tailieunhanh - Báo cáo y học: "Paediatric intensive care: out of commission"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về y học đề tài: Paediatric intensive care: out of commission. | Available online http content 6 5 387 Commentary Paediatric intensive care out of commission Gale A Pearson Head of Specialty Paediatric Intensive care Birmingham Childrens Hospital Steelhouse Lane Birmingham UK Correspondence Gale A Pearson Published online 9 July 2002 Critical Care 2002 6 387-388 This article is online at http content 6 5 387 2002 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Problems with commissioning paediatric intensive care stem both from difficulties in recruitment and retention of nurses and from incoherent or nonexistent national audit. Pyramidal career structures and patterns of remuneration that concentrate on administrative responsibility over clinical skills underlie the former whereas poor audit conceals variations in both service quality and demand. Epidemiologically superior data are required if we are to solve commissioning problems. We need to know what happened to every child from a defined population receiving intensive care and whether a lack of resources means that some children are denied intensive care. Keywords audit epidemiology intensive nursing paediatric It was recently revealed that one quarter of paediatric intensive care beds in Holland are closed 1 and that many critically ill children have to be transferred to receive care. This is not an exclusively Dutch problem. Problems organizing paediatric intensive care exist in most health care systems. If we are to avoid crises such as this then we have to solve two fundamental problems the way in which we staff the intensive care units with nurses and the lack of information that we have regarding the service that we are trying to commission. Nurse recruitment retention and funding Paediatric intensive care nurses are a scarce resource for a number of reasons. First they are usually required to have specific higher postgraduate training in order to work at a basic grade. Such .