ArticleJournal of perinatology : official journal of the California Perinatal Association2018
Association of nursing overtime, nurse staffing and unit occupancy with medical incidents and outcomes of very preterm infants.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- The association of NICU capacity strain with neonatal mortality and morbidity.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Increased Utilization of Overtime and Agency Nurses and Patient Safety.JAMA network open · 2025Article
- Association of Shift-Level Organizational Factors with Nosocomial Infection in the Neonatal Intensive Care Unit.Journal of pediatrics. Clinical practice · 2024Article
- Neonatal intensive care unit occupancy rate and probability of discharge of very preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Associations between unit workloads and outcomes of first extubation attempts in extremely premature infants below a gestational age of 26 weeks.Frontiers in pediatrics · 2023Article
- Implementation of a Level III neonatal intensive care unit was associated with reduced NICU mortality in a resource limited public tertiary care hospital in Guyana, South America.PLOS global public health · 2023Article
- Comparison of mortality and survival without major morbidities of very preterm infants with very low birth weight from Japan and Brazil.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2022Article
- Association of timing of birth with mortality among preterm infants born in Canada.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Angels and Heroes: The Unintended Consequence of the Hero Narrative.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the association of nursing overtime, nursing provision and unit occupancy rate with medical incident rates in the neonatal intensive care unit (NICU) and the risk of mortality or major morbidity among very preterm infants. STUDY
designSingle center retrospective cohort study of infants born within 23 to 29 weeks of gestational age or birth weight <1000 g admitted at a 56 bed, level III NICU. Nursing overtime ratios (nursing overtime hours/total nursing hours), nursing provision ratios (nursing hours/recommended nursing hours based on patient dependency categories) and unit occupancy rates were pooled for all shifts during NICU hospitalization of each infant. Log-binomial models assessed their association with the composite outcome (mortality or major morbidity).
resultsOf the 257 infants that met the inclusion criteria, 131 (51%) developed the composite outcome. In the adjusted multivariable analyses, high (>3.4%) relative to low nursing overtime ratios (⩽3.4%) were not associated with the composite outcome (relative risk (RR): 0.93; 95% confidence interval (CI): 0.86 to 1.02). High nursing provision ratios (>1) were associated with a lower risk of the composite outcome relative to low ones (⩽1) (RR: 0.81; 95% CI: 0.74 to 0.90). NICU occupancy rates were not associated with the composite outcome (RR: 0.98; 95% CI: 0.89 to 1.07, high (>100%) vs low (⩽100%)). Days with high nursing provision ratios (>1) were also associated with lower risk of having medical incidents (RR: 0.91; 95% CI: 0.82 to 0.99).
conclusionHigh nursing provision ratio during NICU hospitalization is associated with a lower risk of a composite adverse outcome in very preterm infants.
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