Cross-sectional Survey of Canadian Pediatric Critical Care Transport

Background: To determine the challenges in diagnostic support for adequate fluid and electrolyte (F/E) management in a poor-resource critical care setting.Methods: This cross-sectional survey was conducted between March and May 2017 in one hundred and four (104) doctors practicing in four tertiary hospitals in North-central Nigeria. These doctors were currently working in Accidents and Emergency Units (A/E), Intensive care Units (ICU) and Children Emergency Units and have worked for at least two months prior to the study. They were given a structured questionnaire to fill and return. The questionnaire among other things, addressed laboratory-related factors that affect management of F/E disturbances.Results: Unavailability of some laboratory tests, inaccuracy of laboratory results, incomplete test results and delay in obtaining results, hampered F/E management in critical care according to more than 75% of the surveyed doctors. About sixty percent of the doctors reported a turnaround time (TAT) of ≥3 hours for electrolytes and most emergency biochemical tests (except urine dipstick and Blood gases). Also ≤25% of doctors responded that electrolytes and most emergency biochemical tests (except urine dipstick and Blood gases) were offered in the ICU/Emergency unit laboratories. Ten percent or less of doctors reported that electrolytes and the emergency biochemical test were available by Point of care testing (POCT).Conclusions: There is an urgent need for the managers of healthcare in LMICs to establish functional laboratories in ICUs, explore the use of POCT and build capacity for diagnostic critical care.

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Pediatric Triage and Allocation of Critical Care Resources During Disaster: Northwest Provider Opinion

Prehospital and Disaster Medicine ◽

10.1017/s1049023x14000909 ◽

2014 ◽

Vol 29 (5) ◽

pp. 455-460 ◽

Cited By ~ 4

Author(s):

Erin Margaret Johnson ◽

Douglas S. Diekema ◽

Mithya Lewis-Newby ◽

Mary A. King

Keyword(s):

Critical Care ◽

Hurricane Katrina ◽

Health Care Providers ◽

Health Workers ◽

Cognitive Outcome ◽

Care Providers ◽

Cross Sectional Survey ◽

Publication Type ◽

Pediatric Critical Care ◽

Pediatric Hospitals

AbstractIntroductionFollowing Hurricane Katrina and the 2009 H1N1 epidemic, pediatric critical care clinicians recognized the urgent need for a standardized pediatric triage/allocation system. This study collected regional provider opinion on issues of care allocation and pediatric triage in a disaster/pandemic setting.MethodsThis study was a cross-sectional survey of United States (US) health care providers and public health workers who demonstrated interest in critical care and/or disaster care medicine by attending a Northwest regional pediatric critical care symposium on disaster preparation, held in 2012 at Seattle Children's Hospital in Seattle, Washington (USA). The survey employed an electronic audience response system and included demographic, ethical, and logistical questions. Differences in opinions between respondents grouped by professions and work locations were evaluated using a chi-square test.ResultsOne hundred and twelve (97%) of 116 total attendees responded to at least one question; however, four of these responders failed to answer every question. Sixty-two (55%) responders were nurses, 29 (26%) physicians, and 21 (19%) other occupations. Fifty-five (51%) responders worked in pediatric hospitals vs 53 (49%) in other locations. Sixty-three (58%) of 108 successful responses prioritized children predicted to have a good neuro-cognitive outcome. Seventy-one (68%) agreed that no pediatric age group should be prioritized. Twenty-two (43%) of providers working in non-pediatric hospital locations preferred a triage system based on an objective score alone vs 14 (26%) of those in pediatric hospitals (P = .038).JohnsonEM, DiekemaDS, Lewis-NewbyM, KingMA. Pediatric triage and allocation of critical care resources during disaster: Northwest provider opinion. Prehosp Disaster Med. 2014;29(5):1-6.

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Understanding critical care nurses’ autonomy in Jordan

Leadership in Health Services ◽

10.1108/lhs-10-2016-0047 ◽

2017 ◽

Vol 30 (4) ◽

pp. 432-442 ◽

Cited By ~ 2

Author(s):

Mahmoud Maharmeh

Keyword(s):

Decision Making ◽

Critical Care ◽

Clinical Practice ◽

Clinical Decision Making ◽

Clinical Decision ◽

Critical Care Nurses ◽

Cross Sectional Survey ◽

Eligibility Criteria ◽

Cross Sectional ◽

Content Type

Purpose The aim of this study was to describe Jordanian critical care nurses’ experiences of autonomy in their clinical practice. Design/methodology/approach A descriptive correlational design was applied using a self-reported cross-sectional survey. A total of 110 registered nurses who met the eligibility criteria participated in this study. The data were collected by a structured questionnaire. Findings A majority of critical care nurses were autonomous in their decision-making and participation in decisions to take action in their clinical settings. Also, they were independent to develop their own knowledge. The study identified that their autonomy in action and acquired knowledge were influenced by a number of factors such as gender and area of practice. Practical implications Nurse’s autonomy could be increased if nurses are made aware of the current level of autonomy and explore new ways to increase empowerment. This could be offered through classroom lectures that concentrate on the concept of autonomy and its implication in practice. Nurses should demonstrate autonomous nursing care at the same time in the clinical practice. This could be done through collaboration between educators and clinical practice to help merge theory to practice. Originality/value Critical care nurses were more autonomous in action and knowledge base. This may negatively affect the quality of patient care and nurses’ job satisfaction. Therefore, improving nurses’ clinical decision-making autonomy could be done by the support of both hospital administrators and nurses themselves.

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Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians

Canadian Journal of Anesthesia/Journal canadien d anesthésie ◽

10.1007/s12630-019-01321-y ◽

2019 ◽

Vol 66 (5) ◽

pp. 503-511 ◽

Cited By ~ 9

Author(s):

Karen E. A. Burns ◽

◽

Alison Fox-Robichaud ◽

Edmund Lorens ◽

Claudio M. Martin

Keyword(s):

Gender Differences ◽

Critical Care ◽

Career Satisfaction ◽

Moral Distress ◽

Cross Sectional Survey ◽

Cross Sectional

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A survey of moral distress in staff working in intensive care in the UK

Journal of the Intensive Care Society ◽

10.1177/1751143718787753 ◽

2018 ◽

Vol 20 (3) ◽

pp. 196-203 ◽

Cited By ~ 9

Author(s):

GA Colville ◽

D Dawson ◽

S Rabinthiran ◽

Z Chaudry-Daley ◽

L Perkins-Porras

Keyword(s):

Critical Care ◽

Intensive Care ◽

Moral Distress ◽

Female Gender ◽

Intention To Leave ◽

Post Traumatic Stress ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Work Related ◽

Distress Scale

Elevated rates of burnout and post-traumatic stress have been found in staff working in critical care settings, but the aspect of moral distress has been harder to quantify until a recent revision of a scale previously designed for nurses, was adapted for use with a range of health professionals, including physicians. In this cross-sectional survey, n = 171 nurses and physicians working in intensive care in the United Kingdom completed the Moral Distress Scale-Revised in relation to their experiences at work. Mean (SD) Moral Distress Scale-Revised score was 70.2 (39.6). Significant associations were found with female gender (female 74.1 (40.2) vs. male 55.5 (33.8), p = 0.010); depression ( r = 0.165, p = 0.035) and with intention to leave job (considering leaving 85.5 (42.4) vs. not considering leaving 67.2 (38.6), p = 0.040). These results highlight the importance of considering the moral impact of work-related issues when addressing staff wellbeing in critical care settings.

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