scholarly journals Paediatric critical care needs assessment in a tertiary facility in a developing country

2018 ◽  
Vol 45 (1) ◽  
pp. 10
Author(s):  
A.E. Akindolire ◽  
O.O. Tongo
Keyword(s):  
Critical Care ◽  
Needs Assessment ◽  
Developing Country ◽  
Care Needs ◽  
Paediatric Critical Care

scholarly journals Comparison of simulation debriefs with traditional needs assessment methods: a qualitative exploratory study in a critical care community setting

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e020570
Author(s):  
Aimee J Sarti ◽  
Rola Ajjawi ◽  
Stephanie Sutherland ◽  
Angele Landriault ◽  
John Kim ◽  
...  
Keyword(s):  
Critical Care ◽  
Focus Groups ◽  
Needs Assessment ◽  
Secondary Analysis ◽  
Hospital Setting ◽  
Community Setting ◽  
Virtual Patient ◽  
Care Needs ◽  
Care Community ◽  
Trade Offs

ObjectiveTo better understand the potential of a needs assessment approach using qualitative data from manikin-based and virtual patient simulation debriefing sessions compared with traditional data collection methods (ie, focus groups and interviews).DesignOriginal data from simulation debrief sessions was compared and contrasted with data from an earlier assessment of critical care needs in a community setting (using focus groups and interviews), thus undertaking secondary analysis of data. Time and cost data were also examined. Debrief sessions were coded using deductive and inductive techniques. Matrices were used to explore the commonalities, differences and emergent findings across the methods.SettingCritical care unit in a community hospital setting.ResultsInterviews and focus groups yielded 684 and 647 min of audio-recordings, respectively. The manikin-based debrief recordings averaged 22 min (total=130 min) and virtual patient debrief recordings averaged 31 min (total=186 min). The approximate cost for the interviews and focus groups was $13 560, for manikin-based simulation debriefs was $4030 and for the virtual patient debriefs was $3475. Fifteen of 20 total themes were common across the simulation debriefs and interview/focus group data. Simulation-specific themes were identified, including fidelity (environment, equipment and psychological) and the multiple roles of the simulation instructor (educative, promoting reflection and assessing needs).ConclusionsGiven current fiscal realities, the dual benefit of being educative and identifying needs is appealing. While simulation is an innovative method to conduct needs assessments, it is important to recognise that there are trade-offs with the selection of methods.

Development of paediatric critical care in northwestern Nigeria: Initial implementation with a needs assessment model

2021 ◽  
Author(s):  
Abdullahi Ibrahim ◽  
Elizabeth Scruth ◽  
Adebayo Adeyinka ◽  
Halima Salisu Kabara ◽  
Lorena Rivera ◽  
...  
Keyword(s):  
Critical Care ◽  
Needs Assessment ◽  
Assessment Model ◽  
Initial Implementation ◽  
Paediatric Critical Care

scholarly journals Evaluation of Paediatric Critical Care Needs and Practice in Nigeria: Paediatric Residents’ Perspective

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Moses Temidayo Abiodun ◽  
Fidelis E. Eki-Udoko
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Unmet Need ◽  
Critically Ill Children ◽  
Strong Positive Correlation ◽  
Care Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Tertiary Hospitals ◽  
Paediatric Critical Care

Background. There is a dire need for paediatric critical care (PCC) services, but their availability in tertiary hospitals in Nigeria is not well defined. Objective. We evaluated self-reported PCC practice, resources, and perceived challenges in various zones of the country, using paediatric residents’ perspective. Methods. This is a descriptive cross-sectional survey, carried out at an Intensive Course in Paediatrics at the University of Benin Teaching Hospital, Nigeria. Participants’ PCC practice and perceived adequacy of PCC resources and services were assessed using a 100 mm uncalibrated visual analogue scale (VAS). A comparison between northern and southern zones was done. A 2-sided p value < 0.05 was considered significant. Results. A total of 143 residents participated in the study, 37.1% of them were male, and 62.9% were female. Their mean age was 34.6 ± 3.2 years. They were mainly (86.7%) from federal institutions across the country. Less than a half (46.7%) of the trainees attended to critically ill children daily, but only 4 out of every 10 respondents stated that such severely ill children survived till hospital discharge; 12.1% of the trainees had PICUs in their institutions. Financial constraints hindered PICU admissions. PCC staff were relatively fewer in northern zones than southern zones ( p < 0.05 ). Their perceived adequacy of PCC equipment and services were low (VAS scores 32.7 ± 2.6 and 30.9 ± 2.8, respectively) with a strong positive correlation between the two measurements (r = 0.839; p < 0.001 ). Conclusion. There is an unmet need for PCC practice in Nigerian tertiary hospitals with a resultant low survival rate of critically ill children. PCC training curricula and improved critical care resources are desirable in the setting.

scholarly journals Training Needs Assessment for Practicing Paediatric Critical Care Nurses in Malawi To Inform The Development of A Specialized Master’s Education Pathway: A Cohort Study

