Next Article in Journal
Agenesis of the Corpus Callosum in a Newborn with Turner Mosaicism
Previous Article in Journal
Early Complete Remission of Osteoid Osteoma with Conservative Medical Management
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Pediatric Reports
Volume 6
Issue 1
10.4081/pr.2014.5186
pediatrrep-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
Pediatric Reports is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

A Gap between Need and Reality: Neonatal Nursing Staff Requirements on a German Iintensive Care Unit

by
Christian Patry
1,
Monika Schindler
1,
Julia Reinhard
1,
Steffen Hien
1,
Süha Demirakca
1,
Thomas Böhler
1,* and
Thomas Schaible
1
1
Department of Neonatology, University Medicine Mannheim, Universityof Heidelberg, Mannheim, Germany
2
Medical Service of Statutory Health Insurance in Baden-Württemberg, Karlsruhe, Germany
3
Mannheim Institute of Public Health, Medical Faculty at Mannheim, University of Heidelberg, Mannheim, Germany
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2014, 6(1), 5186; https://doi.org/10.4081/pr.2014.5186
Submission received: 22 November 2013 / Revised: 24 November 2013 / Accepted: 24 December 2013 / Published: 28 March 2014
Versions Notes

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.
Keywords: neonatology; categories of care; nurse-to-patient ratio; German Federal Joint Commission; pediatric intensive care unit neonatology; categories of care; nurse-to-patient ratio; German Federal Joint Commission; pediatric intensive care unit

Share and Cite

MDPI and ACS Style

Patry, C.; Schindler, M.; Reinhard, J.; Hien, S.; Demirakca, S.; Böhler, T.; Schaible, T. A Gap between Need and Reality: Neonatal Nursing Staff Requirements on a German Iintensive Care Unit. Pediatr. Rep. 2014, 6, 5186. https://doi.org/10.4081/pr.2014.5186

AMA Style

Patry C, Schindler M, Reinhard J, Hien S, Demirakca S, Böhler T, Schaible T. A Gap between Need and Reality: Neonatal Nursing Staff Requirements on a German Iintensive Care Unit. Pediatric Reports. 2014; 6(1):5186. https://doi.org/10.4081/pr.2014.5186

Chicago/Turabian Style

Patry, Christian, Monika Schindler, Julia Reinhard, Steffen Hien, Süha Demirakca, Thomas Böhler, and Thomas Schaible. 2014. "A Gap between Need and Reality: Neonatal Nursing Staff Requirements on a German Iintensive Care Unit" Pediatric Reports 6, no. 1: 5186. https://doi.org/10.4081/pr.2014.5186

APA Style

Patry, C., Schindler, M., Reinhard, J., Hien, S., Demirakca, S., Böhler, T., & Schaible, T. (2014). A Gap between Need and Reality: Neonatal Nursing Staff Requirements on a German Iintensive Care Unit. Pediatric Reports, 6(1), 5186. https://doi.org/10.4081/pr.2014.5186

Article Metrics

Back to TopTop