Neonatal intensive care in Korea has improved remarkably since the 1990's, but there is still a shortage of facilities and equipments in neonatal intensive care units (NICUs). Only 61.7% of hospital beds needed for neonatal intensive care are available, the given area per bed is limited, and other facilities such as on-call rooms, interview rooms, closets are insufficient. Mechanical ventilators are not appropriately distributed to NICUs that are equipped to handle neonatal intensive care. The number of physicians for neonatal intensive care is by far too small, with the number of patients per physician being very high. The number of patients per nurse, too, is as high as 5.3 to 7.3, making it very difficult to provide adequate intensive care. All these are caused by the insufficient investment by the hospitals, which is due to the inadequate reimbursement from the health insurance. Therefore, government-driven efforts are necessary to bring the level of neonatal intensive care service up to par.
Critical Care ; Humans ; Infant, Newborn ; Insurance, Health ; Intensive Care Units, Neonatal* ; Intensive Care, Neonatal* ; Investments ; Korea ; Ventilators, Mechanical

Neonatal intensive care in Korea has improved remarkably since the 1990s, but there is still a shortage of facilities and equipment in NICUs. Only 71.1% of the beds needed for neonatal intensive care are available. Mechanical ventilators are not appropriately distributed to the NICUs that are equipped to handle neonatal intensive care. The number of doctors is far too small, making the number of patients per doctor very high. Nurses, too, need to take care of 7.7 patients per nurse, making it very difficult to provide adequate intensive care. All this is caused by insufficient investment by the hospitals, which, in turn, is caused by inadequate reimbursement from health insurance. Therefore, a government-sponsored effort is necessary to bring the level of neonatal intensive care up to par.
Humans ; Infant, Newborn ; Insurance, Health ; Critical Care ; Intensive Care Units, Neonatal ; Intensive Care, Neonatal ; Investments ; Korea ; Ventilators, Mechanical

PURPOSE: The purpose of this study was to investigate the influence of perceptions of death, end-of-life (EOL) care stress, and emotional intelligence on attitudes toward EOL care among nurses in the neonatal intensive care unit (NICU). METHODS: The participants were 111 nurses working in a NICU who had experienced EOL care at least once. Data were analyzed using the t-test, Pearson correlation coefficient, and stepwise multiple regression analysis in SPSS for Windows. RESULTS: The mean score for perceptions of death was 3.16 out of 5, the mean score for EOL care stress was 3.61 out of 5, the mean emotional intelligence score was 4.66 out of 7, and the average score for EOL care attitudes was 2.77 out of 4. The factors affecting attitudes towards EOL care were academic degree, anxiety regarding death, negativity towards death, experiences of patient death, and emotional intelligence. The explanatory power of these variables for attitudes towards EOL care was 24.7%. CONCLUSION: The results of this study are expected to serve as a basic reference for the development of nursing education programs and EOL care protocols to improve attitudes toward EOL care among NICU nurses.
Anxiety ; Critical Care ; Education, Nursing ; Emotional Intelligence* ; Humans ; Infant, Newborn ; Intensive Care, Neonatal* ; Terminal Care

Pediatric patients in the neonatal intensive care unit (NICU) and the pediatric intensive care unit (PICU) have a high incidence rate of genetic diseases, and early rapid etiological diagnosis and targeted interventions can help to reduce mortality or improve prognosis. Whole-genome sequencing covers more comprehensive information including point mutation, copy number, and structural and rearrangement variations in the intron region and has become one of the powerful diagnostic tools for genetic diseases. Sequencing data require highly professional judgment and interpretation and are returned for clinical application after several weeks, which cannot meet the need for the diagnosis and treatment of genetic diseases in children. This article introduces the clinical application of rapid whole-genome sequencing in the NICU/PICU and briefly describes related techniques of artificial intelligence-rapid whole-genome sequencing diagnostic system, a rapid high-throughput automated platform for the diagnosis of genetic diseases. The diagnostic system introduces artificial intelligence into the processing of data after whole-genome sequencing and can solve the problems of long time and professional interpretation required for routine genome sequencing and provide a rapid diagnostic regimen for critically ill children suspected of genetic diseases within 24 hours, and therefore, it holds promise for clinical application.
Artificial Intelligence ; Child ; Critical Illness ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal ; Intensive Care Units, Pediatric ; Whole Genome Sequencing

No abstract available.
Intensive Care Units* ; Critical Care*

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Critical Care ; Intensive Care Units

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Critical Care ; Intensive Care Units

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Intensive Care Units* ; Critical Care*

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Intensive Care Units* ; Critical Care*

Throughout the past several decades in Korea, the field of neonatology has developed enormously along with the advancement of modern neonatal intensive care units, which has resulted in significant improvement of treatment effectiveness for high-risk newborn and premature infants. Since the deaths of newborn infants are closely related to the infant death rate - one of the most important indicators of national health - neonatal intensive care is significant as a major element of the basic infrastructure of the national healthcare system. In Korea, where a noteworthy decrease in birth rates and an aging population has serious consequences for the future, interest at the national level and policy support for neonatal intensive care as well as for the effective continuous and systematic organization of perinatal care is strongly needed. Important topics for future exploration in the field of neonatology in Korea include the establishment of regionalization and organization of an effective perinatal care system, active quality improvement in neonatal care, and the improvement of evidence-based neonatal medicine through active multicenter clinical trials and the development of new research subjects for unresolved problems in the neonatal field. In addition, suggestions for multidisciplinary treatment and interest in family-oriented and developmental care for newborn infants as well as long-term follow-up research after discharge from the neonatal intensive care unit will also be discussed.
Aging ; Birth Rate ; Critical Care ; Delivery of Health Care ; Follow-Up Studies ; Forecasting ; Humans ; Infant Death ; Infant, Newborn ; Infant, Premature ; Intensive Care Units, Neonatal ; Intensive Care, Neonatal ; Korea* ; Neonatology* ; Perinatal Care ; Quality Improvement ; Research Subjects ; Treatment Outcome