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Article

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

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Department of Acute and Critical Care Nursing, School of Nursing, Sapporo City University, Kita 11 Nishi 13, Chuo-ku, Sapporo 060-0011, Japan
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Department of Nursing, Fujita Health University Hospital, 1-98 Dengakugakubo, Kutsukake, Toyoake 470-1192, Japan
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Intensive Care Unit, Tosei General Hospital, 160 Nishioiwake, Seto 489-8642, Japan
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Intensive Care Unit, Kyoto University Hospital, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan
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Department of Nursing, Faculty of Health Sciences, Junshin Gakuen University, 1-1-1 Chikushigaoka, Minami-ku, Fukuoka 815-1510, Japan
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Department of Adult Health Nursing, College of Nursing, Ibaraki Christian University, 6-11 Omika, Hitachi 319-1295, Japan
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Department of Nursing, Faculty of Health Sciences, Kyorin University, 6-20-2 Shinkawa, Mitaka 181-8611, Japan
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Intensive Care Unit, Jichi Medical University Hospital, 3311-1 Yakushiji, Shimotsuke 329-0498, Japan
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Department of Nursing, Kokura Memorial Hospital, 3-2-1 Asano, Kokurakita-ku, Kitakyushu 802-8555, Japan
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Department of Anesthesiology and Critical Care Medicine, School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake 470-1192, Japan
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Author to whom correspondence should be addressed.
Academic Editor: Abdel-Latif Mohamed
Healthcare 2021, 9(8), 1017; https://doi.org/10.3390/healthcare9081017
Received: 7 July 2021 / Revised: 3 August 2021 / Accepted: 5 August 2021 / Published: 7 August 2021
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. View Full-Text
Keywords: intensive care units; workforce; mechanical ventilation; extracorporeal membrane oxygenation intensive care units; workforce; mechanical ventilation; extracorporeal membrane oxygenation
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MDPI and ACS Style

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. https://doi.org/10.3390/healthcare9081017

AMA Style

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(8):1017. https://doi.org/10.3390/healthcare9081017

Chicago/Turabian Style

Unoki, Takeshi, Yusuke Kawai, Miya Hamamoto, Mitsuhiro Tamoto, Takeharu Miyamoto, Hideaki Sakuramoto, Yumi Ito, Etsuko Moro, Junko Tatsuno, and Osamu Nishida. 2021. "Workforce and Task Sharing of Nurses in the Japanese Intensive Care Unit-Cross-Sectional Postal Survey" Healthcare 9, no. 8: 1017. https://doi.org/10.3390/healthcare9081017

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