School of Nursing and Midwifery, Aga Khan University, P O Box 39340-00623, Nairobi, Kenya.
Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington Medical Center, Campus Box 356522, Seattle 98195-6522, Washington.
Crit Care Clin. 2022 Oct;38(4):657-693. doi: 10.1016/j.ccc.2022.06.014.
This review provides insights on the current state of roles and responsibilities, on-the-job training, barriers, and facilitators of critical care nursing (CCN) practice. Some of the established roles and training of CCN were providing care for acutely ill patients, delivering expert and specialist care, working as a part of a multidisciplinary team, monitoring, and initiating timely treatment, and providing psychosocial support and advanced system treatment, especially in high-income countries. In low-resource settings, critical care nurses work as health care assistants, technical or ancillary staff, and clinical educators; manage medications; care for mechanically ventilated patients; and provide care to deteriorating patients.
本文综述了重症监护护理(CCN)的角色和职责、在职培训、障碍和促进因素。CCN 的一些既定角色和培训包括为急性病患者提供护理、提供专业和专家护理、作为多学科团队的一部分工作、监测和及时启动治疗以及提供社会心理支持和高级系统治疗,特别是在高收入国家。在资源匮乏的环境中,重症监护护士担任医疗助理、技术或辅助人员以及临床教育者;管理药物;护理机械通气患者;以及为病情恶化的患者提供护理。