Goran Susan F, Mullen-Fortino Margaret
MaineHealth Vital Network, Portland, ME 04103, USA.
AACN Adv Crit Care. 2012 Jul-Sep;23(3):289-301. doi: 10.1097/NCI.0b013e31825c1cc2.
The tele-intensive care unit (ICU) provides a remote monitoring system that adds an additional layer of support for critically ill patients. However, to optimize contributions, the bedside team must incorporate this resource into the patient's plan of care. Using the American Association of Critical-Care Nurses' Healthy Work Environment Standards as a platform, we can create and nurture a new partnership model. Strategies that embrace the standards of skilled communication, true collaboration, and effective decision making become mutual goals for improving patient safety and outcomes. Joint communication guidelines facilitate timely and meaningful communication. Trust and the desire to cooperate encourage provider engagement to strengthen collaboration. The use of tele-ICU technology can assist in the interpretation and transformation of data to affect decision making at all levels to influence patient care. Through the lens of the healthy work environment, the tele-ICU/ICU partnership provides enhanced opportunities for improved patient care and team satisfaction.
远程重症监护病房(ICU)提供了一个远程监测系统,为重症患者增加了一层额外的支持。然而,为了优化其作用,床边团队必须将这一资源纳入患者的护理计划。以美国重症护理护士协会的健康工作环境标准为平台,我们可以创建并培育一种新的合作模式。采用熟练沟通、真正协作和有效决策等标准的策略,成为改善患者安全和治疗结果的共同目标。联合沟通指南有助于及时且有意义的沟通。信任和合作意愿鼓励医护人员积极参与以加强协作。远程ICU技术的使用有助于数据的解读和转化,从而影响各级决策以影响患者护理。从健康工作环境的角度来看,远程ICU/ICU合作关系为改善患者护理和团队满意度提供了更多机会。