Journal of Surgical Education
Volume 66, Issue 1 , Pages 25-30 , January 2009

Transition to a Semiclosed Surgical Intensive Care Unit (SICU) Leads to Improved Resident Job Satisfaction: A Prospective, Longitudinal Analysis

  • Meredith S. Tinti, MD

      Affiliations

    • Division of Trauma and Critical Care, Department of Surgery, UMDNJ- Robert Wood Johnson University Hospital, New Brunswick, New Jersey
    • Corresponding Author InformationCorrespondence: Inquiries to Meredith Tinti, MD. UMDNJ-Robert Wood Johnson University Hospital, 1RWJ Place- PO, Box, and 19 MEB 4th Floor, New Brunswick, NJ 08816
    • ,
  • Elliott R. Haut, MD

      Affiliations

    • Division of Trauma and Critical Care, Department of Surgery, The Johns Hopkins University, School of Medicine, Baltimore, Maryland
    • ,
  • Annamarie D. Horan, PhD

      Affiliations

    • Division of Traumatology and Surgical Critical Care, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, The Hospital of the University of Pennsylvania, The University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Seema Sonnad, PhD

      Affiliations

    • Department of Surgery, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, The Hospital of the University of Pennsylvania, The University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Patrick M. Reilly, MD

      Affiliations

    • Division of Traumatology and Surgical Critical Care, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, The Hospital of the University of Pennsylvania, The University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • C. William Schwab, MD

      Affiliations

    • Division of Traumatology and Surgical Critical Care, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, The Hospital of the University of Pennsylvania, The University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Vicente H. Gracias, MD

      Affiliations

    • Division of Traumatology and Surgical Critical Care, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, The Hospital of the University of Pennsylvania, The University of Pennsylvania School of Medicine, Philadelphia, PA

References 

  1. Evans S, Sarani B. The modern medical school graduate and general surgical training; are they compatible?. Arch Surg. 2004;137:274–277
  2. Miller G, Bamboat ZM, Allen F, et al. Attitudes of applicants for surgical residency toward work hour limitations. Am J Surg. 2004;188:131–135
  3. Sarani B, Alarcon LH. Reducing interns' work hours led to fewer attentional serious medical errors in intensive care units. Crit Care. 2005;9:E3
  4. Markowitz A, Wachter RM, Shojania KG, et al. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. AHRQ Publication 01-E. 2001;058:413–422
  5. Marini CP, Russo GC, Nathan IM, et al. Closed vs. open Intensive Care Unit: impact of full-time surgical intensivists. Internet J Emerg Intens Care Med. 2002;6:1–12
  6. Lee J. Intensivist Staffing in the Intensive Care Units (ICUs). Academy Health Research Synthesis. 2002;www.academyhealth.org/syntheses/icu.htmAccessed on May 24, 2006
  7. Franklin C. Deconstructing the black box known as the intensive care unit. Crit Care Med. 1998;26:1300–1301
  8. Brilli RJ, Spevetz A, Branson R, et al. Critical care delivery in the Intensive Care Unit: defining clinical roles and the best practice model. Crit Care Med. 2001;29:2007–2019
  9. Young MP, Birkmeyer JD. Potential reduction in mortality rates using an intensivist model to manage intensive care units. Effective Clin Practice. 2000;6:284–289
  10. Brown JJ, Sulivan G. Effect on ICU mortality of a full-time critical care specialist. Chest. 1989;96:127–129
  11. Marik PE. Open versus closed units: chaos versus a well-oiled machine. Crit Care Med. 2003;31:2567–2568
  12. Dowling J, Wang B. Impact on family satisfaction: The Critical Care Family Assistance Program. Chest. 2005;128:76–80
  13. Baggs JG, Schmitt MH, Muschlin AI, et al. Nurse-physician collaboration and satisfaction with the decision-making process in three critical care units. Am J Crit Care. 1997;6:393–399
  14. Heyland DK, Rocker GM, Dodek PM, et al. Family satisfaction with care in the intensive care unit: Results of a multiple center study. Crit Care Med. 2002;30:1413–1318
  15. Haut ER, Sicoutris CP, Meredith DM, et al. Improved nurse job satisfaction and job retention with the transition from a “mandatory consultation” model to a “semiclosed” surgical intensive care unit: A 1-year prospective evaluation. Crit Care Med. 2006;34:387–395
  16. Hanson CW, Deutshcman CS, Anderson HL, et al. Effects of an organized critical care service on outcomes and resource utilization: a cohort study. Crit Care Med. 1999;27:270–274
  17. Haupt MT, Bekes CE, Brilli RJ, et al. Task force of the American College of Critical Care Medicine (guidelines on critical care services and personnel: recommendations based on a system of categorization of three levels of care). Crit Care Med. 2003;31:2677–2683
  18. Amos MA, Hu J, Herrick CA. The impact of team building on communication and job satisfaction of nursing staff. J Nurs Staff Dev. 2005;21:10–16
  19. Pronovost PJ, Angus DC, Dorman T, et al. Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. JAMA. 2002;288:2151–1262
  20. Thomas EJ, Sexton JB, Helmreich RL. Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med. 2003;31:956–959
  21. Rosenfeld BA, Dorman T, Breslow MJ, et al. Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med. 2000;28:3925–3931
  22. Zimmerman JE, Shortell SM, Rousseau DM, et al. Improving intensive care: observations based on organizational case studies in nine intensive care units; A prospective, multicenter study. Crit Care Med. 1993;21:1443–1451
  23. Ghorra S, Reinert SE, Cioffi W, et al. Analysis of the effect of conversion from open to closed surgical Intensive Care Unit. Ann Surg. 1999;229:163–171
  24. Carson SS, Stocking C, Podsadecki T, et al. Effects of organizational change in the medical Intensive Care Unit of a teaching hospital: a comparison of “open” and “closed” formats. JAMA. 1996;276:322–328
  25. Multz AS, Chalfin DB, Samson IM, et al. A “closed” medical intensive care unit (MICU) improves resource utilization when compared with an “open” MICU. Am J Respir Crit Care Med. 1998;157:1468–1473
  26. Trunkey DD. An unacceptable concept. Ann Surg. 1999;29:172–173

PII: S1931-7204(08)00271-7

doi: 10.1016/j.jsurg.2008.09.005

Journal of Surgical Education
Volume 66, Issue 1 , Pages 25-30 , January 2009

Article Tools