Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France
Abstract Background Intensive care units (ICU) are characterized by high medical assistance costs and great complexity. Recommendations to determine the needs of medical staff are scarce, generating appreciable variability. The French Intensive Care Society (FICS) and the French National Council of...
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| Language: | English |
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SpringerOpen
2025-01-01
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| Series: | Annals of Intensive Care |
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| Online Access: | https://doi.org/10.1186/s13613-025-01432-4 |
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| author | Nicolas Terzi Guillaume Thiery Nicolas Bèle Naike Bigé David Brossier Alexandre Boyer Edouard Couty Laëtitia Flender Cyril Manzon Jean-Paul Mira Sofia Ortuno Vincent Peigne Marie-Cécile Poncet Sylvain Renolleau Jean-Philippe Rigaud Bérengère Vivet Khaldoun Kuteifan the French Intensive Care Society (FICS), the French National Council of Intensive Care Medicine (CNP MIR, Conseil National Professionel de Médecine Intensive Réanimation) |
| author_facet | Nicolas Terzi Guillaume Thiery Nicolas Bèle Naike Bigé David Brossier Alexandre Boyer Edouard Couty Laëtitia Flender Cyril Manzon Jean-Paul Mira Sofia Ortuno Vincent Peigne Marie-Cécile Poncet Sylvain Renolleau Jean-Philippe Rigaud Bérengère Vivet Khaldoun Kuteifan the French Intensive Care Society (FICS), the French National Council of Intensive Care Medicine (CNP MIR, Conseil National Professionel de Médecine Intensive Réanimation) |
| author_sort | Nicolas Terzi |
| collection | DOAJ |
| description | Abstract Background Intensive care units (ICU) are characterized by high medical assistance costs and great complexity. Recommendations to determine the needs of medical staff are scarce, generating appreciable variability. The French Intensive Care Society (FICS) and the French National Council of Intensive Care Medicine (CNP MIR, Conseil National Professionel de Médecine Intensive Réanimation) have established a technical committee of experts, the purposes of which were to draft recommendations regarding staffing needs in ICUs and to propose optimal organisation of work hours, a key objective being improved workplace quality of life. Results Literature analysis was conducted according to the GRADE methodology (Grade of Recommendation Assessment, Development and Evaluation). The synthesis work of the experts according to the GRADE method led to the development of 22 recommendations in 6 field. The experts issued a strong recommendation associated with a high level of evidence which is that work organization be given priority during periods of permanent care, with a maximum 16 h of consecutive work permitted. For 21 other recommendations, the level of evidence did not allow GRADE classification, and led to the formulation of expert opinions. All recommendations and expert opinions were validated (strong agreement). Conclusion The work in the intensive care unit and in the intermediate intensive care unit is multifaceted, both clinical and non-clinical, and must include at least the following continuity and quality for patient safety. This document provides a detailed framework to propose an optimal medical staff. |
| format | Article |
| id | doaj-art-623e60de447f43469760e16c5c88a41d |
| institution | Kabale University |
| issn | 2110-5820 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Annals of Intensive Care |
| spelling | doaj-art-623e60de447f43469760e16c5c88a41d2025-01-26T12:52:24ZengSpringerOpenAnnals of Intensive Care2110-58202025-01-0115111510.1186/s13613-025-01432-4Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in FranceNicolas Terzi0Guillaume Thiery1Nicolas Bèle2Naike Bigé3David Brossier4Alexandre Boyer5Edouard Couty6Laëtitia Flender7Cyril Manzon8Jean-Paul Mira9Sofia Ortuno10Vincent Peigne11Marie-Cécile Poncet12Sylvain Renolleau13Jean-Philippe Rigaud14Bérengère Vivet15Khaldoun Kuteifan16the French Intensive Care Society (FICS), the French National Council of Intensive Care Medicine (CNP MIR, Conseil National Professionel de Médecine Intensive Réanimation)CHU