Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Workforce and Task Sharing For Nurses in the Japanese Intensive Care Unit -Cross Sectional Postal Survey

Version 1 : Received: 7 July 2021 / Approved: 8 July 2021 / Online: 8 July 2021 (13:34:14 CEST)

A peer-reviewed article of this Preprint also exists.

Unoki, T.; Kawai, Y.; Hamamoto, M.; Tamoto, M.; Miyamoto, T.; Sakuramoto, H.; Ito, Y.; Moro, E.; Tatsuno, J.; Nishida, O. Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey. Healthcare 2021, 9, 1017. Unoki, T.; Kawai, Y.; Hamamoto, M.; Tamoto, M.; Miyamoto, T.; Sakuramoto, H.; Ito, Y.; Moro, E.; Tatsuno, J.; Nishida, O. Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey. Healthcare 2021, 9, 1017.

Journal reference: Healthcare 2021, 9, 1017
DOI: 10.3390/healthcare9081017

Abstract

Aim: The aim of this study was to estimate the number of nurses who independently care for pa-tients with severe respiratory failure receiving mechanical ventilation (MV) or veno-venous ex-tracorporeal membrane oxygenation (VV-ECMO). Additionally, the study analyzed the actual role of nurses in the treatment of patients with MV and VV-ECMO. Methods: We conducted a cross-sectional study using postal surveys. The study included 725 Japanese intensive care units (ICUs). Descriptive statistics were conducted. Results: Among the 725 ICUs, we obtained 302 re-sponses (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 ICU experiencing VV-ECMO use. Concerning task-sharing, 33.8% of ICUs and nurses did not facilitate weaning from MV. Nurses always ti-trated sedatives in 44.5% of ICUs. Conclusion: Nurse staffing might be inadequate in all ICUs, es-pecially for severe respiratory failure. The proportion of competent nurses for caring for severe respiratory failure in ICUs should be considered when determining the work force of nurses.

Keywords

Intensive Care Units; Workforce; Mechanical Ventilation; Extracorporeal Membrane Oxygenation

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our diversity statement.

Leave a public comment
Send a private comment to the author(s)
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.