加拿大新生儿和儿科重症监护病房的夜间工作人员
Christina Maratta1,2,3,4,5, Kristen Hutchison6, Jessica Nicoll4,6
1Inter-Departmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.
Frontiers in pediatrics
|November 29, 2023
概括
大多数加拿大的儿科和新生儿重症监护室 (ICU) 有一夜间的内部医生覆盖,主要是住院医生或研究员. 然而,主治医生的存在很少见,人员安排在各单位之间有很大差异.
科学领域:
- 关键护理医学 关键护理医学
- 儿科 儿科 儿科
- 新生儿科学 新生儿科学
背景情况:
- 新生儿和儿科重症监护室 (ICU) 为重症婴儿和儿童提供专业护理.
- 夜间住院医生的覆盖被认为是ICU中持续监督护理的最佳方案.
- 在加拿大的儿科和新生儿ICU中,这种人员配置模式的流行程度没有得到充分的证据.
研究的目的:
- 描述加拿大3级新生儿ICU (NICU) 和儿科ICU (PICU) 的夜间内部医生人员配置模型.
- 评估这些重症监护机构的夜间医生团队的组成.
- 为医生人员提供COVID-19前基线理解.
主要方法:
- 一项全国横截面调查分发给加拿大NICU和PICU的董事.
- 该调查收集了夜间人员配置的数据,包括住院医生,同事医生,执业护士和主治医生.
- 在ICU与室内一夜间医生之间进行了比较分析.
主要成果:
- 所有34个NICU和19个PICU都做出了回应.
- 53个ICU中有83%的ICU有内部一夜间医生覆盖,通常提供高级技术,如体外生命支持.
- 住院人员占过夜覆盖的多数,紧随其后的是重症监护医学研究员. 在ICU中,只有15%的医生在ICU上过夜.
结论:
- 大多数加拿大3级NICU和PICU都保持一夜间的内部医生人员,主要是住院医生或研究员.
- 这些一夜队的组成存在显著的差异.
- 这些人员配置模式对患者结果,住院教育和医生福祉的影响需要进一步调查.
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