Factors affecting the compliance of operating room nursing staff toward standard and transmission-based precautions in an acute care hospital

Background/literature review: The prevalence of agitated behaviors in different populations with dementia is between 24% and 98%. Although agitated behaviors are potentially disruptive, little research attention has been focused on the effects of these behaviors upon nursing staff. The objectives of this study of demented patients in long-term-care beds at an acute care community hospital were to determine the frequency and disruptiveness of agitated behaviors; to investigate the associations of patient characteristics and interventions with the level of agitation; and to explore the burden of these agitated behaviors on nursing staff. Method: The study sample comprised 56 demented patients in the long-term-care unit during the study period. Twenty-seven staff who cared for these patients during three shifts over a 2-week period were interviewed to rate the frequency and disruptiveness of agitated behaviors using the Cohen-Mansfield Agitation Inventory, and the burden of care using a modified version of the Zarit Burden Interview. Data on patient characteristics and interventions extracted from the hospital chart included scores on the Barthel Index and Mini-Mental State Examination, the use of psychotropic medication, and the use of physical restraints. Results: Ninety-five percent of the patients with dementia were reported to have at least one agitated behavior; 75% had at least one moderately disruptive behavior. A small group of six patients (11%) had 17 or more disruptive behaviors. The frequency of most behaviors did not vary significantly by shift. Length of stay on long-term care, Barthel Index score, and the use of psychotropic medications were significantly associated with the number of agitated behaviors. The number of behaviors, their mean frequency, and their mean disruptiveness were all significantly correlated with staff burden. Discussion: The prevalence of agitated behaviors in patients with dementia in long-term-care beds at an acute care hospital is similar to that reported in long-term-care facilities. These behaviors are associated with staff burden.

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Daniel L. Young, Sheniz Moonie, Tim Bungum. Cross-sectional examination of patient and therapist factors affecting participation in physical therapy in acute care hospital settings.Phys Ther. 2017;97:3–12.

Physical Therapy ◽

10.1093/ptj/pzx016 ◽

2017 ◽

Vol 97 (3) ◽

pp. 387-387

Keyword(s):

Physical Therapy ◽

Acute Care ◽

Acute Care Hospital ◽

Care Hospital ◽

Cross Sectional ◽

Factors Affecting ◽

Therapist Factors

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Factors Affecting the Healing of Pressure Ulcers in a Korean Acute Care Hospital

Journal of Wound Ostomy and Continence Nursing ◽

10.1097/won.0b013e318202a67e ◽

2011 ◽

Vol 38 (1) ◽

pp. 38-45 ◽

Cited By ~ 12

Author(s):

Young Hee Sung ◽

Kyung Hee Park

Keyword(s):

Acute Care ◽

Pressure Ulcers ◽

Acute Care Hospital ◽

Care Hospital ◽

Factors Affecting

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Factors Affecting the Healing of Pressure Ulcers in a Korean Acute Care Hospital

Journal of Wound Ostomy and Continence Nursing ◽

10.1097/won.0b013e31822549ce ◽

2011 ◽

Vol 38 (4) ◽

pp. 337

Author(s):

&NA;

Keyword(s):

Acute Care ◽

Pressure Ulcers ◽

Acute Care Hospital ◽

Care Hospital ◽

Factors Affecting

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Analysis on Applied Effect of Intelligent Medicine Integration System Construction Combined with Problem-based Learning Approach in Operation Room Nursing Management and Training

Tobacco Regulatory Science ◽

10.18001/trs.7.4.1.21 ◽

2021 ◽

Vol 7 (4) ◽

pp. 683-689

Author(s):

Li Zhang ◽

Shouyan Wang ◽

Xiaojing Chen ◽

Ge Gao ◽

Li Li

Keyword(s):

Operating Room ◽

Nursing Staff ◽

System Construction ◽

Nursing Management ◽

Integration System ◽

Management Quality ◽

Group A ◽

Group B ◽

Room Nursing ◽

Operating Room Nursing

To explore the applied effect of intelligent medicine integration system construction combined with problem-based learning (PBL) approach in operating room nursing management and training. 120 nursing staff working in our hospital from January 2019 to January 2020 were selected as the research object and randomly divided into group A (n=60) and group B (n=60), with the routine PBL approach and the PBL approach combined with intelligent medicine integration system performed to group B and group A respectively to compare the assessment results of operating room nursing management, scores on evaluation of the teaching methods, incidence rates of adverse nursing events, nursing management quality and patient satisfaction. Compared with group B, the trained nursing staff in group A had significantly better performance in operating room nursing management (P<0.001), higher score on evaluation of the teaching method (P<0.001), lower incidence rate of adverse nursing events in operating room (P<0.05), higher nursing management quality (P<0.001), and higher patient satisfaction (P<0.05). The intelligent medicine integration system construction combined with the PBL approach can effectively improve the comprehensive quality of nursing staff, optimize the quality of operating room nursing management, and lower the incidence of adverse nursing events, which should be promoted in clinical practice.

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Rate of Healthcare Worker–Patient Interaction and Hand Hygiene Opportunities in an Acute Care Setting

Infection Control and Hospital Epidemiology ◽

10.1086/675286 ◽

2014 ◽

Vol 35 (3) ◽

pp. 225-230 ◽

Cited By ~ 8

Author(s):

Laura Goodliffe ◽

Kelsey Ragan ◽

Michael Larocque ◽

Emily Borgundvaag ◽

Sophia Khan ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Hand Hygiene ◽

Healthcare Worker ◽

Acute Care ◽

Healthcare Workers ◽

Acute Care Hospital ◽

Care Hospital ◽

Factors Affecting ◽

Patient Interactions

Objective.Identify factors affecting the rate of hand hygiene opportunities in an acute care hospital.Design.Prospective observational study.Setting.Medical and surgical in-patient units, medical-surgical intensive care unit (MSICU), neonatal intensive care unit (NICU), and emergency department (ED) of an academic acute care hospital from May to August, 2012.Participants.Healthcare workers.Methods.One-hour patient-based observations measured patient interactions and hand hygiene opportunities as defined by the “Four Moments for Hand Hygiene.” Rates of patient interactions and hand hygiene opportunities per patient-hour were calculated, examining variation by room type, healthcare worker type, and time of day.Results.During 257 hours of observation, 948 healthcare worker-patient interactions and 1,605 hand hygiene opportunities were identified. Moments 1, 2, 3, and 4 comprised 42%, 10%, 9%, and 39% of hand hygiene opportunities. Nurses contributed 77% of opportunities, physicians contributed 8%, other healthcare workers contributed 11%, and housekeeping contributed 4%. The mean rate of hand hygiene opportunities per patient-hour was 4.2 for surgical units, 4.5 for medical units, 5.2 for ED, 10.4 for NICU, and 13.2 for MSICU (P < .001). In non-ICU settings, rates of hand hygiene opportunities decreased over the course of the day. Patients with transmission-based precautions had approximately half as many interactions (rate ratio [RR], 0.55 [95% confidence interval (CI), 0.37-0.80]) and hand hygiene opportunities per hour (RR, 0.47 [95% CI, 0.29-0.77]) as did patients without precautions.Conclusions.Measuring hand hygiene opportunities across clinical settings lays the groundwork for product use-based hand hygiene measurement. Additional work is needed to assess factors affecting rates in other hospitals and health care settings.

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