Defining minimum workforce standards for intensive care physiotherapy in Australia and New Zealand: A Dephi study.

Autor: Thomas P; Royal Brisbane and Women's Hospital, Brisbane, Australia. Electronic address: PeterJ.Thomas@health.qld.gov.au., Chaseling W; St George Hospital, Kogarah, Australia., Marais L; Te Whatu Ora, Health New Zealand, South Canterbury, Timaru, New Zealand., Matheson C; Te Whatu Ora Counties Manukau, Middlemore Hospital, Auckland, New Zealand., Paton M; Monash Health, Clayton, Australia., Swanepoel N; Te Whatu Ora, Health New Zealand, Auckland, Takapuna, New Zealand.
Jazyk: angličtina
Zdroj: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses [Aust Crit Care] 2024 Sep 21. Date of Electronic Publication: 2024 Sep 21.
DOI: 10.1016/j.aucc.2024.08.005
Abstrakt: Background: Intensive care staffing guidelines provide recommendations for the safe and effective delivery of health care while recognising professional requirements of the workforce. To guide recommendations for physiotherapy staffing guidelines, profession-specific consultation is needed.
Objectives: The objective of this study was to develop consensus-based recommendations for minimum workforce standards for physiotherapy in intensive care.
Methods: A Delphi survey process was conducted involving physiotherapists from Australia and New Zealand.
Results: The panel consisted of 65 physiotherapists in the first round and 60 in the second round (92% retention). Respondents were from both Australia (49, 76%) and New Zealand (16, 24%) who had been physiotherapists for an average of 18.8 ± 9.0 years and were primarily senior intensive care physiotherapists (44, 68%). Respondents had experience across level 3 (50, 77%), level 2 (18, 28%), and level 1 (5, 8%) adult intensive care units (ICUs), adult high-dependency units (27, 42%), and paediatric intensive care (6, 9%). A total of 42 statements were presented, with 37 reaching consensus after two rounds. After two rounds, consensus was achieved for a minimum staffing ratio in paediatric ICUs of one physiotherapist per six (1:6) beds. For adult ICUs, use of the median value of the participant's responses was supported to establish minimum staffing ratios of 1:8, 1:7, 1:6, and 1:8 for levels 1, 2, and 3 ICUs and high-dependency units, respectively. The requirement for an additional allocation for senior physiotherapist staffing for each ICU level was also established. Statements that also gained consensus included recommendations for access to on-call and weekend services for all ICU settings and the consideration of evening shifts specifically for level 3 and paediatric ICUs.
Conclusions: Recommendations for minimum staffing for physiotherapy in intensive care settings were achieved and supported requirements for clinical service delivery, supervision, and training.
Competing Interests: Conflict of interest There are no conflicts of interest to declare.
(Copyright © 2024 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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