Staffing requirements for infection control programs in US health care facilities: Delphi project
American Journal of Infection ControlPublished 1 October 2002
Carol O’Boyle, Marguerite M. Jackson, Susan J. Henly
Citations146
SJR quartileQ1
SJR score0.91
SNIP1.03
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Recommendations for staffing must not only consider the number of occupied beds but also include the scope of the program, the complexity of the health care facility or system, the characteristics of the patient population, and the unique or urgent needs of the facility and community.
Abstract
Infection control responsibilities have expanded beyond the traditional acute care setting. Recommendations for staffing must not only consider the number of occupied beds (average daily census) but also include the scope of the program, the complexity of the health care facility or system, the characteristics of the patient population, and the unique or urgent needs of the facility and community.
Keywords
Medicine
American Journal of EpidemiologyTHE EFFICACY OF INFECTION SURVEILLANCE AND CONTROL PROGRAMS IN PREVENTING NOSOCOMIAL INFECTIONS IN US HOSPITALS
2,085 Citations1985Robert W. Haley, David H. Culver +5 more
It is found that the establishment of intensive infection surveillance and control programs was strongly associated with reductions in rates of nosocomial urinary tract infection, surgical wound infection, pneumonia, and bacteremia between 1970 and 1975-1976, after controlling for other characteristics of the hospitals and their patients.
Annals of Internal MedicineCompliance with Handwashing in a Teaching Hospital
996 Citations1999Didier Pittet, Philippe Mourouga +2 more
Variation across hospital ward and type of health care worker suggests that targeted educational programs may be useful and the association between noncompliance and intensity of care suggests that understaffing may decrease quality of patient care.
Nursing ResearchNurse Staffing and Patient Outcomes
489 Citations1998Mary A. Blegen, Colleen J. Goode +1 more
The higher the RN skill mix, the lower the incidence of adverse occurrences on inpatient care units, and the relationship between RN proportion of care and adverse outcomes was curvilinear.
American Journal of Infection ControlUnderstanding adherence to hand hygiene recommendations: The theory of planned behavior
456 Citations2001Carol O’Boyle, Susan J. Henly +1 more
The limited association between self-reported and observed hand hygiene scores remains an enigma to be explained, and actual hand hygiene behavior may be more sensitive to the intensity of work activity in the clinical setting than to internal motivational factors.
Infection Control and Hospital EpidemiologyThe Role of Understaffing in Central Venous Catheter-Associated Bloodstream Infection
438 Citations1996Scott K. Fridkin, Suzanne M. Pear +3 more
Image the Journal of Nursing ScholarshipNurse Staffing Levels and Adverse Events Following Surgery in U.S. Hospitals
404 Citations1998Christine Kovner, Peter J. Gergen
Inverse relationships between nurse staffing and these adverse events provide information for managers to use when redesigning and restructuring the clinical workforce employed in providing inpatient care.
The Journal of Infectious DiseasesThe Role of Understaffing and Overcrowding in Recurrent Outbreaks of Staphylococcal Infection in a Neonatal Special-Care Unit
283 Citations1982Robert W. Haley, D. A. Bregman
The contention that staphylococcal outbreaks periodically resulted when, in the presence of overcrowding, serious understaffing made frequent handwashing between infant contacts difficult is supported.
American Journal of Infection ControlRequirements for infrastructure and essential activities of infection control and epidemiology in hospitals: A Consensus Panel report
235 Citations1998William E. Scheckler, Dennis C. Brimhall +10 more
The following report represents the consensus panel's best assessment of needs for a healthy and effective hospital-based infection control and epidemiology program.
Journal of Hospital InfectionNursing staff workload as a determinant of methicillin-resistant Staphylococcus aureus spread in an adult intensive therapy unit
173 Citations1999A.F. Vicca
Nurse understaffing contributes significantly to the spread of MRSA in an ITU setting, according to monitored acquisition of methicillin resistant Staphylococcus aureus in the intensive care unit of a tertiary referral centre.
Research in Nursing & HealthEffects of work stressors and work climate on long-term care staff's job morale and functioning
172 Citations1996Jeanne A. Schaefer, Rudolf H. Moos
Initial work stressors predicted poorer functioning, and coworker cohesion predicted more intent to stay in the job at follow-up, and more positive work climates were linked to higher job morale.
