The Association of Missed Nursing Care With Very Low Birthweight Infant Outcomes

Author:

Lake Eileen T.1ORCID,Staiger Douglas2,Smith Jessica G.3ORCID,Rogowski Jeannette A.4

Affiliation:

1. University of Pennsylvania School of Nursing, Philadelphia, USA

2. Dartmouth College, Hanover, NH, USA

3. University of Texas at Arlington, USA

4. The Pennsylvania State University, University Park, USA

Abstract

The health outcomes of very low birthweight (VLBW) infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study is the first to look at the association between missed nursing care and mortality, morbidity, and length of stay (LOS) for VLBW infants in a U.S. NICU sample. We used 2016 hospital administrative discharge abstracts for VLBW newborns ( n = 7,595) and NICU registered nurse survey responses ( n = 6,963) from the National Database of Nursing Quality Indicators. The 190 sample hospitals were from 19 states in all regions. Missed clinical nursing care was significantly associated with higher odds of bloodstream infection and longer LOS, but not mortality or severe intraventricular hemorrhage. With further research, these results may motivate the development of interventions to reduce missed clinical nursing care in the NICU.

Funder

Agency for Healthcare Research and Quality

National Institute of Nursing Research

Publisher

SAGE Publications

Subject

Health Policy

Reference39 articles.

1. Agency for Healthcare Research and Quality. (2020, July). Neonatal Quality Indicator 03 (NQI 03) neonatal blood stream infection rate. www.qualityindicators.ahrq.gov

2. Agency for Healthcare Research and Quality. (2021). AHRQ's healthcare-associated infections program. https://www.ahrq.gov/hai/index.html

3. Levels of Neonatal Care

4. Listening to Nursing Leaders

5. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study

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