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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...

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Autores principales: Unoki, Takeshi, Kawai, Yusuke, Hamamoto, Miya, Tamoto, Mitsuhiro, Miyamoto, Takeharu, Sakuramoto, Hideaki, Ito, Yumi, Moro, Etsuko, Tatsuno, Junko, Nishida, Osamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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