Emergency care research priorities in South Africap

Hoving, D.J. van; Barnetson, Brenda Kathleen; Wallis, Lee

doi:10.7196/samj.8967

Cited by 10 publications

(4 citation statements)

References 18 publications

(18 reference statements)

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“…These findings are similar to those of a study in Uganda [9]. The high incidence in this age group may be explained by the fact that children at this age, want to learn new things, have decreased perception of risk, decreased coordination, and are closer to the ground where splashes and spills most frequently occur [11]. Preventive measures should be taken to prevent these injuries, such as close supervision of children to decrease exposure to burn risks.…”

Section: Discussionsupporting

confidence: 86%

Epidemiology of burns at the University Teaching Hospital of Kigali, Rwanda

Dushime¹,

Ling²,

Uwamahoro³

et al. 2022

rmj

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Introduction: Burns are the fourth most common type of injury presenting to the emergency department in Rwanda. However, there is little data on the epidemiology of burn patients, which is needed to inform public health measures for burn prevention. This study aimed to describe the characteristics and outcomes of burn patients presenting to the Emergency of the University Teaching Hospital Kigali.Methods: This single-center prospective study evaluated patients with burn injuries presenting at CHUK emergency between 1 June and 31 December 2019. Data on demographics, burn characteristics, burn management, disposition and patient outcomes were collected, stored in Excel and analyzed descriptively using SPSS 24. Results: Of the 96 patients enrolled; (58.3%) were male. The median age was 32.7 years. Most patients were pediatric (70.9%), with one to five-year-olds being the most affected age group. Scalding was the most common cause of burn at (71.9%). Most burns were accidental (95.8%) and superficial dermal in degree (72.9%). The mean time between injury and presentation was 18.1 hours. There were 12 mortalities (12.5%) within the 30 days post-injury, with scald injuries as the most frequent cause of mortality. Higher mortality was significantly associated with increased body surface area affected (p = 0.001).Conclusion: Children between the ages of one and five years are the most affected by burns and scalding is the most common burn etiology. Public health measures should aim to prevent burn injuries in the pediatric population. This study was approved by the University of Rwanda /CMHS Institutional Review Board (IRB) No 136/CMHS IRB/ 2019.

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Section: Discussionsupporting

confidence: 86%

Epidemiology of burns at the University Teaching Hospital of Kigali, Rwanda

Dushime¹,

Ling²,

Uwamahoro³

et al. 2022

rmj

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“…For meaning and impact in both EC clinical and systems research, projects must be embedded in local context and engage local experts. Bringing stakeholders together to achieve consensus on research priorities for a country or region can be a useful technique to ensure projects are relevant and context appropriate [ 23 ]. Global EC research should aim to improve clinical care and health outcomes, patient experience and expectations, and advocacy capacity.…”

Section: Research Priorities In Emergency Carementioning

confidence: 99%

Developing a research question: A research primer for low- and middle-income countries

Mitchell

O’Reilly

Phillips

et al. 2020

African Journal of Emergency Medicine

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As demand for emergency care (EC) systems in low- and middle-income countries (LMICs) grows, there is an urgent need to expand the evidence base for clinical and systems interventions in resource limited EC settings. Clinicians are well placed to identify, define and address unanswered research questions using both quantitative and qualitative approaches. This paper summarises established research priorities for global EC and provides a step-wise approach to developing a research question. Research priorities for global EC broadly fall into two categories: systems-based research and research with a clinical care focus. Systems research is integral to understanding the essential components of safe and effective EC delivery, while clinical research aims to answer questions related to particular disease states, presentations or population groups. Developing a specific research question requires an enquiring, questioning and critical approach to EC delivery. In quantitative research, use of the PECO formula (Population, Exposure, Comparator, Outcome) can help frame a research question. Qualitative research, which aims to understand, explore and examine, often requires application of a theoretical framework. Writing a brief purpose statement can be a helpful tool to clarify the objectives of a qualitative study. This paper includes lists of tips, pitfalls and resources to assist EC clinical researchers in developing research questions. Application of these tools and frameworks will assist EC clinicians in resource limited settings to perform impactful research and improve outcomes for patients with acute illness and injury.

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“…Setting A is a private hospital situated in the eThekwini Metropolitan municipality, Setting B is a state hospital (regional and district) located in the eThekwini health district and Setting C is a state hospital that offers regional and tertiary services to the uMgungundlovu district and the western part of the province. EDs at state hospitals in SA are commonly short staffed, [17] which may impede healthcare professionals' ability to implement familycentred practices consistently. [18] The settings were specifically chosen with this in mind and to include diversity.…”

Section: Setting and Study Designmentioning

confidence: 99%

Family-centred practices of healthcare professionals in three emergency departments in KwaZulu-Natal, South Africa

Emmamally

Brysiewicz

2018

S Afr J Crit Care

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Background. Emergency healthcare professionals can practise family-centred care (FCC) by engaging in active partnerships with families. In a chaotic environment, which challenges communication and supportive behaviours, responding to and acknowledging families' individuality enhance positive family outcomes. Objective. To describe the adherence of emergency healthcare professionals to family-centred practices in some emergency departments in KwaZulu-Natal, South Africa. Methods. A quantitative survey was conducted among healthcare professionals in three emergency departments. A previously published checklist was used to collect data on adherence to relational and participatory family-centred practices. Results. A total of 77 completed questionnaires were received from the 79 participants surveyed, giving a response rate of 97.5%. Analysis showed that healthcare professionals endeavour to practise FCC, but that their implementation of practice indicators of family-centred care is inconsistent. Results suggested that healthcare professionals used relational practices to a larger extent than participatory practices. Conclusion. In the emergency department, collaboration and partnering with families should be emphasised to ensure that principles of FCC are practised as a standard.

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Emergency care research priorities in South Africap

Cited by 10 publications

References 18 publications

Epidemiology of burns at the University Teaching Hospital of Kigali, Rwanda

Epidemiology of burns at the University Teaching Hospital of Kigali, Rwanda

Developing a research question: A research primer for low- and middle-income countries

Family-centred practices of healthcare professionals in three emergency departments in KwaZulu-Natal, South Africa

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