Vestal K W, Richardson K
Nurs Clin North Am. 1981 Dec;16(4):605-10.
No one would advocate the establishment of a PICU in every hospital. However, in establishing regional pediatric facilities, provisions for critical care for children should be considered. A PICU unit that serves as a referral center, with adequate resources and trained personnel, can be both accessible and cost-effective. Pediatric critical care is a challenging arena for the nurse. These children, their families, and the staff form an interdependent triad that continually must try to anticipate and to meet the needs of the participants. The importance of developing care delivery systems that can support each person involved cannot be overemphasized. The ultimate outcome will be a stable setting for patient care that serves to resolve crisis, rather than to precipitate it, preserving the best interests of the patients, family, and staff.
没有人会主张在每家医院都设立儿科重症监护病房（PICU）。然而，在建立区域性儿科设施时，应考虑为儿童提供重症监护服务。一个作为转诊中心、具备充足资源和训练有素的人员的PICU单元，既方便患者就医，又具有成本效益。儿科重症护理对护士来说是一个具有挑战性的领域。这些儿童、他们的家庭和医护人员构成了一个相互依存的三角关系，必须不断努力预测并满足各方的需求。开发能够支持每一位相关人员的护理服务系统的重要性再怎么强调也不为过。最终的结果将是为患者护理营造一个稳定的环境，有助于解决危机，而不是引发危机，维护患者、家庭和医护人员的最大利益。
