A gap between need and reality: neonatal nursing staff requirements on a German intensive care unit

Recently, new staffing rules for neonatal nurses in intensive care units (ICU) were issued in Germany, using categories of care of the British Association of Perinatal Medicine as blueprint. Neonates on intensive care require a nurse-to-patient ratio of 1:1, on intensive surveillance (high dependenc...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Christian Patry [verfasserIn] Monika Schindler [verfasserIn] Julia Reinhard [verfasserIn] Steffen Hien [verfasserIn] Süha Demirakca [verfasserIn] Thomas Böhler [verfasserIn] Thomas Schaible [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2014

Schlagwörter:	neonatology, categories of care, nurse-to-patient ratio, German Federal Joint Commission, pediatric intensive care unit

Übergeordnetes Werk:	In: Pediatric Reports - MDPI AG, 2009, 6(2014), 1
Übergeordnetes Werk:	volume:6 ; year:2014 ; number:1

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4081/pr.2014.5186

Katalog-ID:	DOAJ072752645

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author	Christian Patry
spellingShingle	Christian Patry misc RJ1-570 misc neonatology, categories of care, nurse-to-patient ratio, German Federal Joint Commission, pediatric intensive care unit misc Medicine misc R misc Pediatrics A gap between need and reality: neonatal nursing staff requirements on a German intensive care unit
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topic_title	RJ1-570 A gap between need and reality: neonatal nursing staff requirements on a German intensive care unit neonatology, categories of care, nurse-to-patient ratio, German Federal Joint Commission, pediatric intensive care unit
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title	A gap between need and reality: neonatal nursing staff requirements on a German intensive care unit
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title_sort	gap between need and reality: neonatal nursing staff requirements on a german intensive care unit
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title_auth	A gap between need and reality: neonatal nursing staff requirements on a German intensive care unit
abstract	Recently, new staffing rules for neonatal nurses in intensive care units (ICU) were issued in Germany, using categories of care of the British Association of Perinatal Medicine as blueprint. Neonates on intensive care require a nurse-to-patient ratio of 1:1, on intensive surveillance (high dependency care) of 1:2. No requirements exist for special care, transitional care, and pediatric ICU patients. Using these rules, nursing staff requirement was calculated over a period of 31 consecutive days once a day in a combined pediatric and neonatal ICU of a metropolitan academic medical center in south-west Germany. Each day, 18.9±0.98 patients (mean±standard deviation) were assessed (14.26±1.21 neonatal, 4.65±0.98 pediatric). Among neonates, 9.94±2.56 received intensive therapy, 3.77±1.85 intensive surveillance, and 0.65±0.71 special care. Average nursing staff requirement was 12.10±1.81 full time equivalents (FTE) per shift. Considering additional pediatric patients in the ICU and actual nursing staff availability (8.97±0.87 FTE per shift), this ICU seems understaffed.
abstractGer	Recently, new staffing rules for neonatal nurses in intensive care units (ICU) were issued in Germany, using categories of care of the British Association of Perinatal Medicine as blueprint. Neonates on intensive care require a nurse-to-patient ratio of 1:1, on intensive surveillance (high dependency care) of 1:2. No requirements exist for special care, transitional care, and pediatric ICU patients. Using these rules, nursing staff requirement was calculated over a period of 31 consecutive days once a day in a combined pediatric and neonatal ICU of a metropolitan academic medical center in south-west Germany. Each day, 18.9±0.98 patients (mean±standard deviation) were assessed (14.26±1.21 neonatal, 4.65±0.98 pediatric). Among neonates, 9.94±2.56 received intensive therapy, 3.77±1.85 intensive surveillance, and 0.65±0.71 special care. Average nursing staff requirement was 12.10±1.81 full time equivalents (FTE) per shift. Considering additional pediatric patients in the ICU and actual nursing staff availability (8.97±0.87 FTE per shift), this ICU seems understaffed.
abstract_unstemmed	Recently, new staffing rules for neonatal nurses in intensive care units (ICU) were issued in Germany, using categories of care of the British Association of Perinatal Medicine as blueprint. Neonates on intensive care require a nurse-to-patient ratio of 1:1, on intensive surveillance (high dependency care) of 1:2. No requirements exist for special care, transitional care, and pediatric ICU patients. Using these rules, nursing staff requirement was calculated over a period of 31 consecutive days once a day in a combined pediatric and neonatal ICU of a metropolitan academic medical center in south-west Germany. Each day, 18.9±0.98 patients (mean±standard deviation) were assessed (14.26±1.21 neonatal, 4.65±0.98 pediatric). Among neonates, 9.94±2.56 received intensive therapy, 3.77±1.85 intensive surveillance, and 0.65±0.71 special care. Average nursing staff requirement was 12.10±1.81 full time equivalents (FTE) per shift. Considering additional pediatric patients in the ICU and actual nursing staff availability (8.97±0.87 FTE per shift), this ICU seems understaffed.
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title_short	A gap between need and reality: neonatal nursing staff requirements on a German intensive care unit
url	https://doi.org/10.4081/pr.2014.5186 https://doaj.org/article/e9391531253840c8a66d9457d6a05b56 http://www.pagepress.org/journals/index.php/pr/article/view/5186 https://doaj.org/toc/2036-749X https://doaj.org/toc/2036-7503
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A gap between need and reality: neonatal nursing staff requirements on a German intensive care unit

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