NURSING WORKLOAD IN RELATION TO NOSOCOMIAL INFECTION IN PUBLIC HOSPITAL INTENSIVE CARE UNIT, MALAYSIA
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Author:
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AZURA HALAIN, KIM LAM SOH, AIRINI IBRAHIM, SALIMAH JAPAR, SWEE LEONG ONG, ABDURRAHMAN MUHAMMAD SANI, KIM GEOK SOH
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Abstract:
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Nosocomial infections (NIs) is an infection acquired in the hospital and becomes evident 48 hours after admission to
the hospital. It continues to be a major problem affecting patient safety and quality of care in Intensive Care Unit
(ICU). One of the most pertinent factors leading to NIs is nursing workload. The aim of the study is to determine
nursing workload on NIs rate in the ICU, Hospital Serdang. A retrospective cross sectional study was used. Data
were collected from NIs surveillance, staff nurses’ duty roster and patient census by using a performa. The result in
this study shows, 19 %( n=88) cases of NIs were detected in 12 %( n=57) of patient. There was significant moderate
positive relationship between the number of infection and the total number of nurses working overtime (r= 0.66,
n=88, p = 0.001) and the number of infection and the total number of new staffs (r= 0.51, n=88, p = 0.001). There
was significant weak positive relationship between the number of infection and the total number of nurses taking
medical leave or emergency leave (r= 0.33, n=88, p = 0.001). This study provide a baseline to improve nursing staffing
in ICU. Future planning of ICU staffing should be comprehensive so that patients are not disadvantaged.
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Keyword:
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Nosocomial infection, nursing workload, ICU staffing
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2018.10.04.003
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