Evidence map›Paper›PMID 34442154›Full record

ArticleHealthcare (Basel, Switzerland)2021

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

Takeshi Unoki, Yusuke Kawai, Miya Hamamoto, Mitsuhiro Tamoto, Takeharu Miyamoto, Hideaki Sakuramoto, Yumi Ito, Etsuko Moro, Junko Tatsuno, Osamu Nishida

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Takeshi UnokiDepartment of Acute and Critical Care Nursing, School of Nursing, Sapporo City University, Kita 11 Nishi 13, Chuo-ku, Sapporo 060-0011, Japan.ORCID 0000-0002-7778-4355
Yusuke KawaiDepartment of Nursing, Fujita Health University Hospital, 1-98 Dengakugakubo, Kutsukake, Toyoake 470-1192, Japan.ORCID 0000-0001-8238-0729
Miya HamamotoIntensive Care Unit, Tosei General Hospital, 160 Nishioiwake, Seto 489-8642, Japan.ORCID 0000-0003-2838-0044
Mitsuhiro TamotoIntensive Care Unit, Kyoto University Hospital, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Takeharu MiyamotoDepartment of Nursing, Faculty of Health Sciences, Junshin Gakuen University, 1-1-1 Chikushigaoka, Minami-ku, Fukuoka 815-1510, Japan.
Hideaki SakuramotoDepartment of Adult Health Nursing, College of Nursing, Ibaraki Christian University, 6-11 Omika, Hitachi 319-1295, Japan.ORCID 0000-0002-2370-2588
Yumi ItoDepartment of Nursing, Faculty of Health Sciences, Kyorin University, 6-20-2 Shinkawa, Mitaka 181-8611, Japan.ORCID 0000-0003-3181-4050
Etsuko MoroIntensive Care Unit, Jichi Medical University Hospital, 3311-1 Yakushiji, Shimotsuke 329-0498, Japan.
Junko TatsunoDepartment of Nursing, Kokura Memorial Hospital, 3-2-1 Asano, Kokurakita-ku, Kitakyushu 802-8555, Japan.
Osamu NishidaDepartment of Anesthesiology and Critical Care Medicine, School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake 470-1192, Japan.ORCID 0000-0003-0140-283X

Funding

The Health, Labor, and Welfare Policy Research Grants, Special Research 20CA2028
6 · The paper itself

Abstract

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.

Indexed as

extracorporeal membrane oxygenationintensive care unitsmechanical ventilationworkforce

Identifiers

PMID34442154
PMCPMC8394815

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.