Infection Control and Hospital EpidemiologyRequirements for Infrastructure and Essential Activities of Infection Control and Epidemiology in Hospitals: A Consensus Panel Report
164 Citations1998William E. Scheckler, Dennis C. Brimhall +10 more
The consensus panel used an evidence-based approach and categorized recommendations according to modifications of the scheme developed by the Clinical Affairs Committee of the Infectious Diseases Society of America and the Centers for Disease Control and Prevention's Hospital Infection Control Practices Advisory Committee.
Nursing StandardThe Delphi technique
147 Citations1999Nick Bowles
The Delphi survey technique has merit in both qualitative and quantitative research, but fewer researchers are using it, and the strengths and weaknesses of the technique are discussed.
The Journal of Trauma: Injury, Infection, and Critical CareControl of Methicillin-resistant Staphylococcus aureus in a Burn Unit
106 Citations1982Paul M. Arnow, Patricia A. Allyn +4 more
The association of different nurse staffing variables with persistence then eradication of MRS suggests nurse staffing may have been an important factor in staphylococcal transmission.
Journal of Occupational and Environmental MedicineThe Psychosocial Work Environment of Physicians
99 Citations1995Jeffrey V. Johnson, Ellen M. Hall +5 more
The results suggest that the presence of control and social support at work protects physicians from developing job dissatisfaction and psychiatric distress.
American Journal of Infection ControlCharacteristics of hospitals and infection control professionals participating in the National Nosocomial Infections Surveillance System 1999
96 Citations2001Chesley Richards, T.Grace Emori +4 more
The infrastructure of the NNIS system offers a national resource on which to build improved voluntary patient safety monitoring efforts, as outlined in the recent Institute of Medicine report on medical errors.
American Journal of Infection ControlNurse staffing and health care-associated infections: Proceedings from a working group meeting
53 Citations2002Marguerite M. Jackson, Linda A. Chiarello +2 more
The authors summarize the proceedings of this meeting and present the consultants' suggestions for drawing national attention to this issue and the authors' summary of the proceedings.
Journal of Advanced NursingCan the needs of the critically ill child be identified using scenarios? Experiences of a modified Delphi study
42 Citations1999Ruth Endacott, Collette Clifford +1 more
This article evaluates the use of the Delphi technique to identify needs, discusses key features arising from the results and examines the difficulties experienced by the respondents in completing the time scales.
American Journal of Infection ControlA national task analysis of infection control practitioners, 1982
30 Citations1984Robert Shannon, Barbara J. McArthur +7 more
American Journal of Infection ControlRequirements for infrastructure and essential activities of infection control and epidemiology in out-of-hospital settings: A Consensus Panel report
28 Citations1999Candace Friedman, Marcie Barnette +10 more
The following report represents the Consensus Panel's best assessment of requirements for a healthy and effective out-of-hospital-based infection control and epidemiology program.
JONA The Journal of Nursing AdministrationNurse Staffing and Healthcare-associated Infections
27 Citations2002Marguerite M. Jackson, Linda A. Chiarello +2 more
The authors summarize the proceedings of this meeting and present the consultants’ suggestions for drawing national attention to this issue.
American Journal of Infection ControlA national task analysis of infection control practitioners, 1992 Part One: Methodology and demography
26 Citations1984Barbara J. McArthur, Gins Pugliese +7 more
A task analysis survey was conducted in 1982 by the Certification Board of Infection Control to determine the tasks performed by ICPs and the knowledge and abilities needed to perform these tasks, and the results were used, in part, to develop theinfection Control Certification Examination, offered for the first time on November 19, 1983.
American Journal of Infection ControlValidating the certification process for infection control practice
23 Citations1988Elaine Larson, Robin Elsenberg +1 more
The process used to update and revalidate the original task analysis to ensure the continued validity and job relatedness of the certification process is described.
American Journal of Infection ControlA national task analysis of infection control practitioners, 1982 Part three: The relationship between hospital size and tasks performed
19 Citations1984Gina Pugliese, Barbara J. McArthur +7 more
The frequency of performance and importance of the majority of infection control tasks studied were found to vary in relation to hospital size, and the greatest differences in the performance of tasks were found in the subsample of the ICPs from hospitals with less than or equal to 100 beds.
American Journal of Infection ControlJob analysis 1996: Infection control professional
15 Citations1999Joan G. Turner, Koleen M. Kolenc +1 more
The reassessment of the previous Certification Board in Infection Control and Epidemiology, Inc, task analysis, formation of a job-analysis survey tool, the actual job- analysis process, and its results are described in this article.