TY - JOUR
T1 - The effect of continuity in nursing care on patient outcomes in the pediatric intensive care unit
AU - Siow, Elaine
AU - Wypij, David
AU - Berry, Patricia
AU - Hickey, Patricia
AU - Curley, Martha A.Q.
PY - 2013/7
Y1 - 2013/7
N2 - BACKGROUND: Previous studies have examined the links between continuity of care and patient outcomes, but little is known about this relationship in acute care pediatric settings. OBJECTIVE: The aim of this study was to examine the associations between continuity in nursing care (CINC), defined as fewer nurses caring for a patient, and patient outcomes in a pediatric intensive care unit (ICU). METHODS: A secondary analysis of prospectively collected data was carried out. RESULTS: A total of 332 patients admitted to the medical/surgical ICU at Children's Hospital Boston from March 2004 to December 2012 were included in the study. The mean (SD) Continuity of Care Index score was 0.4 (0.1). Multivariable analyses demonstrated that CINC was associated with a longer ICU stay (P G.001) and longer ventilator days (P =.01) but was not associated with the occurrence of adevents and ICU-acquired infections. When a match between nurse expertise and mortality risk was included as interaction term, CINC was significantly associated with fewer nurse-sensitive adverse events (P =.05). CONCLUSIONS: In this study, sicker patients were more likely to receive more CINC. Continuity in providers may have the potential to affect patient outcomes. More studies are needed to explore this relationship.
AB - BACKGROUND: Previous studies have examined the links between continuity of care and patient outcomes, but little is known about this relationship in acute care pediatric settings. OBJECTIVE: The aim of this study was to examine the associations between continuity in nursing care (CINC), defined as fewer nurses caring for a patient, and patient outcomes in a pediatric intensive care unit (ICU). METHODS: A secondary analysis of prospectively collected data was carried out. RESULTS: A total of 332 patients admitted to the medical/surgical ICU at Children's Hospital Boston from March 2004 to December 2012 were included in the study. The mean (SD) Continuity of Care Index score was 0.4 (0.1). Multivariable analyses demonstrated that CINC was associated with a longer ICU stay (P G.001) and longer ventilator days (P =.01) but was not associated with the occurrence of adevents and ICU-acquired infections. When a match between nurse expertise and mortality risk was included as interaction term, CINC was significantly associated with fewer nurse-sensitive adverse events (P =.05). CONCLUSIONS: In this study, sicker patients were more likely to receive more CINC. Continuity in providers may have the potential to affect patient outcomes. More studies are needed to explore this relationship.
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U2 - 10.1097/NNA.0b013e31829d61e5
DO - 10.1097/NNA.0b013e31829d61e5
M3 - Article
C2 - 23892304
AN - SCOPUS:84881520636
SN - 0002-0443
VL - 43
SP - 394
EP - 402
JO - Journal of Nursing Administration
JF - Journal of Nursing Administration
IS - 7-8
ER -