Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence
Introduction The number of intensive care units (ICU) in Colombia has increased in the last 25 years and its magnitude is not well known. In contrast, trained human resources are scarce, and postgraduate higher education programs have been available for less than 15 years. The distribution and numbe...
- Autores:
-
Pérez Gutiérrez, Norton
Rodríguez Darabos, Emma Isabel
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2015
- Institución:
- Universidad Cooperativa de Colombia
- Repositorio:
- Repositorio UCC
- Idioma:
- OAI Identifier:
- oai:repository.ucc.edu.co:20.500.12494/4784
- Acceso en línea:
- https://hdl.handle.net/20.500.12494/4784
- Palabra clave:
- Critical care nursing
Intensive care unit
Critical care
Hospital medical staff
Quality of health care
- Rights
- closedAccess
- License
- Licencia CC
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Pérez Gutiérrez, NortonRodríguez Darabos, Emma Isabel2018-07-09T16:49:27Z2018-07-09T16:49:27Z2015https://hdl.handle.net/20.500.12494/4784Pérez, N., & Rodríguez, E. I. (2015). Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence. Acta Colombiana de Cuidado Intensivo, 15, 80-102. https://doi.org/10.1016/j.acci.2015.02.006Introduction The number of intensive care units (ICU) in Colombia has increased in the last 25 years and its magnitude is not well known. In contrast, trained human resources are scarce, and postgraduate higher education programs have been available for less than 15 years. The distribution and number of graduated practitioners needs to be known. Materials and method A literature search was performed looking for studies on human resources in ICU and their association with primary and secondary outcomes. The Colombian regulations were also reviewed. Results One hundred and twenty national and international articles were found. Colombian regulations from 1990 to date were reviewed. Descriptive, analytical or experimental studies in English or Spanish were included. Discussion and conclusions There are a significant number of adult, pediatric and neonatal ICU beds in Colombia. Nevertheless, there is an insufficient number of critical care trained practitioners, which make them scarce where they are needed. The evidence broadly shows better outcomes when critical care patients are treated by the best-trained human resources. This lack of planning and control in the sector generates an unfair distribution, not necessarily based on the actual needs. A bigger problem is the lack of standardization of this need (load of work) and the quality of human talent in the upgrades of the rulings and by the scientific associations. A greater effort is required between universities, associations and health ministry to promote coverage of these vacancies with suitable and ideal staff, and to establish timely referral strategies for remote sites so that patients may receive a better care.norton.perezg@campusucc.edu.coUniversidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Medicina, VillavicencioMedicinaVillavicenciohttps://doi.org/10.1016/j.acci.2015.02.006Critical care nursingIntensive care unitCritical careHospital medical staffQuality of health careHuman resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidenceArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionLicencia CCinfo:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cb0000-0002-6666-0795Publication20.500.12494/4784oai:repository.ucc.edu.co:20.500.12494/47842024-08-10 22:40:03.754metadata.onlyhttps://repository.ucc.edu.coRepositorio Institucional Universidad Cooperativa de Colombiabdigital@metabiblioteca.com |
dc.title.spa.fl_str_mv |
Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence |
title |
Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence |
spellingShingle |
Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence Critical care nursing Intensive care unit Critical care Hospital medical staff Quality of health care |
title_short |
Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence |
title_full |
Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence |
title_fullStr |
Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence |
title_full_unstemmed |
Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence |
title_sort |
Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence |
dc.creator.fl_str_mv |
Pérez Gutiérrez, Norton Rodríguez Darabos, Emma Isabel |
dc.contributor.author.none.fl_str_mv |
Pérez Gutiérrez, Norton Rodríguez Darabos, Emma Isabel |
dc.subject.spa.fl_str_mv |
Critical care nursing Intensive care unit Critical care Hospital medical staff Quality of health care |
topic |
Critical care nursing Intensive care unit Critical care Hospital medical staff Quality of health care |
description |
Introduction The number of intensive care units (ICU) in Colombia has increased in the last 25 years and its magnitude is not well known. In contrast, trained human resources are scarce, and postgraduate higher education programs have been available for less than 15 years. The distribution and number of graduated practitioners needs to be known. Materials and method A literature search was performed looking for studies on human resources in ICU and their association with primary and secondary outcomes. The Colombian regulations were also reviewed. Results One hundred and twenty national and international articles were found. Colombian regulations from 1990 to date were reviewed. Descriptive, analytical or experimental studies in English or Spanish were included. Discussion and conclusions There are a significant number of adult, pediatric and neonatal ICU beds in Colombia. Nevertheless, there is an insufficient number of critical care trained practitioners, which make them scarce where they are needed. The evidence broadly shows better outcomes when critical care patients are treated by the best-trained human resources. This lack of planning and control in the sector generates an unfair distribution, not necessarily based on the actual needs. A bigger problem is the lack of standardization of this need (load of work) and the quality of human talent in the upgrades of the rulings and by the scientific associations. A greater effort is required between universities, associations and health ministry to promote coverage of these vacancies with suitable and ideal staff, and to establish timely referral strategies for remote sites so that patients may receive a better care. |
publishDate |
2015 |
dc.date.issued.none.fl_str_mv |
2015 |
dc.date.accessioned.none.fl_str_mv |
2018-07-09T16:49:27Z |
dc.date.available.none.fl_str_mv |
2018-07-09T16:49:27Z |
dc.type.none.fl_str_mv |
Artículo |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.coar.none.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.coarversion.none.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.driver.none.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.version.none.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
http://purl.org/coar/resource_type/c_6501 |
status_str |
publishedVersion |
dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/20.500.12494/4784 |
dc.identifier.bibliographicCitation.spa.fl_str_mv |
Pérez, N., & Rodríguez, E. I. (2015). Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence. Acta Colombiana de Cuidado Intensivo, 15, 80-102. https://doi.org/10.1016/j.acci.2015.02.006 |
url |
https://hdl.handle.net/20.500.12494/4784 |
identifier_str_mv |
Pérez, N., & Rodríguez, E. I. (2015). Human resources in the ICU: adaptation of a standard model for Colombia based on the scientific evidence. Acta Colombiana de Cuidado Intensivo, 15, 80-102. https://doi.org/10.1016/j.acci.2015.02.006 |
dc.relation.isversionof.spa.fl_str_mv |
https://doi.org/10.1016/j.acci.2015.02.006 |
dc.rights.cc.none.fl_str_mv |
Licencia CC |
dc.rights.accessrights.none.fl_str_mv |
info:eu-repo/semantics/closedAccess |
dc.rights.coar.none.fl_str_mv |
http://purl.org/coar/access_right/c_14cb |
rights_invalid_str_mv |
Licencia CC http://purl.org/coar/access_right/c_14cb |
eu_rights_str_mv |
closedAccess |
dc.publisher.spa.fl_str_mv |
Universidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Medicina, Villavicencio |
dc.publisher.program.spa.fl_str_mv |
Medicina |
dc.publisher.place.spa.fl_str_mv |
Villavicencio |
institution |
Universidad Cooperativa de Colombia |
repository.name.fl_str_mv |
Repositorio Institucional Universidad Cooperativa de Colombia |
repository.mail.fl_str_mv |
bdigital@metabiblioteca.com |
_version_ |
1814247120679469056 |