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Title: Characters of physician and nurse staffing in thai intensive care units (ICU-RESOURCE I study)
Authors: Kaweesak Chittawatanarat
Rungsun Bhurayanontachai
Chaweewan Thongchai
Chairat Permpikul
Onuma Chaiwat
Suneerat Kongsayreepong
Puttipunnee Vorrakitpokatorn
Warakarn Wilaichone
Thananchai Bunburaphong
Wanwimol Saengchote
Sunthiti Morakul
Thammasak Thawitsri
Chanchai Sitthipan
Wanna Sombunvibul
Phornlert Chatrkaw
Sahadol Poonyathawon
Anan Watanathum
Pusit Fuengfoo
Dusit Sataworn
Adisorn Wongsa
Kunchit Piyavechviratana
Suthat Rungruanghiranya
Chaichan Pothirat
Attawut Deesomchok
Boonsong Patjanasoontorn
Rungsun Bhurayanontachai
Ratapum Champunut
Norawee Chuachamsai
Chaweewan Thongchai
Keywords: Medicine
Issue Date: 1-Jan-2014
Abstract: Objective: 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).
ISSN: 01252208
Appears in Collections:CMUL: Journal Articles

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