[Scientific development of critical care : Position paper]
K Blanck-Köster1, T Becker2, U Gaidys3
1Fakultät für Wirtschaft und Soziales - Department Pflege & Management, Hochschule für Angewandte Wissenschaften Hamburg, Alexanderstraße 1, 20099, Hamburg, Deutschland. katrin.blanck-koester@haw-hamburg.de.
Germany
Area of Science:
- Nursing
- Healthcare Management
- Demography
Background:
- Increasing complexity in German healthcare due to demographic changes.
- Rising number of intensive care unit (ICU) beds and patients treated.
- Need for specialized nursing education in intensive care.
Purpose of the Study:
- To advocate for advanced nursing practice (ANP) in German intensive care.
- To define the role and competencies of nursing experts in complex care.
- To align critical care nursing with European standards.
Main Methods:
- Analysis of demographic trends and ICU statistics in Germany.
- Review of advanced nursing practice models and competencies.
- Examination of recommendations from professional nursing organizations (e.g., DGF).
Main Results:
- Intensive care in Germany faces growing complexity.
- Advanced nursing practice (ANP) offers a framework for managing complex ICU situations.
- Nursing experts can autonomously manage artificial ventilation, weaning, and patient comfort.
Conclusions:
- A master's level qualification is proposed for critical care nursing as advanced nursing practice (ANP).
- Expansion of nursing competencies, roles, and decision-making authority is recommended.
- Adoption of European critical care nursing competencies is encouraged.
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