LaxmiTej Wundavalli1, Uma Shanker Agrawal2, Sidhartha Satpathy3, Baby Rani Debnath4, Th Asanai Agnes2. 1. Department of Hospital Administration, All India Institute of Medical Sciences, New Delhi, India. Electronic address: tej.wundavalli@gmail.com. 2. Infection Control Unit, Dr BR Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India. 3. Department of Hospital Administration, All India Institute of Medical Sciences, New Delhi, India. 4. Dr BR Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
Abstract
BACKGROUND: Staffing ratios based on hospital beds and norms do not adequately address the requirement of infection preventionists (IP) in hospitals. We, therefore, aimed to determine staffing of IP (nursing category) based on actual workload involved. METHODS: The study design was quantitative and longitudinal conducted for 1 year. The study was structured around the steps of the World Health Organization's Workload Indicators of Staffing Need (WISN). RESULTS: We identified infection control activities, support activities and additional activities to be performed by 4 IP with a total available working time of 6,132 hours for an annual workload of 6,238.25 (±372) hours in an acute care hospital with 182 beds and 69,331 annual admissions. Core infection control activities consumed 78% time. Support and additional activities consumed the remaining 22% time. Active surveillance required 44% time and education consumed 32% time. WISN ratio of available staff and required staff was 0.75. DISCUSSION: A WISN ratio less than 1 suggests inadequate staffing. Therefore, the WISN method recommends 4 IP instead of 3 based on existing workload. We compared our results with the existing quantification-based staffing studies. CONCLUSIONS: WISN is a valuable method to measure all infection control activities and translate workload into IP (nursing) full time equivalents.
BACKGROUND: Staffing ratios based on hospital beds and norms do not adequately address the requirement of infection preventionists (IP) in hospitals. We, therefore, aimed to determine staffing of IP (nursing category) based on actual workload involved. METHODS: The study design was quantitative and longitudinal conducted for 1 year. The study was structured around the steps of the World Health Organization's Workload Indicators of Staffing Need (WISN). RESULTS: We identified infection control activities, support activities and additional activities to be performed by 4 IP with a total available working time of 6,132 hours for an annual workload of 6,238.25 (±372) hours in an acute care hospital with 182 beds and 69,331 annual admissions. Core infection control activities consumed 78% time. Support and additional activities consumed the remaining 22% time. Active surveillance required 44% time and education consumed 32% time. WISN ratio of available staff and required staff was 0.75. DISCUSSION: A WISN ratio less than 1 suggests inadequate staffing. Therefore, the WISN method recommends 4 IP instead of 3 based on existing workload. We compared our results with the existing quantification-based staffing studies. CONCLUSIONS: WISN is a valuable method to measure all infection control activities and translate workload into IP (nursing) full time equivalents.
Authors: Sikhumbuzo A Mabunda; Mona Gupta; Wezile W Chitha; Ntombifikile G Mtshali; Claudia Ugarte; Ciro Echegaray; María Cuzco; Javier Loayza; Felipe Peralta; Seimer Escobedo; Veronica Bustos; Onke R Mnyaka; Buyiswa Swaartbooi; Natasha Williams; Rohina Joshi Journal: Int J Environ Res Public Health Date: 2021-11-28 Impact factor: 3.390