医学
劳动力
重症监护室
护理部
服务(商务)
医疗保健
重症监护
大流行
单位(环理论)
危重护理
最佳实践
2019年冠状病毒病(COVID-19)
重症监护医学
心理学
业务
营销
疾病
传染病(医学专业)
管理
经济
数学教育
病理
经济增长
作者
Sarah Webb,Jessica Butler,Elliot Williams,Kelly Harbour,Naomi Hammond,Anthony Delaney
标识
DOI:10.1016/j.aucc.2022.10.017
摘要
BackgroundAlthough well-established internationally, nurse practitioners (NPs) in Australian adult intensive care units (ICUs) are rare. Australian literature clearly highlights the importance of creating ICU NP roles to meet emerging demands. An ICU NP model of care at a metropolitan hospital in Sydney provides care in four core practice areas: complex case management, vascular access, tracheostomy management, and intrahospital transport of critically ill patients. The ICU NPs also provide training and assessment for ICU nurses and medical officers in these same core practice areas and can efficiently meet service gaps in crisis such as the most recent COVID-19 pandemic.ResultsThe ICU NP program described is an innovative model of care that has demonstrated potential benefits to patients and their families. Potential benefits to the healthcare system including supporting advanced practice nursing development in regional and rural Australia and in addressing future ICU workforce issues are also identified. This model of care provides a clear role and structure for the integration of NPs in the adult ICU. Research to evaluate the impact of the role is required and is underway.ConclusionsThis model is being used to develop a national adult ICU NP fellowship training program for ICU transitional NPs preparing for endorsement or endorsed NPs who require additional ICU-specific training. This immersive clinical training program combined with didactic learning modules offers a framework to support the implementation of the adult ICU NP role as well as a framework for NP fellowship programs in other specialties.
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