Abstract：
To examine the status of critical care nursing internationally, assess the impact of the COVID-19 pandemic, and identify research priorities by surveying professional critical care nursing organizations (CCNOs) worldwide.
A descriptive survey methodology was used. This study is the sixth worldwide quadrennial review to assess international critical care nursing needs and provide evidence to inform critical care nursing policy, practice and research priorities globally.
The sixth World Federation of Critical Care Nurses survey of CCNOs was emailed to potential participants from countries with CCNOs or known critical care nurse leaders. Data were collected online using Survey Monkey™. Responses were entered into SPSS version 28 software (IBM Corp.) and analyzed by geographical region and national wealth group.
Ninety-nine national representative respondents participated in the survey (70.7% response rate). The most important issues identified were working conditions, teamwork, staffing levels, formal practice guidelines, wages, and access to quality education programs. The top five CCNO services that were of most importance were providing national conferences, local conferences, workshops and education forums, practice standards and guidelines, and professional representation. Important pandemic-related services and activities provided by CCNOs included addressing emotional and mental well-being of nurses, providing guidance related to nurse staffing/workforce needs, assisting to coordinate efforts to obtain personal protective equipment supplies, serving as a country liaison with the World Health Organization\'s COVID-19 response activities, and assisting in the development and implementation of policies regarding standards of care. The most important contributions expected from the World Federation of Critical Care Nurses were standards for professional practice, standards for clinical practice, website resources, professional representation, and providing online education and training materials. The top five research priority areas were: stress levels (inclusive of burnout, emotional exhaustion and compassion fatigue); critical care nursing shortage, skill mix and workforce planning; recruitment, retention, turnover, working conditions; critical care nursing education and patient outcomes; and adverse events, staffing levels, patient outcomes.
The results highlight priority areas for critical care nursing internationally. The COVID-19 pandemic impacted critical care nurses as direct care providers. As a result, addressing the ongoing needs of critical care nurses remains a priority area of focus. The results also highlight important policy and research priorities for critical care nursing globally. Results of this survey should be incorporated into strategic action plans at the national and international levels.
Issues of importance to critical care nurses including research and policy priorities during and following COVID-19 are now clarified through this survey. The impact and importance that COVID-19 has had on critical care nurses and their preferences and priorities are provided. Clear guidance to leaders and policy makers on where critical care nurses would like to see greater focus and attention to help strengthen the contribution of critical care nursing practice to the global healthcare agenda.
A descriptive survey methodology was used. This study is the sixth worldwide quadrennial review to assess international critical care nursing needs and provide evidence to inform critical care nursing policy, practice and research priorities globally.
The sixth World Federation of Critical Care Nurses survey of CCNOs was emailed to potential participants from countries with CCNOs or known critical care nurse leaders. Data were collected online using Survey Monkey™. Responses were entered into SPSS version 28 software (IBM Corp.) and analyzed by geographical region and national wealth group.
Ninety-nine national representative respondents participated in the survey (70.7% response rate). The most important issues identified were working conditions, teamwork, staffing levels, formal practice guidelines, wages, and access to quality education programs. The top five CCNO services that were of most importance were providing national conferences, local conferences, workshops and education forums, practice standards and guidelines, and professional representation. Important pandemic-related services and activities provided by CCNOs included addressing emotional and mental well-being of nurses, providing guidance related to nurse staffing/workforce needs, assisting to coordinate efforts to obtain personal protective equipment supplies, serving as a country liaison with the World Health Organization\'s COVID-19 response activities, and assisting in the development and implementation of policies regarding standards of care. The most important contributions expected from the World Federation of Critical Care Nurses were standards for professional practice, standards for clinical practice, website resources, professional representation, and providing online education and training materials. The top five research priority areas were: stress levels (inclusive of burnout, emotional exhaustion and compassion fatigue); critical care nursing shortage, skill mix and workforce planning; recruitment, retention, turnover, working conditions; critical care nursing education and patient outcomes; and adverse events, staffing levels, patient outcomes.
The results highlight priority areas for critical care nursing internationally. The COVID-19 pandemic impacted critical care nurses as direct care providers. As a result, addressing the ongoing needs of critical care nurses remains a priority area of focus. The results also highlight important policy and research priorities for critical care nursing globally. Results of this survey should be incorporated into strategic action plans at the national and international levels.
Issues of importance to critical care nurses including research and policy priorities during and following COVID-19 are now clarified through this survey. The impact and importance that COVID-19 has had on critical care nurses and their preferences and priorities are provided. Clear guidance to leaders and policy makers on where critical care nurses would like to see greater focus and attention to help strengthen the contribution of critical care nursing practice to the global healthcare agenda.
