Evidence map›Paper›PMID 40973703›Full record

ArticleMilitary medicine2026

Nursing Workforce Characteristics and Their Impact on Intensive Care Unit Interprofessional Team Collaboration.

Laura L Manzo, Nathan Wright, Kathleen E Fitzpatrick Rosenbaum, Hyunji Kim, Ella Christoph, Deena Kelly Costa

Abstract read
In one paragraph

Article in Military medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Laura L ManzoUS Army Medical Center of Excellence, AMEDD Student Detachment, Joint Base San Antonio, TX 78234, United States.ORCID 0000-0003-0415-4288
Nathan WrightYale School of Nursing, Orange, CT 06477, United States.ORCID 0000-0001-6280-2269
Kathleen E Fitzpatrick RosenbaumYale School of Nursing, Orange, CT 06477, United States.
Hyunji KimYale School of Nursing, Orange, CT 06477, United States.
Ella ChristophSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, CT 06511, United States.ORCID 0000-0003-3371-0108
Deena Kelly CostaYale School of Nursing, Orange, CT 06477, United States.ORCID 0000-0002-7776-5349

Funding

NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
AHRQ HHS T32 HS017589NCATS NIH HHS TL1 TR001864
6 · The paper itself

Abstract

introductionNursing workforce characteristics, such as staffing and specialized training, are integral to the delivery of high-quality patient care in the intensive care unit (ICU). Nurse staffing is defined as the number of nurses per patient but also skill-mix (combination of registered nurses and other nursing support staff) and expertise of available nurses for the specific patient population each shift. When nurse staffing is suboptimal the risk of adverse patient outcomes and patient mortality increases. In addition, existing research has established the importance of staffing ICUs with interprofessional teams-registered nurses (RNs), physicians, and respiratory therapists (RTs). Yet, shifting characteristics of the nursing workforce- such high turnover and a more novice workforce- are still under studied and may impact the interprofessional team and its ability to collaborate effectively. MATERIALS AND

methodsThis study is an analysis of previously collected qualitative data from 9 ICUs within a single academic medical system in the US. Participants (RNs, physicians, RTs, and other ICU providers) working in study ICUs across 4 hospitals were purposively sampled and interviewed individually. Thematic analysis was used to analyze interview transcripts; 2 researchers coded each transcript independently. Consensus on any coding disagreement was reached through discussions at research team meetings. Once all data was coded, the team iteratively reviewed the data and codes and generated themes that focused on the primary research question of this analysis: how nursing workforce characteristics influence the interprofessional team.

resultsOur final sample included RNs (n = 11), RTs (n = 4), physicians (n = 4), and a dietician (n = 1). Three interconnected themes were identified in the analysis: (1) The effects of a transition to a more novice nursing workforce in ICUs extends beyond nurse staffing to the interprofessional team and their ability to provide care; (2) Staffing decisions do not incorporate interprofessional team needs, leading to decreased collaboration and disruptions in patient care; and (3) Adequate nurse staffing and additional support can balance increased burden on the interprofessional team. These themes highlight how nurse workforce characteristics can influence the interprofessional team in adult ICUs in a post-COVID era.

conclusionsCharacteristics of the nursing workforce, such as nurse experience and expertise, have downstream effects on interprofessional team members and their ability to deliver care in the ICU. A multi-pronged approach, which includes adequate support staff for nursing, increased retention of experienced ICU nurses, and improving communication across professions, is vital to improve interprofessional team collaboration and allow ICU teams to provide the best care possible to their patients.

Indexed as

Cooperative BehaviorHealth WorkforceInterprofessional RelationsNursesPatient Care TeamWorkforceAdultFemaleHumansIntensive Care UnitsMaleQualitative Research

Identifiers

PMID40973703
PMCPMC13656832

What OpenQuestion holds

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Registered trials

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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.