ArticleIntensive & critical care nursing2026
Retention and morale in the ICU: interprofessional team members' perspectives on interprofessional staffing in adult ICUs.
Article in Intensive & critical care nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
objectiveTo explore how interprofessional team staffing-comprised of registered nurses, physicians, and respiratory therapists-is perceived to impact team members and patient care in the ICU.
methodsUsing previously collected interview data from a study focused on optimal interprofessional teams in adult ICUs from a single academic medical center, we used thematic analysis to examine how team staffing influenced team members and patient care; we paid particular attention to perspectives on patient safety, team member well-being, and retention.
resultsUsing data from 14 interviews (7 registered nurses, 4 physicians, 3 respiratory therapists) we identified five themes: (1) patient assignments were linked to patient safety: "sometimes it can get a little dicey"; (2) continuity of care helps, "but let's get real… you need breaks"; (3) when staffing is inadequate - "you can't provide the type of care you want" - interprofessional team members feel demoralized; (4) retention was both a cause and a result of inadequate interprofessional staffing; and (5) team support is critical: "we are like a unified front…we band together". Staffing was described as cyclical, dynamic, and interconnected.
conclusionsInterprofessional team members described ICU staffing as complex and may influence patient safety, continuity of care, team member well-being, and retention. Focusing on how to improve ICU interprofessional team staffing may have the potential to improve both team and patient outcomes. IMPLICATIONS FOR CLINICAL PRACTICE: Given current workforce dynamics for ICU nurses and their colleagues, the ICU interprofessional team might benefit from understanding how interprofessional team staffing aids in well-being, retention, and patient safety. These study findings can inform future research and quality improvement programs to explore opportunities to enhance interprofessional team collaboration to promote excellence ofcareofcritically illpatients.
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