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Estimated nursing workload for the implementation of ventilator bundles
Westyn Branch-Elliman1, Sharon B Wright, Jean M Gillis
1Division of Infectious Disease, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. wbranche@bidmc.harvard.edu
BMJ Quality & Safety
|February 23, 2013
Summary
Implementing ventilator bundles requires significant nursing time, with nearly a third of nurses reporting delays in other patient care tasks. Understanding these resource demands is crucial for effective intensive care unit (ICU) infection prevention strategies.
Area of Science:
- Critical Care Medicine
- Infection Prevention
- Nursing Resource Management
Background:
- Ventilator-associated pneumonia (VAP) is a prevalent healthcare-associated infection with substantial patient morbidity and mortality.
- Prevention bundles are standard practice in US intensive care units (ICUs), yet their nursing resource implications remain unclear.
Purpose of the Study:
- To quantify the nursing time dedicated to implementing ventilator bundles.
- To assess the impact of ventilator bundle adherence on other critical care nursing tasks.
Main Methods:
- A survey was administered to all critical care nurses at a single institution.
- Nurses reported estimated time allocation and perceived impact on patient care tasks.
Main Results:
- The standard ventilator bundle was estimated to require a median of 115 minutes per patient daily.
- While most nurses did not report task delays, 29% indicated that other patient care activities were sometimes postponed due to bundle implementation.
Conclusions:
- Ventilator bundle implementation demands significant nursing resources, potentially impacting workflow.
- Further research, including direct observation, is needed to accurately determine nursing time allocation for VAP prevention.
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