定义澳大利亚和新西兰重症监护物理治疗的最低劳动力标准:德尔菲研究
Peter Thomas1, Wendy Chaseling2, Leanne Marais3
1Royal Brisbane and Women's Hospital, Brisbane, Australia.
概括
现在,重症监护室 (ICU) 的物理治疗人员拥有基于共识的最低标准. 建议涵盖成人和儿科ICU的员工比例,高级人员分配和应急服务.
科学领域:
- 物理治疗 物理治疗
- 密集护理医学 密集护理医学
- 医疗保健管理的管理
背景情况:
- 密集护理人员指导方针对于安全的医疗保健提供和劳动力的专业要求至关重要.
- 专业特定的咨询对于在重症监护机构制定有效的物理治疗人员指南至关重要.
研究的目的:
- 建立基于共识的建议,为重症监护中的物理治疗制定最低劳动力标准.
- 为制定基于证据的重症监护病房物理治疗人员指南提供信息.
主要方法:
- 采用了德尔菲调查过程,涉及来自澳大利亚和新西兰的物理治疗师.
- 两轮调查与一组经验丰富的重症监护理疗师进行了两轮调查.
主要成果:
- 在42个关于物理治疗人员的陈述中,有37个达成共识.
- 建立了最低人员配备比例:儿童重症监护室 1:6 和成人重症监护室1级,2级,3级和高依赖单位分别为 1:8, 1:7, 1:6, 1:8.
- 建议还包括高级物理治疗师的分配,值班/周末服务,以及特定单位的晚班.
结论:
- 成功制定了基于共识的关于重症监护室最低物理治疗人员数量的建议.
- 这些建议支持在重症监护机构内提供临床服务,监督和培训要求.
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