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dc.contributor.authorKaweesak Chittawatanaraten_US
dc.contributor.authorRungsun Bhurayanontachaien_US
dc.contributor.authorChaweewan Thongchaien_US
dc.contributor.authorChairat Permpikulen_US
dc.contributor.authorOnuma Chaiwaten_US
dc.contributor.authorSuneerat Kongsayreepongen_US
dc.contributor.authorPuttipunnee Vorrakitpokatornen_US
dc.contributor.authorWarakarn Wilaichoneen_US
dc.contributor.authorThananchai Bunburaphongen_US
dc.contributor.authorWanwimol Saengchoteen_US
dc.contributor.authorSunthiti Morakulen_US
dc.contributor.authorThammasak Thawitsrien_US
dc.contributor.authorChanchai Sitthipanen_US
dc.contributor.authorWanna Sombunvibulen_US
dc.contributor.authorPhornlert Chatrkawen_US
dc.contributor.authorSahadol Poonyathawonen_US
dc.contributor.authorAnan Watanathumen_US
dc.contributor.authorPusit Fuengfooen_US
dc.contributor.authorDusit Satawornen_US
dc.contributor.authorAdisorn Wongsaen_US
dc.contributor.authorKunchit Piyavechviratanaen_US
dc.contributor.authorSuthat Rungruanghiranyaen_US
dc.contributor.authorChaichan Pothiraten_US
dc.contributor.authorAttawut Deesomchoken_US
dc.contributor.authorBoonsong Patjanasoontornen_US
dc.contributor.authorRungsun Bhurayanontachaien_US
dc.contributor.authorRatapum Champunuten_US
dc.contributor.authorNorawee Chuachamsaien_US
dc.contributor.authorChaweewan Thongchaien_US
dc.description.abstractObjective: There have been no data available on physicians and nurses who are vital human resources in Thailand. The objective of this study is to describe these characteristics as well as their working patterns in Thai ICUs. Material and Method: Data were retrieved from the ICU RESOURCE I study. Physician and nurse characteristics, working patterns and workloads in participating ICUs were recorded. After hour consultations, nurse staff years of experience, nurse specialist training and patient to bedside nurse ratios (PNR) were collected. Results: One hundred and fifty-five hospitals are included in this study. Intensivists are available in 53 hospitals with a median of 0-1 intensivist per unit. Most intensivists are working in academic ICUs. The two specialties most involved in surgical ICUs were in critical care (34.1%) and surgical recovery (47.7%). Almost all pediatric ICUs were covered by pediatricians and only a quarter of them had been staffed with critical care pediatricians (28.6%). Less than 30 percent of Thai ICUs are covered by intensivists. About 42.3% of Thai ICUs have no night shift physician and the units contact the attending physicians directly. Experienced (more than 5 years) nurses staffing ICUs are at 62.5 percent. A total of 85.2% of the ICUs have certificated critical care nurses. Only 23.2% of all ICUs have an advance practice nurse (APN). The median PNR was 2:1 with an exception in academic ICUs. Conclusion: Intensivists continue to be only scarcely available in Thai ICUs. Nurse workloads in non-academic ICUs were higher than those in academic ICUs. Specialty training for certified critical care nurses is in place for only one-third of the total number of ICU nurses. APNs are available in 25% of participating ICUs (Thai Clinical Trial Registry: TCTR-201200005).en_US
dc.titleCharacters of physician and nurse staffing in thai intensive care units (ICU-RESOURCE I study)en_US
article.title.sourcetitleJournal of the Medical Association of Thailanden_US
article.volume97en_US Mai Universityen_US of Songkla Universityen_US of Medicine, Siriraj Hospital, Mahidol Universityen_US of Medicine, Ramathibodi Hospital, Mahidol Universityen_US Chulalongkorn Memorial Hospital, Faculty of Medicine Chulalongkorn Universityen_US College of Medicineen_US Maha Chakri Sirindhorn Medical Centeren_US Nakorn Chiang Mai Hospitalen_US hospitalen_US of Songkha Hospitalen_US Phitsanulok Hospitalen_US Hospitalen_US
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