Kochanek, M., Boell, B., Shimabukuro-Vornhagen, A., Michels, G., Barbara, W., Hansen, D., Hallek, M., Faetkenheuer, G. and von Bergwelt-Baildon, M. (2015). Personal Needs of an Intensive Care Unit under Consideration of current Hygiene Guidelines An explorative Analysis. Dtsch. Med. Wochenschr., 140 (14). S. E136 - 6. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413
Full text not available from this repository.Abstract
Zusammenfassung Die Anzahl der behandelten Patienten auf Intensivstationen nimmt immer mehr zu. Lebensalter, Komorbiditaten und komplexe Behandlungsmethoden fuhren zu einem Anstieg von Patienten, die mit Antibiotika-resistenten Erregern entweder kolonisiert oder infiziert sind. Fur die Vermeidung nosokomialer Infektionen spielen Hygienerichtlinien eine wichtige Rolle. In dieser Arbeit untersuchen wir den Zeitaufwand von Pflegekraften bei der Versorgung von Intensivpatienten an funf Modellpatienten. Die Ergebnisse zeigen, dass der derzeitige Personalbedarfsplan unter den gegebenen Hygienerichtlinien nicht ausreicht. Danach ist eine 1:1-Betreuung unbedingt notwendig. In einer nationalen Umfrage unter Universitatskliniken wurde ein Verhaltnis von Pflegekraft zu Patienten von 1:2,47 ermittelt. Pflegekraften auf Intensivstationen ist die Hygieneproblematik bekannt und wichtig - mit hohem personlichen Einsatz versuchen sie, diese umzusetzen. Abstract The patient burden in intensive care units (ICU) has continually increased worldwide over the past decades. Age, co-morbidities and an increasing complexity of conditions and treatments increase the number of patients who are either colonized or infected with antibiotic-resistant pathogens. To prevent nosocomial infections, hygiene guidelines play an important role. In this paper, we investigate the time needed for nursing of five hypothetical critically ill patients in the intensive care unit. The results show that current staffing is not sufficient under the given hygiene guidelines and that a nurse to patient ratio of one will be necessary to meet the requirements. In a national survey of university hospitals, however, we found that the current nurse to patient ratio is 1: 2.47 in German intensive care units. The apparent staffing shortage is compensated by an extraordinary personal commitment of nurses caring for patients in the ICU.
| Item Type: | Journal Article | ||||||||||||||||||||||||||||||||||||||||
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| URN: | urn:nbn:de:hbz:38-400243 | ||||||||||||||||||||||||||||||||||||||||
| DOI: | 10.1055/s-0041-102841 | ||||||||||||||||||||||||||||||||||||||||
| Journal or Publication Title: | Dtsch. Med. Wochenschr. | ||||||||||||||||||||||||||||||||||||||||
| Volume: | 140 | ||||||||||||||||||||||||||||||||||||||||
| Number: | 14 | ||||||||||||||||||||||||||||||||||||||||
| Page Range: | S. E136 - 6 | ||||||||||||||||||||||||||||||||||||||||
| Date: | 2015 | ||||||||||||||||||||||||||||||||||||||||
| Publisher: | GEORG THIEME VERLAG KG | ||||||||||||||||||||||||||||||||||||||||
| Place of Publication: | STUTTGART | ||||||||||||||||||||||||||||||||||||||||
| ISSN: | 1439-4413 | ||||||||||||||||||||||||||||||||||||||||
| Language: | German | ||||||||||||||||||||||||||||||||||||||||
| Faculty: | Unspecified | ||||||||||||||||||||||||||||||||||||||||
| Divisions: | Unspecified | ||||||||||||||||||||||||||||||||||||||||
| Subjects: | no entry | ||||||||||||||||||||||||||||||||||||||||
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| URI: | http://kups.ub.uni-koeln.de/id/eprint/40024 |
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