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Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Nursing Workforce Characteristics and Their Impact on Intensive Care Unit Interprofessional Team Collaboration.

Laura L Manzo1,2, Nathan Wright2, Kathleen E Fitzpatrick Rosenbaum2,3,4,5

  • 1US Army Medical Center of Excellence, AMEDD Student Detachment, Joint Base San Antonio, TX 78234, United States.

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Summary

A novice nursing workforce in intensive care units (ICUs) impacts interprofessional team collaboration and patient care. Addressing staffing, retention, and communication is crucial for optimal ICU team performance and patient outcomes.

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Area of Science:

  • Healthcare Management
  • Nursing Science
  • Interprofessional Collaboration

Background:

  • Nursing workforce characteristics, including staffing and specialized training, are critical for high-quality intensive care unit (ICU) patient care.
  • Suboptimal nurse staffing increases the risk of adverse patient outcomes and mortality.
  • The impact of a more novice nursing workforce and high turnover on interprofessional team collaboration remains understudied.

Purpose of the Study:

  • To analyze how nursing workforce characteristics influence interprofessional team dynamics and collaboration in ICUs.
  • To understand the effects of a changing nursing workforce on the ability of interprofessional teams to provide patient care.

Main Methods:

  • Qualitative analysis of previously collected data from 9 ICUs within a US academic medical system.
  • Individual interviews with registered nurses (RNs), physicians, respiratory therapists (RTs), and other ICU providers.
  • Thematic analysis of interview transcripts, with independent coding and consensus-building.

Main Results:

  • A transition to a more novice nursing workforce impacts the interprofessional team's ability to provide care.
  • Staffing decisions that do not incorporate interprofessional team needs decrease collaboration and disrupt patient care.
  • Adequate nurse staffing and support can mitigate increased burdens on the interprofessional team.

Conclusions:

  • Nursing workforce characteristics significantly affect interprofessional team members and their capacity to deliver ICU care.
  • A comprehensive strategy involving support staff, experienced nurse retention, and improved interprofessional communication is essential.
  • These interventions can enhance interprofessional team collaboration and optimize patient care in ICUs.