Progressive Care Units: Different but the Same

Stacy, Kathleen M.

doi:10.4037/ccn2011644

Cited by 29 publications

(26 citation statements)

References 18 publications

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“…The Intensive Care Unit (ICU) is a hospital sectors with particular characteristics such as working indoors, the constant contact with suffering, pain and death, and a permanent state of alertness (1)(2) . Many times, these characteristics can present factors or circumstances that affect the health and quality of life (QOL) of professionals working in these environments (3)(4)(5)(6)(7)(8)(9) .…”

Section: Introductionmentioning

confidence: 99%

Qualidade de vida e atividade física em profi ssionais de terapia intensiva do sub médio São Francisco

et al. 2015

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Objective: the objective was to assess the level of physical activity (LPA) and the quality of life QL of the professionals who work in ICU. Method: this was a cross-sectional study carried out in Adult ICUs. LPA was assessed by the International Questionnarie of Physical Activity -short form (IQPA-SF) and the QL by the Medical Outcomes Study 36 (SF-36) questionnaire. Results: it was classifi ed active 50.89% out of a total of 59 professionals. Nursing technicians were considered the most active with 60.6%. The QL of the professionals who were considered active were better when compared to inactives, with statistical differences to the category of physical aspects limitation, social aspects and mental health. The working hours were higher than recommend, the physicians were higher than the physical therapist, nurses and technicians nurses (p=0.046). Conclusion: physically active professionals who work in ICU had higher quality of life probably why have lower hours of work and consequently more free time to engage in physical activity.

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Section: Introductionmentioning

confidence: 99%

Qualidade de vida e atividade física em profi ssionais de terapia intensiva do sub médio São Francisco

et al. 2015

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“…Similarly, Dunn (2003) mentions that some admitted patients in the ED admission group recover enough during their waiting times in ED that are discharged directly from the ED without ever being transferred to a hospital bed [36]. [44,45]. 9 Ambulance Diversion: To overcome crowding in ED, ambulances may be diverted to other hospitals.…”

Section: Icu Management Policiesmentioning

confidence: 97%

Sustaining critical care: using evidence-based simulation to evaluate ICU management policies

Mahmoudian-Dehkordi

Sadat

2016

Health Care Manag Sci

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Intensive Care Units (ICU) are costly yet critical hospital departments that should be available to care for patients needing highly specialized critical care. Shortage of ICU beds in many regions of the world and the constant fire-fighting to make these beds available through various ICU management policies motivated this study. The paper discusses the application of a generic system dynamics model of emergency patient flow in a typical hospital, populated with empirical evidence found in the medical and hospital administration literature, to explore the dynamics of intended and unintended consequences of such ICU management policies under a natural disaster crisis scenario. ICU management policies that can be implemented by a single hospital on short notice, namely premature transfer from ICU, boarding in ward, and general ward admission control, along with their possible combinations, are modeled and their impact on managerial and health outcome measures are investigated. The main insight out of the study is that the general ward admission control policy outperforms the rest of ICU management policies under such crisis scenarios with regards to reducing total mortality, which is counter intuitive for hospital administrators as this policy is not very effective at alleviating the symptoms of the problem, namely high ED and ICU occupancy rates that are closely monitored by hospital management particularly in times of crisis. A multivariate sensitivity analysis on parameters with diverse range of values in the literature found the superiority of the general ward admission control to hold true in every scenario.

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“…This includes patients that require less than normal intensive care, but more than is possible on the SCU [1,2]. The IMC is not intended to replace an ICU.…”

Section: Definition Of Intermediate Care Unitmentioning

confidence: 99%

“…We recommend using only nurses with at least 1 year of professional experience [9]. A specific requirement profile has been defined for IMC nurses [2]. A rotation of nurses between intensive care and intermediate care is recommended as highly desirable and as an approach to staff qualification and personal development.…”

Section: Key Statementmentioning

confidence: 99%