Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue C1179, New York, NY 10065, USA.
Crit Care Clin. 2010 Jan;26(1):207-17. doi: 10.1016/j.ccc.2009.09.003.
Nurse practitioners (NPs) are increasingly being used to fill the physician-staffing void in intensive care units. This article describes the initiation and role development of our collaborative physician-NP critical care medicine (CCM) program at the Memorial Sloan-Kettering Cancer Center. The challenges that our program encountered with recruiting, training, transitioning, collaborating, communicating, and addressing end-of-life issues are detailed in this article. Finally, we delve into the emotional impact NPs have on this new role and propose future directions to strengthen the CCM NP model. We hope that this descriptive article of the development of our CCM NP group will allow others who are seeking to cultivate their own CCM NP teams to benefit from our experience.
护士从业者（NPs）越来越多地被用于填补重症监护病房的医生人员空缺。本文介绍了我们在纪念斯隆-凯特琳癌症中心开展的协作式医师-NP 重症监护医学（CCM）项目的启动和角色发展。本文详细介绍了我们的项目在招聘、培训、过渡、协作、沟通和解决临终问题方面遇到的挑战。最后，我们深入探讨了 NPs 在这一新角色中所面临的情感影响，并提出了加强 CCM NP 模式的未来方向。我们希望这篇描述我们 CCM NP 小组发展的文章能够使其他寻求培养自己的 CCM NP 团队的人从中受益。
