Wheeler Derek S, Dewan Maya, Maxwell Andrea, Riley Carley L, Stalets Erika L
Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Transl Pediatr. 2018 Oct;7(4):275-283. doi: 10.21037/tp.2018.09.05.
The health care industry is in the midst of incredible change, and unfortunately, change is not easy. The intensive care unit (ICU) plays a critical role in the overall delivery of care to patients in the hospital. Care in the ICU is expensive. One of the best ways of improving the value of care delivered in the ICU is to focus greater attention on the needs of the critical care workforce. Herein, we highlight three major areas of concern-the changing model of care delivery outside of the traditional four walls of the ICU, the need for greater diversity in the pediatric critical care workforce, and the widespread problem of professional burnout and its impact on patient care.
医疗保健行业正处于令人难以置信的变革之中，不幸的是，变革并非易事。重症监护病房（ICU）在医院为患者提供的整体护理中起着关键作用。ICU的护理成本高昂。提高ICU护理价值的最佳方法之一是更加关注重症护理人员的需求。在此，我们强调三个主要关注领域——传统ICU四壁之外护理模式的变化、儿科重症护理人员队伍需要更大的多样性，以及职业倦怠这一普遍问题及其对患者护理的影响。
