Is Nurse Workforce Sufficient in Intensive Care Units in Turkey. Results of the Multicenter Karia Study

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dc.contributor.authorUyan, Ayse
dc.contributor.authorDurmus, Gul
dc.contributor.authorSezak, Nurbanu
dc.contributor.authorPepe, Fatmanur
dc.contributor.authorKaygusuz, Turkkan
dc.contributor.authorOztoprak, Nefise
dc.contributor.authorOzdemir, Kevser
dc.contributor.authorAksoy, Firdevs
dc.contributor.authorErol, Serpil
dc.contributor.authorKoc, Meliha Meric
dc.contributor.authorOncul, Ahsen
dc.contributor.authorCagan Aktas, Sabahat
dc.contributor.authorCaskurlu, Hulya
dc.contributor.authorCelebi, Guven
dc.contributor.authorKandemir, Ozlem
dc.contributor.authorOzger, Selcuk
dc.contributor.authorHarman, Rezan
dc.contributor.authorDemiray, Kubra
dc.contributor.authorAri, Alpay
dc.contributor.authorAlkan Ceviker, Sevil
dc.contributor.authorEsen Yildiz, Ilknur
dc.contributor.authorMenekse, Sirin
dc.contributor.authorSenol, Gunes
dc.contributor.authorSari, Sema
dc.contributor.authorDogan, Mustafa
dc.contributor.authorUgurlu, Kenan
dc.contributor.authorArslan, Mustafa
dc.contributor.authorAkdemir, Irem
dc.contributor.authorFirat, Pinar
dc.contributor.authorKurekci, Yesim
dc.contributor.authorCaglayan, Derya
dc.contributor.authorUcar, Mehmet
dc.contributor.authorGozukucuk, Ramazan
dc.contributor.authorElmaslar Mert, Habibe Tulin
dc.contributor.authorAlay, Handan
dc.contributor.authorErdogan, Haluk
dc.contributor.authorDemirel, Aslihan
dc.contributor.authorDogan, Nilgun
dc.contributor.authorKocak, Funda
dc.contributor.authorGuven, Emre
dc.contributor.authorUnsal, Guleser
dc.contributor.authorSipahi, Hilal
dc.contributor.authorIsikgoz Tasbakan, Meltem
dc.contributor.authorArda, Bilgin
dc.contributor.authorUlusoy, Sercan
dc.contributor.authorSipahi, Oguz Resat
dc.date.accessioned2019-10-27T11:18:33Z
dc.date.available2019-10-27T11:18:33Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction: In this multicenter study, we analysed the magnitude of healthcare worker (HCW) [infection control practitioner (ICP), nurses and others] workforce in hospitals participated in the study. Materials and Methods: This study was performed in 41 hospitals (with intensive care units-ICU) located in 22 cities from seven regions of Turkey. We analysed the ICP workforce, nursing and auxiliary HCW (AHCW) workforce in ICUs, number of ICU beds and occupied beds in four different days [two of which were in summer during the vacation time (August 27 and 31, 2016) and two others in autumn (October 12 and 15, 2016)]. The Turkish Ministry of Health (TMOH) requires two patients per nurse in level 3 ICUs, three patients per nurse in level 2 ICUs and five patients per nurse in level 1 ICUs. There is no standardization for the number of AHCW in ICUs. Finally, one ICP per 150 hospital beds is required by TMOH. Results: The total number of ICUs, ICU beds and ICPs were 214, 2377 and 111, respectively in he 41 participated centers. The number ICPs was adequate only in 12 hospitals. The percentage of nurses whose working experience was <1 year, was; 19% in level 1 ICUs, 25% in level 2 ICUs and 24% in level 3 ICUs. The number of patients per nurse was mostly <5 in level 1 ICUs whereas the number of patients per nurse in level 3 ICUs was generally >2. The number of patients per other HCW was minimum 3.75 and maximum 4.89 on weekdays and on day shift while it was minimum 5.02 and maximum 7.7 on weekends or on night shift. When we compared the number of level 1, 2 and 3 ICUs with adequate nursing workforce vs inadequate nursing workforce, the p value was <0.0001 at all time points except summer weekend night shift (p=0.002). Conclusion: Our data suggest that ICP workforce is inadequate in Turkey. Besides, HCW workforce is inadequate and almost 1/4 of nurses are relatively inexperienced especially in level 3 ICUs. Turkish healthcare system should promptly make necessary arrangements for adequate HCW staffing.en_US
dc.identifier.doi10.4274/mjima.2017.20
dc.identifier.issn2147-673X
dc.identifier.issn2147-673Xen_US
dc.identifier.urihttps://doi.org/10.4274/mjima.2017.20
dc.identifier.urihttps://hdl.handle.net/11454/32558
dc.identifier.volume6en_US
dc.identifier.wosWOS:000436268000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofMediterranean Journal of Infection Microbes and Antimicrobialsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectInfection controlen_US
dc.subjectinfectionen_US
dc.subjecthealthcare-associated infectionsen_US
dc.subjectintensive care infectionsen_US
dc.subjectinfection control practitioneren_US
dc.titleIs Nurse Workforce Sufficient in Intensive Care Units in Turkey. Results of the Multicenter Karia Studyen_US
dc.typeArticleen_US

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