{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:11:03Z","timestamp":1785417063147,"version":"3.56.0"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinik M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Bundesgesundheitsbl"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>In Deutschland ist seit Jahren ein Pflegepersonalmangel zu beobachten, der insbesondere neonatologische Intensivstationen betrifft. Dabei wird vermutet, dass dieser Mangel zu reduzierten Versorgungskapazit\u00e4ten f\u00fchrt, woraus Konsequenzen f\u00fcr die Versorgung von Neugeborenen resultieren. Diese werden mit einer retrospektiven Beobachtungsstudie am Beispiel der 3\u00a0neonatologischen Intensivstationen des LMU Klinikums M\u00fcnchen betrachtet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>F\u00fcr den 4\u2011j\u00e4hrigen Beobachtungszeitraum 08\/2017\u201305\/2021 wurden Zeitreihendaten der \u201eQualit\u00e4tssicherungs-Richtlinie Fr\u00fch- und Reifgeborene\u201c (QFR-RL) des Gemeinsamen Bundesausschusses, Bettenauswertungen, Personalplanwerte, Abmeldedaten und rettungsdienstliche Einsatzdaten der Stationen herangezogen und mittels einer deskriptiven Statistik sowie einer 2\u2011stufigen Regressionsanalyse untersucht.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Im Beobachtungszeitraum waren rund 21\u202f% der notwendigen Pflegepersonalstellen unbesetzt, wobei die Qualit\u00e4tsanforderungen gem\u00e4\u00df QFR-RL weitgehend erf\u00fcllt waren. Um in Anbetracht des Personalmangels diese Anforderungen zu erf\u00fcllen, mussten jedoch verf\u00fcgbare Betten gesperrt werden. Im Beobachtungszeitraum konnte sowohl eine Zunahme der Abmeldestunden der Stationen von der Bev\u00f6lkerungsversorgung als auch ein Anstieg des relativen Risikos f\u00fcr eine Neugeborenen-Intensivverlegung beobachtet werden, wodurch im Mittel alle 3\u00a0Tage eine Verlegung resultierte.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Anforderungen an die pflegerische Versorgungsqualit\u00e4t von Neugeborenen sind gesetzlich vorgeschrieben, sodass sich der Pflegepersonalmangel \u00fcberproportional in einer Reduktion der Versorgungskapazit\u00e4t niederschl\u00e4gt. So m\u00fcssen Konsequenzen f\u00fcr die Versorgungssicherheit der Bev\u00f6lkerung durch Klinikabmeldungen und ein Verlegungsrisiko regelhaft in Kauf genommen werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00103-023-03749-6","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T09:02:19Z","timestamp":1691658139000},"page":"1019-1029","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Gef\u00e4hrdet der Pflegepersonalmangel auf neonatologischen Intensivstationen die Versorgungssicherheit Neugeborener?","Does the nursing shortage in neonatal intensive care units (NICU) threaten the warranty of healthcare for newborns?"],"prefix":"10.1007","volume":"66","author":[{"given":"Daniel","family":"Fichtner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas W.","family":"Flemmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uli","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viola","family":"Koncz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna-Lisa","family":"Oechsle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Klemme","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,8,10]]},"reference":[{"key":"3749_CR1","unstructured":"Deutsche Gesellschaft f\u00fcr Kinder- und Jugendmedizin e. 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