Improving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countries

To evaluate perceptions of intensive care unit (ICU) workers from low-and-middle income countries (LMICs) and high income countries (HICs).A cross sectional design. Data collected from doctors using an anonymous online, questionnaire.Hundred seventy-five from LMICs and 43 from HICs participated. Bar...

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Main Authors: Haniffa, R, Pubudu De Silva, A, de Azevedo, L, Baranage, D, Rashan, A, Baelani, I, Schultz, M, Dondorp, A, Dünser, M
Format: Journal article
Language:English
Published: Elsevier 2017
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author Haniffa, R
Pubudu De Silva, A
de Azevedo, L
Baranage, D
Rashan, A
Baelani, I
Schultz, M
Dondorp, A
Dünser, M
author_facet Haniffa, R
Pubudu De Silva, A
de Azevedo, L
Baranage, D
Rashan, A
Baelani, I
Schultz, M
Dondorp, A
Dünser, M
author_sort Haniffa, R
collection OXFORD
description To evaluate perceptions of intensive care unit (ICU) workers from low-and-middle income countries (LMICs) and high income countries (HICs).A cross sectional design. Data collected from doctors using an anonymous online, questionnaire.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).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.
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spelling oxford-uuid:b1ede9e8-fc5e-43e8-9c48-9061427b5e052022-03-27T04:07:51ZImproving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countriesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b1ede9e8-fc5e-43e8-9c48-9061427b5e05EnglishSymplectic Elements at OxfordElsevier2017Haniffa, RPubudu De Silva, Ade Azevedo, LBaranage, DRashan, ABaelani, ISchultz, MDondorp, ADünser, MTo evaluate perceptions of intensive care unit (ICU) workers from low-and-middle income countries (LMICs) and high income countries (HICs).A cross sectional design. Data collected from doctors using an anonymous online, questionnaire.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).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.
spellingShingle Haniffa, R
Pubudu De Silva, A
de Azevedo, L
Baranage, D
Rashan, A
Baelani, I
Schultz, M
Dondorp, A
Dünser, M
Improving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countries
title Improving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countries
title_full Improving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countries
title_fullStr Improving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countries
title_full_unstemmed Improving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countries
title_short Improving ICU services in resource-limited settings: Perceptions of ICU workers from low-middle-, and high-income countries
title_sort improving icu services in resource limited settings perceptions of icu workers from low middle and high income countries
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