A review of critical care nursing staffing, education and practice standards

Summary: The aim of this paper is to review the differences and similarities in critical care nursing staffing, education and practice standards in the US, Canada, UK, New Zealand and Australia. Search methods: A university library discovery catalogue, Science Direct, Scopus databases and profession...

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Main Authors: Gill, Fenella, Leslie, Gavin, Grech, C., Latour, J.
Format: Journal Article
Published: Elsevier Inc 2012
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/48062
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author Gill, Fenella
Leslie, Gavin
Grech, C.
Latour, J.
author_facet Gill, Fenella
Leslie, Gavin
Grech, C.
Latour, J.
author_sort Gill, Fenella
building Curtin Institutional Repository
collection Online Access
description Summary: The aim of this paper is to review the differences and similarities in critical care nursing staffing, education and practice standards in the US, Canada, UK, New Zealand and Australia. Search methods: A university library discovery catalogue, Science Direct, Scopus databases and professional websites were searched. Key terms used included, critical care, specialist, standards, competency, practice, scope, workforce, staffing, ratios, qualifications, adverse events, and patient outcomes. The search was limited to articles that referred to critical care environments including paediatric and neonatal settings. Results: The database and hand search identified 40 relevant articles. Website searching resulted in a further 36 documents. A diversity of critical care nursing contexts and a lack of comparable workforce data made it difficult to quantify differences and similarities between countries. There is a general consensus about the importance of optimum staffing by registered nurses with a proportion of those holding relevant post-registration qualifications although there is no consistency in defining the educational preparation for a ‘qualified’ critical care nurse. Critical care nursing standards for the US, Canada, UK and New Zealand were predominantly developed by expert panels while the Australian standards were developed with a multi-methods study including observations of practice. All five standards documents were built upon national entry-to-practice nurse standards and contained similar constructs, although there was no construct common to all of the standards. Conclusion: There is a lack of evidence to support nursing staffing with post registration specialty qualifications. Existing standards are predominantly opinion based rather than supported by research. The expected standards for nursing practice are fundamentally similar.
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spelling curtin-20.500.11937-480622017-09-13T16:09:21Z A review of critical care nursing staffing, education and practice standards Gill, Fenella Leslie, Gavin Grech, C. Latour, J. education: standards qualifications critical care staffing ratios Summary: The aim of this paper is to review the differences and similarities in critical care nursing staffing, education and practice standards in the US, Canada, UK, New Zealand and Australia. Search methods: A university library discovery catalogue, Science Direct, Scopus databases and professional websites were searched. Key terms used included, critical care, specialist, standards, competency, practice, scope, workforce, staffing, ratios, qualifications, adverse events, and patient outcomes. The search was limited to articles that referred to critical care environments including paediatric and neonatal settings. Results: The database and hand search identified 40 relevant articles. Website searching resulted in a further 36 documents. A diversity of critical care nursing contexts and a lack of comparable workforce data made it difficult to quantify differences and similarities between countries. There is a general consensus about the importance of optimum staffing by registered nurses with a proportion of those holding relevant post-registration qualifications although there is no consistency in defining the educational preparation for a ‘qualified’ critical care nurse. Critical care nursing standards for the US, Canada, UK and New Zealand were predominantly developed by expert panels while the Australian standards were developed with a multi-methods study including observations of practice. All five standards documents were built upon national entry-to-practice nurse standards and contained similar constructs, although there was no construct common to all of the standards. Conclusion: There is a lack of evidence to support nursing staffing with post registration specialty qualifications. Existing standards are predominantly opinion based rather than supported by research. The expected standards for nursing practice are fundamentally similar. 2012 Journal Article http://hdl.handle.net/20.500.11937/48062 10.1016/j.aucc.2011.12.056 Elsevier Inc restricted
spellingShingle education: standards
qualifications
critical care
staffing ratios
Gill, Fenella
Leslie, Gavin
Grech, C.
Latour, J.
A review of critical care nursing staffing, education and practice standards
title A review of critical care nursing staffing, education and practice standards
title_full A review of critical care nursing staffing, education and practice standards
title_fullStr A review of critical care nursing staffing, education and practice standards
title_full_unstemmed A review of critical care nursing staffing, education and practice standards
title_short A review of critical care nursing staffing, education and practice standards
title_sort review of critical care nursing staffing, education and practice standards
topic education: standards
qualifications
critical care
staffing ratios
url http://hdl.handle.net/20.500.11937/48062