Hirao Daigo, Jesmin Subrina, Sugasawa Takehito, Maqbool Adil, Shimojo Nobutake
Hirao Cardiovascular Clinic, Chiba 276-0042, Japan.
Faculty of Medicine, University of Tsukuba, Tsukuba 305-8577, Japan.
Children (Basel). 2025 May 31;12(6):726. doi: 10.3390/children12060726.
Pediatric Intensive Care Units (PICUs) provide specialized care for critically ill children. Developing and managing these units in South Asia remains challenging. Resource limitations and infrastructural disparities are leading to challenging conditions. Above all, nurses play a pivotal role in delivering quality critical care. Effective nursing practices can curb hospital-acquired infections (HAIs), ensure medication safety, and enable protocols such as the ICU Liberation Bundle. In South Asia, another challenge is the proper management of the nursing workforce. Nurse-to-patient ratios are highly disproportionate, contributing to nurse burnout. This review highlights the country-specific challenges and circumstances. There is no one-size-fits-all solution; effective strategies vary based on each country's context. With context-specific solutions, nurses can bridge the gap between healthcare teams and families, ultimately improving patient outcomes.
儿科重症监护病房（PICUs）为危重症儿童提供专科护理。在南亚地区，建立和管理这些病房仍然具有挑战性。资源限制和基础设施差异导致了艰难的状况。最重要的是，护士在提供高质量的重症护理方面发挥着关键作用。有效的护理措施可以控制医院获得性感染（HAIs），确保用药安全，并实施诸如重症监护病房解放套餐等方案。在南亚，另一个挑战是护理人员的合理管理。护士与患者的比例严重失调，导致护士职业倦怠。本综述强调了各国特有的挑战和情况。没有一刀切的解决方案；有效的策略因每个国家的具体情况而异。通过因地制宜的解决方案，护士可以弥合医疗团队与家庭之间的差距，最终改善患者的治疗效果。
