.

Conclusion: The selected nursing sensitive outcomes maintained similar values in the pre-COVID and COVID patient groups. Healthcare-related infections rate must be considered an important alarm signal of quality of nursing care especially in conditions of excessive workload, stress and the presence of less experienced staff increase.

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COVID-19大流行重症监护病房重组:对护理敏感结果的影响

背景:自2020年头几个月以来，因ARDS发展而病情严重的COVID-19患者需要入住重症监护病房，以确保可能挽救生命的机械通气和对重要功能的支持。为了应对这一紧急情况，必须极其迅速地重组场地、服务和工作人员，将整个重症监护病房专门用于SARS-CoV-2患者，并增加床位数量。本研究的目的是评估重组COVID-19重症监护病房在护理敏感结果方面的效果。方法:采用回顾性观察研究，比较两组患者的护理敏感性结果。结果:COVID组和pre-COVID组的跌倒发生率(分别为0.0和0.4%)、肢体约束发生率(分别为1.8和1.1%)和压疮发生率(分别为8.0和3.0%)相似。在对性别、年龄、BMI和合并症数量进行调整后，COVID组的血液感染发生率明显高于COVID前组。在其他评估结果方面，两组之间的发病率没有统计学上的显著差异。结论:选择的护理敏感指标在预感染组和新感染组保持相近。医疗保健相关感染率必须被视为护理质量的一个重要警报信号，特别是在工作量过大、压力大以及经验不足的工作人员增加的情况下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Preventive Medicine and Hygiene Medicine-Public Health, Environmental and Occupational Health

CiteScore

3.30

自引率

0.00%

发文量

期刊介绍： The journal is published on a four-monthly basis and covers the field of epidemiology and community health. The journal publishes original papers and proceedings of Symposia and/or Conferences which should be submitted in English. Papers are accepted on their originality and general interest. Ethical considerations will be taken into account.