23 décembre 2016
Guy Lacroix, Marc Beltempo, Michele Cabot et Bruno Piedboeuf publient un article intitulé "Factors and Costs Associated with the Use of Registered Nurse Overtime in the Neonatal Intensive Care Unit » dans la revue Pediatrics and Neonatal Nursing - Open Journal.
Planning the number of registered nurses (RN) per shift in the neonatal intensive care unit (NICU) is a constant stressor and overtime is often used to assure adequate nurse to patient ratios. The aim of the paper is to identify the factors associated with shift-to-shift variations in the use of RN overtime in the NICU. We developed a two-year retrospective study in a NICU (CHU de Québec, Level 3 unit, capacity of 51 beds). RN overtime is associated with adverse patient outcomes and higher hospital costs. This study has found that overtime is a significant issue in the NICU, and that overtime depends upon the available workforce which itself depends upon paid hours not at the bedside. Increased hires and a more efficient workforce scheduling are efficient measures to reduce overtime. Larger multi-centre comparative studies are required to determine other strategies to reduce RN overtime in the NCIU and their potential association with neonatal outcomes.