Multidrug-resistant organisms (MDROs) present significant challenges in emergency intensive care units (EICU), where critically ill patients face increased infection risks due to compromised immunity and invasive procedures. Effective management strategies are essential to control MDRO transmission and improve patient outcomes. This study aims to assess the effectiveness of nursing safety management in curbing hospital-acquired infections due to MDROs in EICU. A total of 88 patients admitted to the EICU from April 2023 to April 2024 were included in this retrospective study and divided into the Conventional Nursing Management Group (CNMG) and the Nursing Safety Management Group (NSMG) based on the nursing methods. Interventions included enhanced hand hygiene, environmental disinfection, and proactive bacterial screening in the NSMG. The outcomes evaluated encompassed the incidence and distribution of MDROs, quality of life metrics, emotional state improvements, infection control efficacy, and nursing management quality scores. These measures were assessed through validated scales and institutional infection control metrics. The NSMG showed a significant reduction in MDRO incidence (20.45%) compared to the CNMG (45.45%; P < .05). Quality of life metrics improved significantly in the NSMG, with posttreatment scores for physical functioning, emotional functioning, and cognitive functioning surpassing those in the CNMG ( P < .001). The NSMG also exhibited better environmental disinfection compliance rates, including air disinfection (92.50% vs 70.00%, P < .05), and hand hygiene adherence (97.50% vs 77.50%, P < .05). Furthermore, management quality scores in the NSMG were significantly higher across all domains, reflecting superior ward and safety management. These findings highlight the effectiveness of nursing safety management in reducing infections, enhancing care quality, and improving patient outcomes in the EICU. Nursing safety management significantly reduces the incidence of hospital-acquired MDRO infections, particularly Acinetobacter baumannii , while improving environmental sanitation, disinfection effectiveness, and patient and staff satisfaction in the EICU. However, these findings are based on a single-center study with a limited sample size, and further validation through large-scale, multicenter studies is needed before broader application can be recommended.
Cheng et al. (Fri,) studied this question.
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