BACKGROUND

The recent evolution of nursing management of cardiovascular disease has led to significant changes in specific healthcare processes. The aim of this study is to present the first nursing survey of Italian intensive cardiac care units (ICCUs).

METHODS

In March and April 2007, a questionnaire investigating the main problems concerning ICCU organization, specifically addressed to nursing care, has been mailed to all the operative Italian ICCUs. The questionnaire investigated staff characteristics, education and training, daily work organization, risk management strategies, and nursing research.

RESULTS

For a more detailed analysis, the ICCUs were divided into three levels (standard, medium and high) based on their technological equipment, and in particular mechanical ventilatory assistance and intra-aortic balloon pumping availability. A high proportion of ICCUs (347/385, 90%) answered to the questionnaire and an analysis of the responses revealed no significant differences between the three main geographical areas of Italy (North, Center, South).

CONCLUSIONS

Despite some organizational and staffing problems, the survey confirmed the high level of routine nursing care, the strong tendency towards the integration of different professional competencies among the staff, and the high degree of standardization.