# Nursing Management in Pediatric Intensive Care in South Asia

## TL;DR

This paper reviews challenges in managing pediatric intensive care units in South Asia and emphasizes the critical role of nursing in improving patient outcomes.

## Contribution

The paper provides a context-specific analysis of nursing management challenges in South Asian PICUs and advocates for tailored solutions.

## Key findings

- Nurses are crucial in preventing hospital-acquired infections and ensuring medication safety in PICUs.
- Nurse-to-patient ratios in South Asia are imbalanced, leading to burnout.
- Context-specific strategies are needed to improve nursing management and patient outcomes.

## Abstract

Pediatric Intensive Care Units (PICUs) provide specialized care for critically ill children. Developing and managing these units in South Asia remains challenging. Resource limitations and infrastructural disparities are leading to challenging conditions. Above all, nurses play a pivotal role in delivering quality critical care. Effective nursing practices can curb hospital-acquired infections (HAIs), ensure medication safety, and enable protocols such as the ICU Liberation Bundle. In South Asia, another challenge is the proper management of the nursing workforce. Nurse-to-patient ratios are highly disproportionate, contributing to nurse burnout. This review highlights the country-specific challenges and circumstances. There is no one-size-fits-all solution; effective strategies vary based on each country’s context. With context-specific solutions, nurses can bridge the gap between healthcare teams and families, ultimately improving patient outcomes.