Jenelle Sheasby, Suzanne Krais, Aasim Afzal, Timothy J George
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引用次数: 0
Abstract
Background: Little is known about how the role of the extracorporeal membrane oxygenation (ECMO) specialist (ES) impacts intensive care unit (ICU) staff retention. Our facility allows staff ICU registered nurses (RNs) and respiratory therapists (RTs) to dual in the role of ES.
Aim: The aim of this project was to identify any contributing factors the role of the ES may have on ICU staff retention.
Methods: A retrospective review of Human Resource (HR) records of all ICU RNs and RTs was conducted and compared those who held the concurrent role of ES against those who did not, for length of tenure. We also surveyed 17 qualifying ES to identify any major factors that contribute to their retention.
Results: A total of 242 employees, 206 (85.1%) ICU RNs and 36 (14.9%) RTs' records were analysed, 13 (6.3%) were ES ICU RNs, and 193 (93.7%) non-ES ICU RNs. Similarly, 4 (11.1%) were ES RTs, and 32 (88.9%) non-ES RTs. The ES ICU RNs had a significantly longer length of tenure 6.11 [4.49-8.05] compared to non-ES ICU RNS at 2.34 [1.27-4.30] years (p < .001). Likewise, the ES RTs' 13.47 [8.23-21.84] years exceeded the tenure of non-ES RTs at 3.85 [1.37-10.67] years (p = .03). The ES survey identified four key factors of the ES role that positively contribute to staff retention: financial incentives, advanced skill set, team cohesion and the rarity of opportunity.
Conclusion: This project found that the role of the ES may uniquely positively impact the retention of ICU RNs and RTs.
Relevance to clinical practice: Staff turnover in the ICU is a universal problem for all facilities. Interestingly, this project discovered supporting evidence that the role of the ECMO specialist may positively impact the retention of ICU staff that partakes in this role. Thus, it affects centres that currently have an ECMO programme but could also be used as a decisive tool for those centres that are considering developing one.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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