P255 Building resuscitation capability in low resource settings; development of the PAIRS course (Outlining the development of a tailored paediatric resuscitation programme for low resource healthcare settings)

MacDonell, Rachel; Koe, Stanley; Okafor, Ikechukwu; James, Adam; Ahern, Claire; Scanlan, Trish

doi:10.1136/archdischild-2019-epa.605

Cited by 1 publication

(1 citation statement)

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“…Some were delivered by local faculty and others by visiting international educators. Among others, the Fundamental Critical Care Support/Paediatric Fundamental Critical Care Support courses in Haiti, Kenya and Nepal, 30 57 73 the Sugar, Temperature, Airway, Blood pressure, Lab work and Emotional support programme 27 74 and the Paediatric Assessment of Illness, Recognition and Resuscitation courses 75 were identified in SSA. In SA courses included: The Facility Based Integrated Management of Neonatal and Childhood Illnesses programme, 76 the Network for Improving Critical care Skills Training (NICST) programme 77–79 and the Basic Assessment and Support in Intensive Care course.…”

Section: Discussionmentioning

confidence: 99%

Critical care nursing role in low and lower middle-income settings: a scoping review

et al. 2022

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ObjectivesA scoping review was conducted to answer the question: How is critical care nursing (CCN) performed in low-income countries and lower middle-income countries (LICs/LMICs)?DesignScoping review guided by the JBI Manual for Evidence Synthesis.Data sourcesSix electronic databases and five web-based resources were systematically searched to identify relevant literature published between 2010 and April 2021.Review methodsThe search results received two-stage screening: (1) title and abstract (2) full-text screening. For sources of evidence to progress, agreement needed to be reached by two reviewers. Data were extracted and cross-checked. Data were analysed, sorted by themes and mapped to region and country.ResultsLiterature was reported across five georegions. Nurses with a range formal and informal training were identified as providing critical care. Availability of staff was frequently reported as a problem. No reports provided a comprehensive description of CCN in LICs/LMICs. However, a variety of nursing practices and non-clinical responsibilities were highlighted. Availability of equipment to fulfil the nursing role was widely discussed. Perceptions of inadequate resourcing were common. Undergraduate and postgraduate-level preparation was poorly described but frequently reported. The delivery of short format critical care courses was more fully described. There were reports of educational evaluation, especially regarding internationally supported initiatives.ConclusionsDespite commonalities, CCN is unique to regional and socioeconomic contexts. Nurses work within a complex team, yet the structure and skill levels of such teams will vary according to patient population, resources and treatments available. Therefore, a universal definition of the CCN role in LIC/LMIC health systems is likely unhelpful. Research to elucidate current assets, capacity and needs of nurses providing critical care in specific LIC/LMIC contexts is needed. Outputs from such research would be invaluable in supporting contextually appropriate capacity development programmes.

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