Workforce and task sharing of nurses in the japanese intensive care unit-cross-sectional postal survey

Takeshi Unoki, Yusuke Kawai, Miya Hamamoto, Mitsuhiro Tamoto, Takeharu Miyamoto, Hideaki Sakuramoto, Yumi Ito, Etsuko Moro, Junko Tatsuno, Osamu Nishida

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article number1017
JournalHealthcare (Switzerland)
Volume9
Issue number8
DOIs
Publication statusPublished - 08-2021

All Science Journal Classification (ASJC) codes

  • Health Informatics
  • Health Policy
  • Health Information Management
  • Leadership and Management

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