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Neonatal acuity tool-defined staffing ratios in a tertiary Australian neonatal intensive care unit.
Barnett, Adam; Crawford, Tara M; Stark, Michael J.
Afiliación
  • Barnett A; The Department of Neonatal Medicine, The Women's and Children's Hospital, Adelaide, South Australia, Australia.
  • Crawford TM; The Department of Neonatal Medicine, The Women's and Children's Hospital, Adelaide, South Australia, Australia.
  • Stark MJ; The Robinson Research Institute, University of Adelaide, Adelaide, South Australia, Australia.
J Paediatr Child Health ; 2024 Aug 06.
Article en En | MEDLINE | ID: mdl-39104355
ABSTRACT

AIMS:

There is well-established data linking the adequacy of nurse staffing to patient outcomes. Evidence-based standards for staffing are therefore critical to drive improvements in clinical care. One such evidence-based approach is the use of patient acuity-based tools. The objective of this study is to determine the performance of a neonatal acuity tool in an Australian tertiary neonatal health-care setting, focusing on the classification of patient acuity and nursingpatient staffing ratios compared to current practice.

METHODS:

Acuity data were collected in a neonatal intensive care unit (NICU) and special care baby unit (SCBU) over a 10-week period in 2023. Patient data were scored in the 16 domains at two time points (prior to morning and evening nursing shift changeover) for all admitted newborns.

RESULTS:

For ventilated newborns nursed with a nursepatient staffing ratio of 11, 78% of scores were within the L4-high acuity (score ≥ 26) band, with the remaining scores within the L3-high acuity (18-25) band. For newborns on non-invasive respiratory support in NICU staffed 11, the proportion scoring within the L4 acuity band was higher in the nasal high-flow group compared to the nasal continuous positive airway pressure group (P = 0.032), an effect not seen for those nursed 12 in NICU or for those on nasal high-flow nursed in SCBU either 12 or 13.

CONCLUSION:

This study of how a neonatal acuity classification system compares with current nursepatient staffing allocations in an Australian tertiary NICU, suggests refinements in staffing ratios for specific patient groups on respiratory support are possible.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Paediatr Child Health Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Paediatr Child Health Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia