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Title: Improving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countries
Authors: Rashan Haniffa
A. Pubudu De Silva
Luciano de Azevedo
Dilini Baranage
Aasiyah Rashan
Inipavudu Baelani
Marcus J. Schultz
Arjen M. Dondorp
Martin W. Dünser
Mahidol University
Universidade de Sao Paulo - USP
Hospital Sirio-Libanês
Amsterdam UMC - University of Amsterdam
Intensive Care National Audit & Research Centre
Network for Improving Critical Care Systems and Training
National Intensive Care Surveillance
University of Goma
Keywords: Medicine
Issue Date: 1-Apr-2018
Citation: Journal of Critical Care. Vol.44, (2018), 352-356
Abstract: © 2017 Elsevier Inc. Purpose: To evaluate perceptions of intensive care unit (ICU) workers from low-and-middle income countries (LMICs) and high income countries (HICs). Materials and methods: A cross sectional design. Data collected from doctors using an anonymous online, questionnaire. Results: Hundred seventy-five from LMICs and 43 from HICs participated. Barriers in LMICs were lack of formal training (Likert score median 3 [inter quartile range 3]), lack of nurses (3[3]) and low wages (3[4]). Strategies for LMICs improvement were formal training of ICU staff (4[3]), an increase in number of ICU nurses (4[2]), collection of outcome data (3[4]), as well as maintenance of available equipment [3(3)]. The most useful role of HIC ICU staff was training of LMIC staff (4[2]). Donation of equipment [2(4)], drugs [2(4)], and supplies (2[4]) perceived to be of limited usefulness. The most striking difference between HIC and LMIC staff was the perception on the lack of physician leadership as an obstacle to ICU functioning (4[3] vs. 0[2], p < 0.005). Conclusion: LMICs ICU workers perceived lack of training, lack of nurses, and low wages as major barriers to functioning. Training, increase of nurse workforce, and collection of outcome data were proposed as useful strategies to improve LMIC ICU services.
ISSN: 15578615
Appears in Collections:Scopus 2018

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