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6 Biggest Challenges in a Hospital ICU
By The Lifesciences Magazine
During COVID-19, we saw people scrambling to get Hospital ICU(intensive
care unit) beds and even those who were successful in doing so did not
have any guarantee that they would receive high-quality medical attention.
Regardless of COVID-19, this is, unfortunately, a fact of life for the vast
majority of patients.
According to Dr. Dhruv Joshi, Co-founder, and CEO of Cloud physician,
every human has the right to live a life that is both healthy and dignified and
should have assured access to high-quality medical care. “It is a difficult
path in a nation like India, where the continually expanding population and
resources are strained to the fullest,” adds Joshi. “In a country like India,
there is a lot of competition for resources”.
“The situation becomes much more problematic when it comes to providing
treatment in the Hospital ICU. Since of this, the patient has to have regular
observation and monitoring, as well as immediate medical attention,
because every minute counts toward determining the patient’s prognosis.
Here are 6 biggest challenges in
a hospital ICU;
1. The uneven availability of specialists in
intensive care
“India only has 5,000 intensivists or ICU physicians, and their presence is
more or less saturated throughout the country’s metropolitan centers,” said
Joshi. “This is according to media sources.” “As a result, the vast majority
of the population has very limited or perhaps no access to these
physicians.
Due to the disparity between demand and availability, very sick patients
often have to travel significant distances, putting them at an increased risk
of passing away along the way. In addition, there is a severe dearth of
appropriate infrastructure as well as medical equipment, which further
exacerbates the lack of availability.
2. The need for ongoing skill improvement
“The provision of critical care is a demanding and complicated process in
hospital ICU, which requires medical professionals with the abilities to
promptly diagnose and treat patients with complex conditions.
It takes years for care providers to acquire these abilities, and it needs the
constant presence of someone with this level of experience 24 hours a day,
seven days a week; in a life-or-death situation, events may unfold in a
matter of seconds.
According to Joshi, “as a result, constant upskilling is essential in order to
provide physicians with the skills necessary to cope with the various issues
that may occur during emergency situations.”
3. Less-than-ideal response rates and doctors’
feelings of exhaustion
According to Joshi, “the patient’s ability to get first-rate care is hindered by
a combination of factors, including a lack of attentive monitoring throughout
the night and poor reaction rates.” “The emotionally draining aspect of
working in a high-pressure environment like an intensive care unit often
leads to burnout among medical professionals,”
 Research in hospital ICU
 Intensive care unit
4. There has been very little if any, a study of
the data that is accessible.
“Intensive care units in India have access to a large amount of patient data,
which, if correctly analyzed, might contribute to an improvement in the
treatment of patients. In addition, the methodical examination of data
collected in real-time may be of great assistance in avoiding crises in
Hospital ICU.
According to Joshi, there is a need for the study of data collected from
populations in order to develop treatment regimens that are appropriate for
our demographic. “In addition, advanced technologies analyze the
particular data of patients in real-time, making it possible to anticipate and
react more quickly to potentially life-threatening circumstances. This helps
to avoid accidents and saves lives.”
5. Nurse Burnout
According to research that was conducted in 2017 by the RN Network,
more than half of the nurses who are now employed in the nursing
profession in the United States had either thought about quitting the field or
are actively thinking about leaving the profession.
According to the findings of the research in hospital ICU, this is not due to
the fact that the job is not fulfilling but rather due to the quantity of effort
that is necessary. The syndrome that occurs when nurses reach this stage
is sometimes referred to as “nurse burnout.”
6. Compassion Fatigue
Hospital ICU nurses often only have a few patients under their care at any
one time, in contrast to emergency room nurses. On the other hand, these
patients often remain in the intensive care unit for a lengthy period of time
and need round-the-clock monitoring.
It’s very uncommon for intensive care unit nurses to develop strong feelings
for the patients they care for due to the proximity and frequency of their
interactions with them. A shoulder to cry on or someone to confide in is
something that hospital ICU nurses often provide.
Nevertheless, one of the drawbacks of this relationship is the amplified
sense of loss that is experienced if a patient does not make it. Because
patients in the ICU are often in such a fragile state, unfortunately, this kind
of event is not unusual. Compassion fatigue, also known as secondary
traumatic stress, is a disorder that may manifest itself over the course of
time (STS).
Other types of professionals, such as attorneys, veterinarians, police
officers, journalists, therapists, and survivors of catastrophes or trauma, are
also susceptible to this phenomenon. Hospital ICU nurses are not the only
kind of professionals who are affected by this phenomenon. But the
demanding nature of intensive care unit nursing makes it probable that
nurses may experience compassion fatigue.

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6 Biggest Challenges in a Hospital ICU.pdf

  • 1. 6 Biggest Challenges in a Hospital ICU By The Lifesciences Magazine During COVID-19, we saw people scrambling to get Hospital ICU(intensive care unit) beds and even those who were successful in doing so did not have any guarantee that they would receive high-quality medical attention. Regardless of COVID-19, this is, unfortunately, a fact of life for the vast majority of patients. According to Dr. Dhruv Joshi, Co-founder, and CEO of Cloud physician, every human has the right to live a life that is both healthy and dignified and should have assured access to high-quality medical care. “It is a difficult path in a nation like India, where the continually expanding population and resources are strained to the fullest,” adds Joshi. “In a country like India, there is a lot of competition for resources”. “The situation becomes much more problematic when it comes to providing treatment in the Hospital ICU. Since of this, the patient has to have regular observation and monitoring, as well as immediate medical attention, because every minute counts toward determining the patient’s prognosis.
  • 2. Here are 6 biggest challenges in a hospital ICU; 1. The uneven availability of specialists in intensive care “India only has 5,000 intensivists or ICU physicians, and their presence is more or less saturated throughout the country’s metropolitan centers,” said Joshi. “This is according to media sources.” “As a result, the vast majority of the population has very limited or perhaps no access to these physicians. Due to the disparity between demand and availability, very sick patients often have to travel significant distances, putting them at an increased risk of passing away along the way. In addition, there is a severe dearth of appropriate infrastructure as well as medical equipment, which further exacerbates the lack of availability. 2. The need for ongoing skill improvement
  • 3. “The provision of critical care is a demanding and complicated process in hospital ICU, which requires medical professionals with the abilities to promptly diagnose and treat patients with complex conditions. It takes years for care providers to acquire these abilities, and it needs the constant presence of someone with this level of experience 24 hours a day, seven days a week; in a life-or-death situation, events may unfold in a matter of seconds. According to Joshi, “as a result, constant upskilling is essential in order to provide physicians with the skills necessary to cope with the various issues that may occur during emergency situations.” 3. Less-than-ideal response rates and doctors’ feelings of exhaustion According to Joshi, “the patient’s ability to get first-rate care is hindered by a combination of factors, including a lack of attentive monitoring throughout the night and poor reaction rates.” “The emotionally draining aspect of working in a high-pressure environment like an intensive care unit often leads to burnout among medical professionals,”  Research in hospital ICU  Intensive care unit
  • 4. 4. There has been very little if any, a study of the data that is accessible. “Intensive care units in India have access to a large amount of patient data, which, if correctly analyzed, might contribute to an improvement in the treatment of patients. In addition, the methodical examination of data collected in real-time may be of great assistance in avoiding crises in Hospital ICU. According to Joshi, there is a need for the study of data collected from populations in order to develop treatment regimens that are appropriate for our demographic. “In addition, advanced technologies analyze the particular data of patients in real-time, making it possible to anticipate and react more quickly to potentially life-threatening circumstances. This helps to avoid accidents and saves lives.” 5. Nurse Burnout According to research that was conducted in 2017 by the RN Network, more than half of the nurses who are now employed in the nursing profession in the United States had either thought about quitting the field or are actively thinking about leaving the profession. According to the findings of the research in hospital ICU, this is not due to the fact that the job is not fulfilling but rather due to the quantity of effort that is necessary. The syndrome that occurs when nurses reach this stage is sometimes referred to as “nurse burnout.” 6. Compassion Fatigue Hospital ICU nurses often only have a few patients under their care at any one time, in contrast to emergency room nurses. On the other hand, these patients often remain in the intensive care unit for a lengthy period of time and need round-the-clock monitoring. It’s very uncommon for intensive care unit nurses to develop strong feelings for the patients they care for due to the proximity and frequency of their interactions with them. A shoulder to cry on or someone to confide in is something that hospital ICU nurses often provide.
  • 5. Nevertheless, one of the drawbacks of this relationship is the amplified sense of loss that is experienced if a patient does not make it. Because patients in the ICU are often in such a fragile state, unfortunately, this kind of event is not unusual. Compassion fatigue, also known as secondary traumatic stress, is a disorder that may manifest itself over the course of time (STS). Other types of professionals, such as attorneys, veterinarians, police officers, journalists, therapists, and survivors of catastrophes or trauma, are also susceptible to this phenomenon. Hospital ICU nurses are not the only kind of professionals who are affected by this phenomenon. But the demanding nature of intensive care unit nursing makes it probable that nurses may experience compassion fatigue.