Rennes, Intensive Care Unit, Hôpital Pontchaillou, Université de Rennes, INSERM CIC 1414, Service de Médecine Intensive – RéanimationService de Médecine Intensive Réanimation, CHU de Saint ÉtienneCentre Hospitalier Intercommunal Fréjus Saint RaphaëlDépartement Interdisciplinaire d’Organisation du Parcours Patient, Gustave RoussyPediatric Intensive Care Unit, CHU de CaenMédecine Intensive Réanimation CHU BordeauxChaire Santé de Sciences Po ParisCentre Hospitalier Universitaire de ReimsService de Réanimation, Médipole Lyon Villeurbanne. Service de RéanimationService de Médecine Intensive-Réanimation, Hôpital Cochin, Assistance Publique - Hôpitaux de ParisService de Médecine Intensive - Réanimation Cardiologique, AP-HP, Sorbonne UniversitéService de Réanimation, Centre Hospitalier Métropôle-SavoieAssistance Publique – Hôpitaux de Paris, Hôpital Avicenne, Hôpitaux Universitaires de Paris Seine-Saint-DenisRéanimation et USC Médico-Chirurgicales Pédiatriques-SMUR Pédiatrique, CHU Necker-Enfants MaladesMédecine Intensive Réanimation, Centre Hospitalier de DieppeService de Réanimation Polyvalente-USIP, GH de La Haute-SaôneService de Réanimation Médicale GHRMSAAbstract Background Intensive care units (ICU) are characterized by high medical assistance costs and great complexity. Recommendations to determine the needs of medical staff are scarce, generating appreciable variability. The French Intensive Care Society (FICS) and the French National Council of Intensive Care Medicine (CNP MIR, Conseil National Professionel de Médecine Intensive Réanimation) have established a technical committee of experts, the purposes of which were to draft recommendations regarding staffing needs in ICUs and to propose optimal organisation of work hours, a key objective being improved workplace quality of life. Results Literature analysis was conducted according to the GRADE methodology (Grade of Recommendation Assessment, Development and Evaluation). The synthesis work of the experts according to the GRADE method led to the development of 22 recommendations in 6 field. The experts issued a strong recommendation associated with a high level of evidence which is that work organization be given priority during periods of permanent care, with a maximum 16 h of consecutive work permitted. For 21 other recommendations, the level of evidence did not allow GRADE classification, and led to the formulation of expert opinions. All recommendations and expert opinions were validated (strong agreement). Conclusion The work in the intensive care unit and in the intermediate intensive care unit is multifaceted, both clinical and non-clinical, and must include at least the following continuity and quality for patient safety. This document provides a detailed framework to propose an optimal medical staff.https://doi.org/10.1186/s13613-025-01432-4Medical staffIntensive care unitOrganisationQuality of work life |
| spellingShingle | Nicolas Terzi Guillaume Thiery Nicolas Bèle Naike Bigé David Brossier Alexandre Boyer Edouard Couty Laëtitia Flender Cyril Manzon Jean-Paul Mira Sofia Ortuno Vincent Peigne Marie-Cécile Poncet Sylvain Renolleau Jean-Philippe Rigaud Bérengère Vivet Khaldoun Kuteifan the French Intensive Care Society (FICS), the French National Council of Intensive Care Medicine (CNP MIR, Conseil National Professionel de Médecine Intensive Réanimation) Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France Annals of Intensive Care Medical staff Intensive care unit Organisation Quality of work life |
| title | Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France |
| title_full | Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France |
| title_fullStr | Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France |
| title_full_unstemmed | Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France |
| title_short | Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France |
| title_sort | formal guidelines from an expert panel intensive care unit medical staffing organisation and working hours to improve quality of life at work in france |
| topic | Medical staff Intensive care unit Organisation Quality of work life |
| url | https://doi.org/10.1186/s13613-025-01432-4 |
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