摘要：
目的：研究国际重症监护护理的现状，评估COVID-19大流行的影响，并通过调查全球专业重症监护护理组织（CCNOs）来确定研究重点。
方法：采用描述性调查方法。本研究是第六次全球四年期审查，旨在评估国际重症监护护理需求，并为重症监护护理政策提供依据。全球实践和研究重点。
方法：第六届世界重症监护护士联合会对CCNOs的调查通过电子邮件发送给来自有CCNOs的国家或已知的重症监护护士领导者的潜在参与者。使用SurveyMonkey™在线收集数据。响应已输入SPSS版本28软件(IBMCorp.)，并按地理区域和国家财富群体进行分析。
结果：九十九名全国代表性受访者参与了调查（70.7%的回应率）。确定的最重要的问题是工作条件，团队合作,人员配备水平，正式的实践指南，工资,并获得高质量的教育计划。最重要的五大CCNO服务是提供全国性会议，当地会议,研讨会和教育论坛，实践标准和准则，和专业代表。CCNOs提供的与流行病有关的重要服务和活动包括解决护士的情感和心理健康，提供与护士人员配备/劳动力需求相关的指导，协助协调获得个人防护装备用品的努力，作为世界卫生组织COVID-19应对活动的国家联络人，并协助制定和实施有关护理标准的政策。预计世界重症监护护士联合会最重要的贡献是专业实践标准，临床实践标准，网站资源,专业代表,并提供在线教育和培训材料。前五个研究优先领域是：压力水平(包括倦怠，情绪疲惫和同情疲劳)；重症护理护理短缺，技能组合和劳动力规划；招聘，保留,营业额，工作条件；重症监护护理教育和患者预后；以及不良事件，人员配备水平，患者结果。
结论：结果突出了国际上重症监护护理的优先领域。COVID-19大流行影响了重症监护护士作为直接护理提供者。因此,解决重症监护护士的持续需求仍然是重点关注的优先领域。结果还突出了全球重症监护护理的重要政策和研究重点。这项调查的结果应纳入国家和国际两级的战略行动计划。
结论：现在通过这项调查澄清了对重症监护护士重要的问题，包括COVID-19期间和之后的研究和政策优先事项。提供了COVID-19对重症监护护士的影响和重要性，以及他们的偏好和优先事项。向领导人和政策制定者提供明确的指导，说明重症监护护士希望看到更多的关注和关注，以帮助加强重症监护护理实践对全球医疗保健议程的贡献。
方法：采用描述性调查方法。本研究是第六次全球四年期审查，旨在评估国际重症监护护理需求，并为重症监护护理政策提供依据。全球实践和研究重点。
方法：第六届世界重症监护护士联合会对CCNOs的调查通过电子邮件发送给来自有CCNOs的国家或已知的重症监护护士领导者的潜在参与者。使用SurveyMonkey™在线收集数据。响应已输入SPSS版本28软件(IBMCorp.)，并按地理区域和国家财富群体进行分析。
结果：九十九名全国代表性受访者参与了调查（70.7%的回应率）。确定的最重要的问题是工作条件，团队合作,人员配备水平，正式的实践指南，工资,并获得高质量的教育计划。最重要的五大CCNO服务是提供全国性会议，当地会议,研讨会和教育论坛，实践标准和准则，和专业代表。CCNOs提供的与流行病有关的重要服务和活动包括解决护士的情感和心理健康，提供与护士人员配备/劳动力需求相关的指导，协助协调获得个人防护装备用品的努力，作为世界卫生组织COVID-19应对活动的国家联络人，并协助制定和实施有关护理标准的政策。预计世界重症监护护士联合会最重要的贡献是专业实践标准，临床实践标准，网站资源,专业代表,并提供在线教育和培训材料。前五个研究优先领域是：压力水平(包括倦怠，情绪疲惫和同情疲劳)；重症护理护理短缺，技能组合和劳动力规划；招聘，保留,营业额，工作条件；重症监护护理教育和患者预后；以及不良事件，人员配备水平，患者结果。
结论：结果突出了国际上重症监护护理的优先领域。COVID-19大流行影响了重症监护护士作为直接护理提供者。因此,解决重症监护护士的持续需求仍然是重点关注的优先领域。结果还突出了全球重症监护护理的重要政策和研究重点。这项调查的结果应纳入国家和国际两级的战略行动计划。
结论：现在通过这项调查澄清了对重症监护护士重要的问题，包括COVID-19期间和之后的研究和政策优先事项。提供了COVID-19对重症监护护士的影响和重要性，以及他们的偏好和优先事项。向领导人和政策制定者提供明确的指导，说明重症监护护士希望看到更多的关注和关注，以帮助加强重症监护护理实践对全球医疗保健议程的贡献。
