Research square · 2026
Paediatric Critical Care Implementation in Lower-Resource Settings: Application of Community-Based Group Model Building.
СтатьяПрепринтНазвание и аннотация: Перевод в очереди
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Fonseca Yudy, Taylor Terrie, Langton Josephine, Thomson Emma, Kapalamula Tiyamike, Holloway Adrian, Bhutta Adnan, Muttalib Fiona, O'Brien Nicole, Postels Douglas, Doctor Allan, Ballard Ellis, Remy Kenneth E
Аннотация
OBJECTIVES: Given the significant burden of critical illness and high mortality in Low-Middle Income Countries (LMICs), ICU care could substantially improve patient outcomes in LMICs. No systematic approach is available to identify the perceived and actual challenges of developing and maintaining high-quality intensive care units in LMICs. This study aimed to use community-based group model building (GMB) as an intervention to evaluate the barriers and facilitators of establishing a Paediatric Intensive Care Unit (PICU) in LMIC.
DESIGN: A GMB workshop was conducted with 27 participants, representing all the stakeholders. The workshop objectives were: assess GMB as a tool for implementation planning in a lower resource clinical care setting; assess barriers and facilitators of PICU implementation as perceived by conference attendees; develop a shared vision for goals, processes, and challenges for the PICU.
SETTING: PICU at the Mercy James Center for Paediatric Surgery and Critical Care (MJC) within the established system of Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi.
DESIGN: A GMB workshop was conducted with 27 participants, representing all the stakeholders. The workshop objectives were: assess GMB as a tool for implementation planning in a lower resource clinical care setting; assess barriers and facilitators of PICU implementation as perceived by conference attendees; develop a shared vision for goals, processes, and challenges for the PICU.
SETTING: PICU at the Mercy James Center for Paediatric Surgery and Critical Care (MJC) within the established system of Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi.