Flinders University, Adelaide, Australia; Australian College of Critical Care Nurses.
La Trobe University, Melbourne, Australia; The University of Melbourne, Melbourne, Australia; Australian College of Critical Care Nurses.
Aust Crit Care. 2018 Sep;31(5):292-302. doi: 10.1016/j.aucc.2017.08.007. Epub 2017 Dec 12.
The intensive care nursing workforce plays an essential role in the achievement of positive healthcare outcomes. A growing body of evidence indicates that inadequate nurse staffing and poor skill mix are associated with negative outcomes for patients, and potentially compromises nurses' ability to maintain the safety of those in their care. In Australia, the Australian College of Critical Care Nurses (ACCCN) has previously published a position statement on intensive care staffing. There was a need for a stronger more evidence based document to support the intensive nursing workforce.
To undertake a systematic and evidence review of the evidence related to intensive care nurse staffing and quality of care, and determine evidence-based professional standards for the intensive care nursing workforce in Australia.
The National Health and Medical Research Council standard for clinical practice guidelines methodology was employed. The English language literature, for the years 2000-2015 was searched. Draft standards were developed and then peer- and consumer-reviewed.
A total of 553 articles was retrieved from the initial searches. Following evaluation, 231 articles met the inclusion criteria and were assessed for quality using established criteria. This evidence was used as the basis for the development of ten workforce standards, and to establish the overall level of evidence in support of each standard. All draft standards and their subsections were supported multi-professionally (median score >6) and by consumers (85-100% agreement). Following minor revisions, independent appraisal using the AGREE II tool indicated that the standards were developed with a high degree of rigour.
The ACCCN intensive care nursing nurse workforce standards are the first to be developed using a robust, evidence-based process. The standards represent the optimal nurse workforce to achieve the best patient outcomes and to maintain a sustainable intensive care nursing workforce for Australia.
重症监护护理人员在实现积极的医疗保健成果方面发挥着至关重要的作用。越来越多的证据表明，护士人员配备不足和技能组合不佳与患者的负面结果相关联，并可能影响护士维持其护理人员安全的能力。在澳大利亚，澳大利亚重症监护护士学院（ACCCN）之前发布了一份关于重症监护人员配备的立场声明。需要一份更有力、更基于证据的文件来支持重症护理劳动力。
对与重症监护护士人员配备和护理质量相关的证据进行系统和循证审查，并确定澳大利亚重症监护护理劳动力的循证专业标准。
采用澳大利亚国家卫生和医学研究委员会临床实践指南方法标准。搜索了 2000 年至 2015 年的英语文献。制定了标准草案，然后进行了同行和消费者审查。
从最初的搜索中检索到 553 篇文章。经过评估，有 231 篇文章符合纳入标准，并使用既定标准评估其质量。该证据被用作制定十个劳动力标准的基础，并确定支持每个标准的整体证据水平。所有标准草案及其子部分都得到了多专业（中位数评分> 6）和消费者的支持（85-100%的一致）。经过轻微修订，使用 AGREE II 工具进行独立评估表明，这些标准是在高度严谨的基础上制定的。
ACCCN 重症监护护理劳动力标准是首次使用稳健、基于证据的流程制定的标准。这些标准代表了实现最佳患者结果和维持澳大利亚重症监护护理劳动力可持续性的最佳护士劳动力。
