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Báo cáo khoa học: "Bench-to-bedside review: Dealing with increased intensive care unit staff turnover: a leadership challenge"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Bench-to-bedside review: Dealing with increased intensive care unit staff turnover: a leadership challenge. | Critical Care October 2005 Vol 9 No 5 Laporta et al. Review Bench-to-bedside review Dealing with increased intensive care unit staff turnover a leadership challenge Denny P Laporta1 Judy Burns2 and Chip J Doig3 1 Chief Department of Adult Critical Care Sir MB Davis Jewish General Hospital McGill University Montreal Quebec Canada 2Director Child Health Services Critical Care Program Hospital for Sick Kids University of Toronto Ontario Canada 3Department of Critical Care Medicine and Department of Community Health Sciences Calgary Health Region University of Calgary Alberta Canada Corresponding author Denny P Laporta dlaporta@icu.jgh.mcgill.ca Published online 10 May 2005 This article is online at http ccforum.com content 9 5 454 2005 BioMed Central Ltd Critical Care 2005 9 454-458 DOI 10.1186 cc3543 See related commentary by Roy and Brunet page 422 http ccforum.com content 9 5 422 Abstract Critical care leaders frequently must face challenging situations requiring specific leadership and management skills for which they are not uncommonly poorly prepared. Such a fictitious scenario was discussed at a Canadian interdisciplinary critical care leadership meeting whereby increasing intensive care unit ICU staff turnover had led to problems with staff recruitment. Participants discussed and proposed solutions to the scenario in a structured format. The results of the discussion are presented. In situations such as this the ICU leader should first define the core problem its complexity its duration and its potential for reversibility. These factors often reside within workload and staff support issues. Some examples of core problems discussed that are frequently associated with poor retention and recruitment are a lack of a positive team culture a lack of a favorable ICU image a lack of good working relationships between staff and disciplines and a lack of specific supportive resources. Several tools or individuals typically outside the ICU environment are available to .