Auswirkungen des Pflegepersonalmangels auf die intensivmedizinische Versorgungskapazität in Deutschland
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Auswirkungen des Pflegepersonalmangels auf die intensivmedizinische Versorgungskapazität in Deutschland. / Karagiannidis, C; Kluge, S; Riessen, R; Krakau, M; Bein, T; Janssens, U.
in: MED KLIN-INTENSIVMED, Jahrgang 114, Nr. 4, 05.2019, S. 327-333.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Auswirkungen des Pflegepersonalmangels auf die intensivmedizinische Versorgungskapazität in Deutschland
AU - Karagiannidis, C
AU - Kluge, S
AU - Riessen, R
AU - Krakau, M
AU - Bein, T
AU - Janssens, U
PY - 2019/5
Y1 - 2019/5
N2 - BACKGROUND: Compared to other countries, Germany has the highest number of intensive care unit (ICU) beds, but, despite this, a shortage in ICU care is evident. Currently, little comprehensive data on ICU staffing and on subsequent closure of ICU beds are available. The current survey therefore aimed to systematically investigate the closure of ICU beds.METHOD: A survey was performed among authorized professional trainers in ICU medicine.RESULTS: Overall, a shortage of ICU beds following bed closure was evident in 76% of all ICU floors with 22% reporting daily ICU bed closure. In 47%, two ICU beds were not available. Emergency care was unrestricted in only 18%, while restrictions were reportedly frequent or even constant in 30%. The main reasons for ICU bed closure were the unavailability of ICU nurses (44%) and the co-existing unavailability of nurses and physicians (19%). On average, the nurse/patient ratio was 1:2.5 in the morning, 1:2.6 in the afternoon, and 1:3.1 in the night shift.CONCLUSIONS: ICU bed closure regularly occurs in Germany. The underlying main reason has been identified to be the unavailability of ICU nursing staff. This is suggested to directly interfere with emergency care. For this reason, an action plan is urgently needed.
AB - BACKGROUND: Compared to other countries, Germany has the highest number of intensive care unit (ICU) beds, but, despite this, a shortage in ICU care is evident. Currently, little comprehensive data on ICU staffing and on subsequent closure of ICU beds are available. The current survey therefore aimed to systematically investigate the closure of ICU beds.METHOD: A survey was performed among authorized professional trainers in ICU medicine.RESULTS: Overall, a shortage of ICU beds following bed closure was evident in 76% of all ICU floors with 22% reporting daily ICU bed closure. In 47%, two ICU beds were not available. Emergency care was unrestricted in only 18%, while restrictions were reportedly frequent or even constant in 30%. The main reasons for ICU bed closure were the unavailability of ICU nurses (44%) and the co-existing unavailability of nurses and physicians (19%). On average, the nurse/patient ratio was 1:2.5 in the morning, 1:2.6 in the afternoon, and 1:3.1 in the night shift.CONCLUSIONS: ICU bed closure regularly occurs in Germany. The underlying main reason has been identified to be the unavailability of ICU nursing staff. This is suggested to directly interfere with emergency care. For this reason, an action plan is urgently needed.
KW - English Abstract
KW - Journal Article
U2 - 10.1007/s00063-018-0457-3
DO - 10.1007/s00063-018-0457-3
M3 - SCORING: Zeitschriftenaufsatz
C2 - 29987337
VL - 114
SP - 327
EP - 333
JO - MED KLIN-INTENSIVMED
JF - MED KLIN-INTENSIVMED
SN - 2193-6218
IS - 4
ER -
