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...

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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
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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
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closedAccess
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Licencia CC
id COOPER2_f89a313b74b13a0993a3205eff2f747c
oai_identifier_str oai:repository.ucc.edu.co:20.500.12494/4784
network_acronym_str COOPER2
network_name_str Repositorio UCC
repository_id_str
spelling 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
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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
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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
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