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[重症医学中不断变化的团队结构]

[Changing team structures in intensive care medicine].

作者信息

Weeverink N, Höwler M, Eicher M

机构信息

Fächerverbund für Infektiologie, Pneumologie und Intensivmedizin, Charité ARDS ECMO - Centrum, Intensivstation M144i, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2024 Jun;119(5):358-363. doi: 10.1007/s00063-024-01143-x. Epub 2024 Apr 22.

DOI:10.1007/s00063-024-01143-x
PMID:38649526
Abstract

Intensive care units are highly complex environments where critically ill patients are treated. Therefore, it is mandatory for various professional groups to work closely together. In the past, mainly nursing and medical teams were involved, but today team structures are changing, and more professional groups are entering the environment. Demographic change with increasing comorbidities as well as increasingly complex treatments and technologies are challenges for the intensive care teams. Another enormous challenge is the increasing shortage of nursing staff, which affects the entire healthcare system. To meet these challenges, new concepts are necessary. In accordance with long-standing international standards, an academization of the nursing profession is proposed. The aim is to integrate academically educated nurses and to introduce new nursing roles. Concepts integrating nursing sciences should also be considered.

摘要

重症监护病房是治疗重症患者的高度复杂的环境。因此,各个专业团队必须密切合作。过去,主要涉及护理和医疗团队,但如今团队结构正在发生变化,更多专业团队正在进入这一环境。随着合并症增加的人口结构变化以及日益复杂的治疗和技术,对重症监护团队来说是挑战。另一个巨大挑战是护理人员日益短缺,这影响了整个医疗系统。为应对这些挑战,需要新的理念。根据长期的国际标准,提议对护理专业进行学术化。目的是整合受过学术教育的护士并引入新的护理角色。整合护理科学的理念也应予以考虑。

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Working conditions, authorizations, mental health, and job satisfaction of physician assistants in Germany.德国医生助理的工作条件、授权、心理健康和工作满意度。
Front Public Health. 2023 Feb 23;11:1082463. doi: 10.3389/fpubh.2023.1082463. eCollection 2023.
2
Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study.九个欧洲国家的护士配备和教育与医院死亡率:回顾性观察研究。
Lancet. 2014 May 24;383(9931):1824-30. doi: 10.1016/S0140-6736(13)62631-8. Epub 2014 Feb 26.
3
Development and testing of the Context Assessment Index (CAI).
情境评估指数(CAI)的开发与测试。
Worldviews Evid Based Nurs. 2009;6(1):27-35. doi: 10.1111/j.1741-6787.2008.00130.x. Epub 2009 Jan 16.
4
A framework for the introduction and evaluation of advanced practice nursing roles.高级实践护理角色的引入与评估框架。
J Adv Nurs. 2004 Dec;48(5):530-40. doi: 10.1111/j.1365-2648.2004.03235.x.
5
Educational levels of hospital nurses and surgical patient mortality.医院护士的教育水平与外科手术患者死亡率
JAMA. 2003 Sep 24;290(12):1617-23. doi: 10.1001/jama.290.12.1617.