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53rd World Congress on Nursing & Health Care

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Study shows #nurses’ scrubs become contaminated with bacteria in hospitals

Clothing worn by healthcare providers can become contaminated with bacteria, however having #nurses wear scrubs with antimicrobial properties did not prevent this bacterial contamination from occurring, according to a study published online in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America.

As part of the Antimicrobial Scrub Contamination and Transmission (ASCOT) Trial, researchers from Duke University Hospital, followed 40 #nurses who wore three different types of scrubs over three consecutive 12-hour shifts, taking a series of cultures from each #nurses’ clothing, patients, and the environment before and after each shift.

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“Healthcare providers must understand that they can become contaminated by their patients and the environment near patients,” said Deverick J. Anderson, MD, MPH, Director of the Center for Antimicrobial Stewardship and Infection Prevention at Duke University Medical Center and lead author of the study. “Although not effective, we looked to eliminate this risk for contamination by changing the material of #nurses’ scrubs.”

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In a random rotation, each #nurse wore traditional cotton-polyester scrubs, scrubs that contained silver-alloy embedded in its fibers, or another type of scrub treated with a combination of antibacterial materials. The #nurses did not know which scrubs they were wearing.

The researchers analyzed 2,919 cultures from bed rails, beds, and supply carts in each room and 2,185 cultures from the sleeve, abdomen and pocket of #nurses’ scrubs. No differences in contamination were found based on the type of scrubs worn.

Researchers identified new contamination during 33 percent, or 39 of 120 shifts. Scrubs became newly contaminated with bacteria during 16 percent, or 19 out of 120, shifts studied, including three cases of contamination of #nurses’ scrubs while caring for patients on contact precautions where patients were known to be infected with drug-resistant bacteria and personnel entering the room were required to put on gloves and gowns. The mostly commonly transmitted pathogen was Staphylococcus aureus including MRSA and methicillin susceptible S. aureus. The #nurses in the study worked in medical and surgical intensive care units, caring for one to two patients per shift.

“There is no such thing as a sterile environment,” said Anderson. “Bacteria and pathogens will always be in the environment. Hospitals need to create and use protocols for improved cleaning of the #healthcare environment, and patients and family members should feel empowered to ask #healthcare providers if they are doing everything they can to keep their loved one from being exposed to bacteria in the environment.”

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Job satisfaction increases for post-acute care nurses

Pay and benefits for home care, hospice, palliative care and long-term care nurses haven’t always been on par with nurses who work in the acute setting.

But that has changed for post-acute care #nurses in the past five to 10 years, according to Andrea Devoti, MSN, MBA, RN, executive vice president of the National Association for Home Care and Hospice.

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There are many areas of the country where employers’ salary and benefits packages for these other nursing roles match or are getting close to matching what they offer acute care #nurses. That’s because more employers realize that home care, hospice, palliative care and long-term care patients often are as sick as those in the hospital, Devoti said.

“We take care of sick people,” Devoti said. “We take care of ventilated children. We give chemotherapy. We give intensive care level drugs in some cases.”

Employers’ greater awareness of the complexities of taking care of patients outside the hospital setting is timely, given many want to add the post-acute care services because of increased demand.

The National Hospice and Palliative Care Organization reported in its Palliative Care Needs 2018 Survey Results that out of 347 responses from hospice and palliative care member organizations, 53% are providing palliative care services and an additional 35 are considering developing these services.

Only 12% have no plans to develop #palliative_care services, according to the report.

Are employers meeting post-acute care nurses’ needs?

#Nurses in acute care, home care, long-term care and other healthcare settings say salary is most important for job satisfaction, followed by benefits, according to our 2018 Nursing Salary Research Report.

The survey represents responses from 4,520 RNs from 50 U.S. states, the District of Columbia and Puerto Rico.

Although nearly three-quarters of the nurses surveyed ranked salary as the No. 1 aspect of job satisfaction, 15% indicated benefits, including medical and tuition reimbursement, were most important for work satisfaction.

Nursing salaries for home care, hospice, palliative care and long-term care nurses are close to those of nurses in the acute care setting, Devoti said.

In general, these post-acute care nurses might earn $1 per hour or so less than nurses in acute care but that’s better than the pay disparities of $5 or $6 an hour that Devoti said she used to see.

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Employer benefits for home care, hospice, palliative care and long-term care nurses often rival those of the acute care setting, but not always, she said.

“We have many health system-affiliated home care, hospices and long-term care facilities that have the same benefits across the continuum,” Devoti said. “There are a number of home care and hospices that are still freestanding, meaning they’re not really affiliated with a health system or an integrated system, so they actually may have lesser benefits when it comes to tuition reimbursement and continuing education reimbursement than the hospitals.”

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