[Onboarding of young professionals in the intensive care unit : Nationwide online survey by young DIVI - an initiative of the German interdisciplinary association for intensive and emergency medicine (DIVI)].

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-05-01 Epub Date: 2023-09-27 DOI:10.1007/s00063-023-01067-y
David Josuttis, Frida Regner, Teresa Deffner, Diana Freund, Felix Freund, Celina Cornelius, Angelina Beer, Aileen Spieckermann, Matthias Manfred Deininger
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Abstract

Background: Onboarding of junior staff in the intensive care unit is vital to ensure high-quality critical care treatment. This process depends on beginner's training.

Aim: We aimed to determine structure and duration of intensive care onboarding and the job satisfaction of junior professionals in German intensive care units.

Materials and methods: We conducted an anonymous, interprofessional online survey regarding quality of onboarding and job satisfaction among young professionals.

Results: A total of 554 young professionals participated, about two thirds were physicians. A written concept was used in 59% of the nurse's and 27% of physicians' training. Median duration of training before taking full charge of patient treatment was 30 days among nurses and 7 days among physicians. About one third of nurses and 17% of physicians stated that they were sufficiently prepared after the training period, whereby 49% of physicians often felt overwhelmed. More than 42% can imagine working in critical care longer than the next 3 years.

Conclusion: Fundamental methods for training of critical care professionals starting their intensive care career are underused in Germany and the duration of training blatantly differs from national guideline recommendations. Although there seem to be deficits concerning material and staff resources, participants are satisfied with learning progress and teamwork.

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[重症监护室年轻专业人员的入职:德国重症监护和急诊医学跨学科协会(DIVI)发起的年轻DIVI全国在线调查]。
背景:重症监护室初级工作人员的入职对于确保高质量的重症监护治疗至关重要。这个过程取决于初学者的训练。目的:我们旨在确定德国重症监护室初级专业人员的重症监护入职结构和持续时间以及工作满意度。材料和方法:我们对年轻专业人士的入职质量和工作满意度进行了一项匿名、跨专业的在线调查。结果:共有554名年轻专业人员参加,其中约三分之二是医生。书面概念被用于59%的护士和27%的医生培训。在全面负责患者治疗之前,护士和医生的培训中位持续时间分别为30天和7天。大约三分之一的护士和17%的医生表示,他们在培训期后准备充分,49%的医生经常感到不知所措。超过42%的人可以想象在重症监护室工作的时间超过未来3年。结论:在德国,开始重症监护职业生涯的重症监护专业人员的基本培训方法没有得到充分利用,培训的持续时间与国家指导方针的建议明显不同。尽管在物质和人力资源方面似乎存在不足,但参与者对学习进度和团队合作感到满意。
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来源期刊
CiteScore
2.60
自引率
9.10%
发文量
93
审稿时长
6-12 weeks
期刊介绍: Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.
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