Nursing and Midwifery

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Browsing Nursing and Midwifery by Author "Baker, Tim"

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    Provision of essential treatments in critical illness (POETIC)
    (Kamuzu University of Health Sciences, 2021-03-15) Baker, Tim
    of project: This is a pilot of the overall project which includes literature review and secondary analyses of existing datasets, interviews of health-workers and other stakeholders, group discussions, online surveys and hospital walk-throughs. The problem: Approaches to improving quality of emergency and critical care in Malawi have not been previously studies. Objectives: To assess approaches for improving the quality of care for critically ill patients in hospitals in Malawi. Objectives 1. To evaluate the hospital readiness for providing critical care in hospitals in Malawi 2. To describe the current policy environment for critical care in Malawi 3. To explore existing service delivery arrangements for critically ill patients in hospitals in Malawi and the challenges faced in providing good quality care 4. To model the cost-effectiveness of different approaches for the scale-up and provision of critical care. Methodology: Repeated internet-based group discussions with 12-15 participants will be held. In-depth, more open-ended, narrative interviews will be subsequently held with 8-10 key informants including frontline health workers. Data from online discussions, interviews, walk-throughs and process maps will be analysed and used to generate a general description of the hospital journey of critically ill patients and using thematic analysis. Expected findings and dissemination: The knowledge generated will enable evaluations of the quality of context-appropriate emergency and critical care, bottleneck analyses of the weaknesses in service provision and the underlying determinants of these weaknesses, benchmarking of health services, guide the targeting of qualityimprovement interventions, and assessments of the impact of implementation efforts to improve care for critically ill patients. The results will be disseminated to the Ministry of Health, specialty societies, the Wellcome Innovations Critical Care Flagship and other stakeholders and published in open access peer reviewed journals.