TY - JOUR
T1 - Empfehlungen zur Fachweiterbildung von Pflegefachpersonen der Intensivstation bei der Behandlung des Bauchaortenaneurysmas
T2 - Ergebnisse eines modifizierten Delphi-Verfahrens mit Expert:innen
AU - Behrendt, Christian-Alexander
AU - Heckenkamp, Jörg
AU - Bergsträßer, Andrea
AU - Billing, Arend
AU - Böckler, Dittmar
AU - Bücker, Arno
AU - Cotta, Livia
AU - Donas, Konstantinos P
AU - Grözinger, Gerd
AU - Heidecke, Claus-Dieter
AU - Hinterseher, Irene
AU - Horn, Silvio
AU - Kaltwasser, Arnold
AU - Kiefer, Andrea
AU - Kirnich-Müller, Claudia
AU - Kock, Lars
AU - Kölbel, Tilo
AU - Czerny, Martin
AU - Kralewski, Christian
AU - Kurz, Stephan
AU - Larena-Avellaneda, Axel
AU - Mutlak, Haitham
AU - Oberhuber, Alexander
AU - Oikonomou, Kyriakos
AU - Pfeiffer, Manfred
AU - Pfister, Karin
AU - Reeps, Christian
AU - Schäfer, Andreas
AU - Schmitz-Rixen, Thomas
AU - Steinbauer, Markus
AU - Steinbauer, Claudia
AU - Strupp, Daniel
AU - Stolecki, Dietmar
AU - Trenner, Matthias
AU - Veit, Christof
AU - Verhoeven, Eric
AU - Waydhas, Christian
AU - Weber, Christian F
AU - Adili, Farzin
N1 - Verhoeven: Klinikum Nürnberg und Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland;
PY - 2024/3/18
Y1 - 2024/3/18
N2 - INTRODUCTION: The medical development in the previous 15 years and the changes in treatment reality of the comprehensive elective treatment of abdominal aortic aneurysms necessitate a re-evaluation of the quality assurance guidelines of the Federal Joint Committee in Germany (QBAA-RL). In the current version this requires a specialist further training quota for nursing personnel in intensive care wards of 50%. The quota was determined in 2008 based on expert opinions, although a direct empirical evidence base for this does not exist.METHODS: Representatives from the fields of patient representation, physicians, nursing personnel and other relevant interface areas were invited to participate in a modified Delphi procedure. Following a comprehensive narrative literature search, a survey and focus group discussions with national and international experts, a total of three anonymized online-based voting rounds were carried out for which previously determined key statements were assessed with a 4‑point Likert scale (totally disagree up to totally agree). In addition, the expert panel had also defined a recommendation for a minimum quota for the specialist training of nursing personnel on intensive care wards in the treatment of abdominal aortic aneurysms, whereby an a priori agreement of 80% of the participants was defined as the consensus limit.RESULTS: Overall, 37 experts participated in the discussions and three successive voting rounds (participation rate 89%). The panel confirmed the necessity of a re-evaluation of the guideline recommendations and recommended the introduction of a shift-related minimum quota of 30% of the full-time equivalent of nursing personnel on intensive care wards and the introduction of structured promotional programs for long-term elevation of the quota.CONCLUSION: In this national Delphi procedure with medical and nursing experts as well as representatives of patients, the fundamental benefits and needs of professional specialist qualifications in the field of intensive care medicine were confirmed. The corresponding minimum quota for specialist further training of intensive care nursing personnel should generally apply without limitations to specific groups. The expert panel stipulates a shift-related minimum quota for intensive care nursing personnel with specialist training of 30% of the nursing personnel on intensive care wards and the obligatory introduction of structured and transparent promotion programs for the long-term enhancement.
AB - INTRODUCTION: The medical development in the previous 15 years and the changes in treatment reality of the comprehensive elective treatment of abdominal aortic aneurysms necessitate a re-evaluation of the quality assurance guidelines of the Federal Joint Committee in Germany (QBAA-RL). In the current version this requires a specialist further training quota for nursing personnel in intensive care wards of 50%. The quota was determined in 2008 based on expert opinions, although a direct empirical evidence base for this does not exist.METHODS: Representatives from the fields of patient representation, physicians, nursing personnel and other relevant interface areas were invited to participate in a modified Delphi procedure. Following a comprehensive narrative literature search, a survey and focus group discussions with national and international experts, a total of three anonymized online-based voting rounds were carried out for which previously determined key statements were assessed with a 4‑point Likert scale (totally disagree up to totally agree). In addition, the expert panel had also defined a recommendation for a minimum quota for the specialist training of nursing personnel on intensive care wards in the treatment of abdominal aortic aneurysms, whereby an a priori agreement of 80% of the participants was defined as the consensus limit.RESULTS: Overall, 37 experts participated in the discussions and three successive voting rounds (participation rate 89%). The panel confirmed the necessity of a re-evaluation of the guideline recommendations and recommended the introduction of a shift-related minimum quota of 30% of the full-time equivalent of nursing personnel on intensive care wards and the introduction of structured promotional programs for long-term elevation of the quota.CONCLUSION: In this national Delphi procedure with medical and nursing experts as well as representatives of patients, the fundamental benefits and needs of professional specialist qualifications in the field of intensive care medicine were confirmed. The corresponding minimum quota for specialist further training of intensive care nursing personnel should generally apply without limitations to specific groups. The expert panel stipulates a shift-related minimum quota for intensive care nursing personnel with specialist training of 30% of the nursing personnel on intensive care wards and the obligatory introduction of structured and transparent promotion programs for the long-term enhancement.
U2 - 10.1007/s00104-024-02066-1
DO - 10.1007/s00104-024-02066-1
M3 - Originalarbeit
C2 - 38498123
SN - 2731-6971
JO - CHIRURGIE
JF - CHIRURGIE
ER -