Nursing in the Intensive Care Unit Term Paper by Quality Writers

Nursing in the Intensive Care Unit
An analysis of the problems in determining patient-staff ratios in the intensive care unit (ICU) and how to address this issue.
# 101758 | 2,768 words | 10 sources | APA | 2008 | US
Published on Feb 29, 2008 in Medical and Health (Nursing)

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This paper addresses the problem of finding a reliable means of predicting the need for nursing care of patients in the intensive care unit (ICU). It looks at present systems devised by nurses to establish nurse-patient ratios and explores these strategies and systems, as well as alternatives. The paper concludes that the preferable course will be a system designed by nurses; without that, legislation will be the only alternative. The paper also looks at the writer's point of view and the relevance of the issue to him.

Table of Contents:
Personal Relevance
Relevance to Nursing
The Issue: Nurse-Staff Ratios
Alternatives: Staffing Models

From the Paper:

"Another system for determining nurse-patient ratios is of more interest to the health organization and the government. The diagnostic related groups system is primarily based on the principal diagnosis. Comorbidities and other factors such as length of hospital stay allow outcomes to be costed. The diagnostic related groups are used as a means to calculate costs as well as a system to estimate the cost of nursing care. The problem with the diagnostic related groups system is that, although it is comprised of 475 diagnostic categories, they have never been evaluated in terms of the nursing workload linked with them (Adomat & Hewison, 2004). In general, no patient classification or dependency system that currently is in use is completely effective for determining nurse-patient ratios in the ICU. The problem is found in the variable nature of the ICU so that a set of circumstances cannot be projected onto even the immediate future."

Sample of Sources Used:

  • Adomat, R. & Hewison, A. (2004). Assessing patient category/dependence systems for determining the nurse/patient ratio in ICU and HDU: A review of approaches. Journal of Nursing Management, 12, 99-308.
  • American Association of Critical-Care Nurses (AACN) (2005). AACN standards for establishing and sustaining healthy work environments, 1-44. Accessed February 15, 2007.$file/HWEStandards.pdf
  • Artz, M. (2005). Setting nurse-patient ratios. American Journal of Nursing, 105 (5), 97.
  • Brooke, P. (2006). Long day's journey into night. Nursing2006, 36 (2), 66.
  • College of Nurses of Ontario (CNO) (2005). A health regulatory scan, 1-39. Accessed February 15, 2007.

Cite this Term Paper:

APA Format

Nursing in the Intensive Care Unit (2008, February 29) Retrieved February 02, 2023, from

MLA Format

"Nursing in the Intensive Care Unit" 29 February 2008. Web. 02 February. 2023. <>