英国重症监护病房的言语和语言治疗服务:一项全国性调查

Claire S. Mills, H. Newman, C. Iezzi, Anna-Liisa Sutt, Rachel Jones, Jude Sadiq, A. Ginnelly, Gemma L Jones, Sarah Wallace Obe
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引用次数: 0

摘要

背景:言语和语言治疗师(SLTs)在重症监护病房(ICUs)中的作用越来越得到认可。这项调查是为了回应英国slt对服务提供不足的担忧而开展的。目的:主要目的是基准和描述英国大流行前SLT ICU服务提供。次要目标包括:确定可能解释SLT服务提供差异的因素,确定未满足的需求和良好做法,并告知建议的SLT人员配备水平。方法:通过英国SLT网络和社交媒体进行在线调查。定量资料采用描述性报告,定性资料进行内容分析。结果:收到了来自64家医院的回复,代表3家儿科服务机构和61家成人服务机构。平均编制比率分别为0.03和0.01的全时间当量(WTE)。大多数服务(77&)没有从其ICU获得SLT人员配备的资金。很少有人报道在沟通(12&)、吞咽(16&)和气管造口术脱机干预(11&)方面有足够的SLT服务。所有气管造口患者的slt引导沟通和吞咽输入符合国家指南的比例达到27%。结论:许多地点的人员配备水平不足以提供一致和反应迅速的服务。这些发现促成了每张ICU病床0.1 WTE SLT的建议,该建议被纳入《重症监护服务提供指南》第2版。这项调查确定了为危重患者提供适当的SLT服务的障碍和促进因素,这可能有助于服务发展倡议并指导进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Speech and language therapy service provision to UK intensive care units: A national survey
BACKGROUND: The role of Speech and Language Therapists (SLTs) in intensive care units (ICUs) has become increasingly recognised. This survey was developed in response to concern amongst UK SLTs that service provision was insufficient. OBJECTIVE: The primary objective was to benchmark and describe UK pre-pandemic SLT ICU service provision. Secondary objectives included: identifying factors which might explain differences in SLT service provision, identifying unmet needs and good practice, and informing recommended SLT staffing levels. METHODS: An online survey was distributed through UK SLT networks and social media. Quantitative data were reported descriptively, and content analysis was conducted with qualitative data. RESULTS: Responses were received from 64 hospitals, representing three paediatric services and 61 adult services. Average staffing ratios of 0.03 and 0.01 whole time equivalent (WTE) were reported for these respectively. Most services (77&) received no funding from their ICU for SLT staffing. Few reported an adequate SLT service for communication (12&), swallowing (16&) and tracheostomy weaning interventions (11&). Compliance with national guidance for SLT-led communication and swallowing input for all tracheostomised patients was achieved by 27& of sites. CONCLUSIONS: Staffing levels at many sites were insufficient to provide a consistent and responsive service. The findings contributed to a recommendation of 0.1 WTE SLT per ICU bed, which was incorporated into Edition 2 of the Guidelines for the Provision of Intensive Care Services. This survey identified barriers and facilitators to providing an adequate SLT service for critically ill patients that may assist service development initiatives and guide further research.
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