Siegling Christian, Mertins Esther, Wefer Franziska, Bolte Christina, Krüger Lars
Pflegedirektor, Pflegedirektion, Herz- und Diabeteszentrum NRW, Universitätsklinikum der Ruhr-Universität Bochum, Georgstraße 11, 32345, Bad Oeynhausen, Deutschland.
Stv. Pflegedirektorin/Pflegedienstleiterin, Pflegedirektion, Herz- und Diabeteszentrum NRW, Universitätsklinikum der Ruhr-Universität Bochum, Bad Oeynhausen, Deutschland.
Med Klin Intensivmed Notfmed. 2025 Mar;120(2):153-161. doi: 10.1007/s00063-024-01175-3. Epub 2024 Sep 4.
In the Federal Republic of Germany, it has been possible for some years to study (intensive) nursing care alongside further training in intensive care and anaesthesia. This results in a nursing skill-grade mix in the intensive care unit (ICU), which nursing management must consider.
The aim is to show the development and implementation of a new nursing management structure in the ICU and also provide an overview of the parallel role development with preliminary results at a university hospital.
Within a working group of nursing management, a narrative analysis of the current situation was carried out with close involvement of the ICU ward managers and the staff units for nursing development, further education and nursing education. The content was organized into subject areas and a new management model was subsequently developed. The evaluation took place narratively within the context of employee interviews.
The management model in the ICU was divided into the areas of nursing management, nursing education, and nursing science as a management triangle. Nursing management is staffed by at least two people as ward managers and deputies, while the nursing education and science team leaders have equal decision-making powers in terms of shared governance. The respective specialist departments work together within the hospital in networks with other ICUs. Other specialist roles such as primary nurses, advanced practice nurses, heart failure nurses or practical instructors are given specific contact persons in the management team to match their tasks, which was viewed positively.
The development of nursing practice can be promoted through close co-operation within the management team.
在德意志联邦共和国，多年来人们一直可以在重症监护和麻醉的进一步培训中学习（强化）护理。这导致了重症监护病房（ICU）护理技能等级的混合，护理管理必须对此加以考虑。
旨在展示ICU新护理管理结构的发展与实施情况，并概述一所大学医院中并行的角色发展及初步成果。
在护理管理工作小组内，在ICU病房管理人员以及护理发展、继续教育和护理教育的工作人员单位的密切参与下，对现状进行了叙事分析。内容按主题领域进行组织，随后制定了一种新的管理模式。评估在员工访谈的背景下以叙事方式进行。
ICU的管理模式分为护理管理、护理教育和护理科学三个领域，形成一个管理三角。护理管理至少由两名人员担任病房管理人员和副手，而护理教育和科学团队负责人在共同治理方面拥有平等的决策权。各个专科部门在医院内与其他ICU以网络形式合作。其他专科角色，如责任护士、高级执业护士、心力衰竭护士或实践指导教师，在管理团队中有特定的联系人来匹配他们的任务，这一点得到了积极评价。
通过管理团队内部的密切合作可以促进护理实践的发展。
