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. B...

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Bibliographic Details
Published in:Journal of critical care 2018-04, Vol.44, p.352-356
Main Authors: Haniffa, Rashan, Pubudu De Silva, A., de Azevedo, Luciano, Baranage, Dilini, Rashan, Aasiyah, Baelani, Inipavudu, Schultz, Marcus J., Dondorp, Arjen M., Dünser, Martin W.
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Critical care
Critical Care - economics
Critical Care - organization & administration
Critical Care - standards
Cross-Sectional Studies
Developed Countries
Developing Countries
Health Knowledge, Attitudes, Practice
Health Personnel - psychology
Health Resources - supply & distribution
Health surveillance
High income
Hospitals
Humans
ICU workers
Illnesses
Improving ICU services
Intensive care
Intensive Care Units - economics
Intensive Care Units - standards
Medicine
Mortality
Nurses
Perceptions
Polls & surveys
Quality Improvement
Questionnaires
Resource-limited settings
Sepsis
Skill development
Society
Software
Statistical analysis
Working groups
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Summary: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
ISSN:0883-9441
1557-8615
DOI:10.1016/j.jcrc.2017.12.007