ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2019
[Impact of nursing staff shortage on intensive care medicine capacity in Germany].
Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Agency work in intensive care : Impact of temporary contract work on patient care in intermediate care and intensive care units].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Pooled it
- Decreasing admissions in older and increasing mortality in younger patients: a nationwide observational study of all German ICU cases 2011-2022.Critical care (London, England) · 2026Observational
- Contextualising ventilation decisions: an ethnographic study of factors shaping interprofessional decision-making.BMC nursing · 2026Article
- Telemedicine in adult intensive care: A systematic review of patient-relevant outcomes and methodological considerations.PLOS digital health · 2025Article
- [Working conditions in German intensive care units-A cross-professional analysis].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- [Forced centralized allocation in the emergency department-what has the COVID-19 pandemic changed?]Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Process evaluation of a co-design and implementation study to improve professional health literacy in a regional care hospital (PIKoG): a mixed-methods study.BMC health services research · 2025Article
- Sustainable Implementation of Digital Assistive Technologies in Health Care Through a Simplified Interaction and Control Platform: Protocol for a Cocreative Feasibility Study.JMIR research protocols · 2025Article
- Ultra-fast extubation following cardiac surgery improves hemodynamic stability and reduces ICU workload.Frontiers in cardiovascular medicine · 2025Article
- The Impact of the COVID-19 Pandemic on Esophageal and Gastric Cancer Surgery in Germany: A Four-Year Retrospective Single-Center Study of 287 Patients.Journal of clinical medicine · 2024Article
- [Does the nursing shortage in neonatal intensive care units (NICU) threaten the warranty of healthcare for newborns? : The "Mary and Joseph" project].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Observational
- Influence of working conditions and salary on agency work for intermediate and intensive care units : Part 2: Partial results of a nationwide survey.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- [Influence of working conditions and salary on temporary agency work for intermediate care and intensive care units : Partial results of a nationwide survey].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- [Nontraumatic resuscitation room management of critically ill patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Review
- Health workforce response to Covid-19: What pandemic preparedness planning and action at the federal and state levels in Germany?: Germany's health workforce responses to Covid-19.The International journal of health planning and management · 2021Article
- COVID-19: a simple statistical model for predicting intensive care unit load in exponential phases of the disease.Scientific reports · 2021Article
- Number of pathologists in Germany: comparison with European countries, USA, and Canada.Virchows Archiv : an international journal of pathology · 2021Article
- [Between care for others and self-care: intensive care nursing in times of the COVID-19 pandemic].Ethik in der Medizin : Organ der Akademie fur Ethik in der Medizin · 2021Article
- Forced Centralized Allocation of Patients to Temporarily 'Closed' Emergency Departments.Deutsches Arzteblatt international · 2020Article
- Promoting the Quality of Ventilator-Associated Pneumonia Control in Intensive Care Units: an Action Research.Tanaffos · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompared 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.
methodA survey was performed among authorized professional trainers in ICU medicine.
resultsOverall, 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.
conclusionsICU 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.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.