执业护士和医生助理:建立一个团队,优化医疗ICU的实践
Carolyn Dickens1, Amber Beserra2, Joe Keller3
1University of Illinois Chicago, College of Nursing, Chicago, IL.
将执业护士 (NP) 和医生助理 (PA) 整合到医疗ICU (MICU) 中至关重要. 本综述概述了招聘,入职和支持NP和PA的战略,以提高重症监护团队的表现.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
- 提供先进实践的提供者.
背景情况:
- 随着患者敏度的增加和强化治疗师的短缺,需要先进的实践提供者集成到医疗ICU (MICU).
- 成功地利用NP和PA需要了解国家特定的实践范围,并实施强有力的培训和领导力支持.
研究的目的:
- 审查建立和管理有效的MICU团队的最佳策略,包括执业护士 (NP) 和医生助理 (PA).
主要方法:
- 对NP和PA招聘的最佳实践的审查,重点是教育,认证,许可和重症监护经验.
- 强调结构化的入职,基于能力的培训,模拟和指导,以成功融入.
- 讨论影响NP和PA实践范围和责任的州法律变化和机构政策.
主要成果:
- 关键策略包括全面的候选人评估,定义的角色,明确的报告结构和基于能力的培训.
- 基于模拟的培训和指导对于临床技能发展和工作满意度至关重要.
- 了解法律和政策变化对于管理期望和责任至关重要.
结论:
- 招聘,安装和整合NP和PA的综合战略对于高质量的MICU护理提供至关重要.
- 建议使用有效的生产力测量来评估NP和PA的贡献.
- 成功的整合提高了MICU团队的表现和患者的结果.
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