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Nurses' experience with vancomycin-resistant enterococci (VRE).

Ann Mitchell1, Teresa Cummins, Natalie Spearing

  • 1Nursing Research Centre/Queensland Centre for Evidence Based Nursing and Midwifery, Mater Health Services Brisbane Ltd, South Brisbane Q4101, Australia. Ann-Mitchell@mater.org.au

Journal of Clinical Nursing
|February 16, 2002
PubMed
Summary

Nurses caring for patients with vancomycin-resistant enterococci (VRE) experienced significant stress and increased workload. Enhanced support and a multidisciplinary approach are crucial for effective VRE outbreak management in hospitals.

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Area of Science:

  • Infectious Diseases
  • Hospital Epidemiology
  • Nursing Practice

Background:

  • The increasing prevalence of antimicrobial resistance, particularly vancomycin-resistant enterococci (VRE), poses a significant challenge in acute care settings.
  • Effective containment of VRE outbreaks relies heavily on the frontline actions of healthcare professionals, especially nurses.

Purpose of the Study:

  • To explore the experiences and coping mechanisms of nurses managing VRE-positive patients during an outbreak.
  • To identify the challenges faced by nurses in their role of preventing VRE transmission within hospitals.

Main Methods:

  • Study involved cohorting VRE-positive patients with dedicated nurses to contain the spread.
  • Qualitative exploration of nurses' experiences and perceptions regarding their responsibilities and support systems.

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Main Results:

  • Nurses reported extreme stress due to their 'gatekeeper' role in educating and monitoring staff and visitor practices.
  • Nurses felt inadequately supported, experienced blame for the outbreak, and faced an increased workload.
  • Cohorting strategy led to significant psychological and operational burdens on nursing staff.

Conclusions:

  • Reinforces the necessity of a multidisciplinary team approach for VRE education and control strategies.
  • Highlights the need for enhanced support systems for nursing staff assigned to VRE-positive patients.
  • Emphasizes the importance of stringent adherence to infection control protocols by all hospital personnel.