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Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey
This study aimed to estimate the number of nurses who independently care for patients with severe respiratory failure receiving mechanical ventilation (MV) or veno-venous extracorporeal membrane oxygenation (VV-ECMO). Additionally, the study analyzed the actual role of nurses in the treatment of pat...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394815/ https://www.ncbi.nlm.nih.gov/pubmed/34442154 http://dx.doi.org/10.3390/healthcare9081017 |
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author | Unoki, Takeshi Kawai, Yusuke Hamamoto, Miya Tamoto, Mitsuhiro Miyamoto, Takeharu Sakuramoto, Hideaki Ito, Yumi Moro, Etsuko Tatsuno, Junko Nishida, Osamu |
author_facet | Unoki, Takeshi Kawai, Yusuke Hamamoto, Miya Tamoto, Mitsuhiro Miyamoto, Takeharu Sakuramoto, Hideaki Ito, Yumi Moro, Etsuko Tatsuno, Junko Nishida, Osamu |
author_sort | Unoki, Takeshi |
collection | PubMed |
description | This study aimed to estimate the number of nurses who independently care for patients with severe respiratory failure receiving mechanical ventilation (MV) or veno-venous extracorporeal membrane oxygenation (VV-ECMO). Additionally, the study analyzed the actual role of nurses in the treatment of patients with MV and VV-ECMO. We performed a cross-sectional study using postal questionnaire surveys. The study included 725 Japanese intensive care units (ICUs). Data were analyzed using descriptive statistics. Among the 725 ICUs, we obtained 302 responses (41.7%) and analyzed 282 responses. The median number of nurses per bed was 3.25. The median proportion of nurses who independently cared for patients with MV was 60% (IQR: 42.3–77.3). The median proportion of nurses who independently cared for patients with VV-ECMO was 46.9 (35.7–63.3%) in the ICUs that had experience with VV-ECMO use. With regard to task-sharing, 33.8% of ICUs and nurses did not facilitate weaning from MV. Nurses always titrated sedative dosage in 44.5% of ICUs. Nurse staffing might be inadequate in all ICUs, especially for the management of patients with severe respiratory failure. The proportion of competent nurses to care for severe respiratory failure in ICUs should be considered when determining the workforce of nurses. |
format | Online Article Text |
id | pubmed-8394815 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83948152021-08-28 Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey Unoki, Takeshi Kawai, Yusuke Hamamoto, Miya Tamoto, Mitsuhiro Miyamoto, Takeharu Sakuramoto, Hideaki Ito, Yumi Moro, Etsuko Tatsuno, Junko Nishida, Osamu Healthcare (Basel) Article This study aimed to estimate the number of nurses who independently care for patients with severe respiratory failure receiving mechanical ventilation (MV) or veno-venous extracorporeal membrane oxygenation (VV-ECMO). Additionally, the study analyzed the actual role of nurses in the treatment of patients with MV and VV-ECMO. We performed a cross-sectional study using postal questionnaire surveys. The study included 725 Japanese intensive care units (ICUs). Data were analyzed using descriptive statistics. Among the 725 ICUs, we obtained 302 responses (41.7%) and analyzed 282 responses. The median number of nurses per bed was 3.25. The median proportion of nurses who independently cared for patients with MV was 60% (IQR: 42.3–77.3). The median proportion of nurses who independently cared for patients with VV-ECMO was 46.9 (35.7–63.3%) in the ICUs that had experience with VV-ECMO use. With regard to task-sharing, 33.8% of ICUs and nurses did not facilitate weaning from MV. Nurses always titrated sedative dosage in 44.5% of ICUs. Nurse staffing might be inadequate in all ICUs, especially for the management of patients with severe respiratory failure. The proportion of competent nurses to care for severe respiratory failure in ICUs should be considered when determining the workforce of nurses. MDPI 2021-08-07 /pmc/articles/PMC8394815/ /pubmed/34442154 http://dx.doi.org/10.3390/healthcare9081017 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Unoki, Takeshi Kawai, Yusuke Hamamoto, Miya Tamoto, Mitsuhiro Miyamoto, Takeharu Sakuramoto, Hideaki Ito, Yumi Moro, Etsuko Tatsuno, Junko Nishida, Osamu Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey |
title | Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey |
title_full | Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey |
title_fullStr | Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey |
title_full_unstemmed | Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey |
title_short | Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey |
title_sort | workforce and task sharing of nurses in the japanese intensive care unit-cross-sectional postal survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394815/ https://www.ncbi.nlm.nih.gov/pubmed/34442154 http://dx.doi.org/10.3390/healthcare9081017 |
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