重症监护治疗专业人员：全英国劳动力调查
Therapy professionals in critical care: A UK wide workforce survey.
作者信息
Twose Paul, Terblanche Ella, Jones Una, Bruce James, Firshman Penelope, Highfield Julie, Jones Gemma, Merriweather Judith, Newey Vicky, Newman Helen, Rock Claire, Wallace Sarah
机构信息
Physiotherapy Department, University Hospital of Wales, Cardiff, UK.
Applied Technologies for Clinical Care, King's College London, UK.
出版信息
J Intensive Care Soc. 2023 Feb;24(1):24-31. doi: 10.1177/17511437221100332. Epub 2022 May 9.
INTRODUCTION
National guidelines suggest recommended staffing levels for therapies. The aim of this study was to capture information on existing staffing levels, roles and responsibilities and service structures.
METHODS
An observational study using online surveys distributed to 245 critical care units across the United Kingdom (UK). Surveys consisted of a generic and five profession specific surveys.
RESULTS
Eight hundred sixty-two responses were received from 197 critical care units across the UK. Of those that responded, over 96% of units had input from dietetics, physiotherapy and SLT. Whereas only 59.1% and 48.1% had an OT or psychology service respectively. Units with ring fenced services had improved therapist to patient ratios.
DISCUSSION
There is significant variation in access to therapists for patients admitted to critical care in the UK, with many services not having services for core therapies such as psychology and OT. Where services do exist, they fall below the recommended guidance.
引言
国家指南建议了治疗所需的人员配备水平。本研究的目的是获取有关现有人员配备水平、角色和职责以及服务结构的信息。
方法
采用观察性研究，通过在线调查向英国各地的245个重症监护病房发放问卷。调查包括一份通用问卷和五份针对不同专业的问卷。
结果
英国197个重症监护病房共收到862份回复。在做出回复的单位中，超过96%的单位有营养师、物理治疗师和言语与语言治疗师提供服务。而分别只有59.1%和48.1%的单位有职业治疗师或心理服务。设有专项服务的单位治疗师与患者的比例有所提高。
讨论
在英国，重症监护病房患者获得治疗师服务的情况存在显著差异，许多服务机构没有提供心理学和职业治疗等核心治疗服务。即使有这些服务的地方，也未达到推荐的指导标准。
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