2021 ◽  
Author(s):  
Kelsey Renning ◽  
Brittney van de Water ◽  
Shelley Brandstetter ◽  
Chisomo Kasitomu ◽  
Netsayi Gowero ◽  
...  
Keyword(s):  
Critical Care ◽  
Child Health ◽  
Needs Assessment ◽  
Training Needs ◽  
Critical Care Nurses ◽  
Arterial Blood Gas ◽  
Governmental Organization ◽  
Arterial Blood ◽  
College Of Nursing ◽  
Paediatric Critical Care

Abstract Background Significant improvements in under-five mortality in Malawi have been demonstrated over the past thirty years; however, Malawian healthcare remains with gaps in availability and access to quality paediatric critical care nursing training and education. To improve expertise of paediatric critical care nurses in Malawi, Kamuzu College of Nursing (KCN), Queen Elizabeth Central Hospital (QECH), and Mercy James Center (MJC) entered a partnership with Seed Global Health, a US non-governmental organization. A needs assessment was conducted to understand the training needs of nurses currently working in paediatric critical care and in preparation for the development of a specialized Master’s in Child Health pathway in Paediatric Critical Care (PCC) Nursing at KCN. Methods The needs assessment was completed using a survey questionnaire formatted using an ABCDE (Airway, Breathing, Circulation, Disability, and Exposure) framework. The questionnaire had Likert scale and yes/no questions. Data was manually entered into excel and was analyzed using descriptive statistics. Results One hundred and fifty-three nurses at QECH and MJC responded to the survey. Most nurses were between the ages of 25 and 35 years (N = 98, 64%), female (N = 105, 69%), and held either a Bachelors (N = 72, 47%) or diploma (N = 70, 46%) in nursing. Nurses had high rates of confidence in certain skills: airway management (N = 120, 99%), breathing assessment & management (N = 153, 100%). However, nurses demonstrated little to no confidence in areas such as: mechanical ventilation (N = 68, 44%), ECG evaluation (N = 74, 48%), and arterial blood gas collection & interpretation (N = 49, 32%). Conclusion It is important to identify priority areas for training and skills development to address in the PCC master’s within the child health pathway at KCN. Ideally this partnership will produce practice-ready PCC nurses and will establish a recognized PCC nursing workforce in Malawi.

Glycaemic control in paediatric critical care

The Lancet ◽  
2009 ◽  
Vol 373 (9673) ◽  
pp. 1423 ◽  
Author(s):  
Coert J Zuurbier ◽  
Albert P Bos ◽  
Harry B van Wezel
Keyword(s):  
Critical Care ◽  
Glycaemic Control ◽  
Paediatric Critical Care

scholarly journals Paediatric admissions to a district general hospital adult intensive care unit over a six year period: A single centre retrospective case series, with review of practitioner confidence and competence in paediatric critical care

2021 ◽  
pp. 175114372110121
Author(s):  
Stephen A Spencer ◽  
Joanna S Gumley ◽  
Marcin Pachucki
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Case Series ◽  
Critically Ill Children ◽  
Single Centre ◽  
Retrospective Case ◽  
Retrospective Case Series ◽  
Paediatric Critical Care ◽  
Doctors And Nurses

Background Critically ill children presenting to district general hospitals (DGH) are admitted to adult intensive care units (AICUs) for stabilisation prior to transfer to paediatric intensive care units (PICUs). Current training in PICU for adult intensive care physicians is only three months. This single centre retrospective case series examines the case mix of children presenting to a DGH AICU and a multidisciplinary survey assesses confidence and previous experience, highlighting continued training needs for DGH AICU staff. Methods all paediatric admissions to AICU and paediatric retrievals were reviewed over a 6-year period (2014-2019). Cases were identified from the Electronic Patient Record (EPR) and from data provided by the regional paediatric retrieval service. A questionnaire survey was sent to AICU doctors and nurses to assess confidence and competence in paediatric critical care. Results Between 2014-2019, 284 children were managed by AICU. In total 35% of cases were <1 y, 48% of cases were <2 y and 64% of cases were <5 y, and 166/284 (58%) children were retrieved. Retrieval reduced with increasing age (OR 0.49 [0.40-0.60], p < 0.0001). The survey had an 82% response rate, and highlighted that only 13% of AICU nurses and 50% of doctors had received prior PICU training. Conclusion At least one critically unwell child presents to the AICU each week. Assessment, stabilisation and management of critically unwell children are vital skills for DGH AICU staff, but confidence and competence are lacking. Formalised strategies are required to develop and maintain paediatric competencies for AICU doctors and nurses.

scholarly journals Troponin elevation predicts critical care needs and in-hospital mortality after thrombolysis in white but not black stroke patients

2016 ◽  
Vol 32 ◽  
pp. 3-8 ◽  
Author(s):  
Roland Faigle ◽  
Elisabeth B. Marsh ◽  
Rafael H. Llinas ◽  
Victor C. Urrutia ◽  
Rebecca F. Gottesman
Keyword(s):  
Critical Care ◽  
Hospital Mortality ◽  
Stroke Patients ◽  
Care Needs ◽  
Troponin Elevation
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