Same label, different patients: Health-workers' understanding of the label 'critical illness' (Record no. 1011)
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042 ## - AUTHENTICATION CODE | |
---|---|
Authentication code | dc |
100 10 - MAIN ENTRY--PERSONAL NAME | |
Personal name | Mkumbo, Elibariki |
Relator term | author |
9 (RLIN) | 3152 |
245 00 - TITLE STATEMENT | |
Title | Same label, different patients: Health-workers' understanding of the label 'critical illness' |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Name of publisher, distributor, etc. | Frontiers Media S.A., |
Date of publication, distribution, etc. | 2023-02-07. |
500 ## - GENERAL NOTE | |
General note | /pmc/articles/PMC7614203/ |
500 ## - GENERAL NOTE | |
General note | /pubmed/36811083 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | BACKGROUND: During the course of patients' sickness, some become critically ill, and identifying them is the first important step to be able to manage the illness. During the course of care provision, health workers sometimes use the term 'critical illness' as a label when referring to their patient's condition, and the label is then used as a basis for communication and care provision. Their understanding of this label will therefore have a profound impact on the identification and management of patients. This study aimed to determine how Kenyan and Tanzanian health workers understand the label 'critical illness'. METHODS: A total of 10 hospitals-five in Kenya and five in Tanzania-were visited. In-depth interviews were conducted with 30 nurses and physicians from different departments in the hospitals who had experience in providing care for sick patients. We conducted a thematic analysis of the translated and transcribed interviews, synthesized findings and developed an overarching set of themes which captured healthcare workers' understandings of the label 'critical illness'. RESULTS: Overall, there does not appear to be a unified understanding of the label 'critical illness' among health workers. Health workers understand the label to refer to patients in four thematic ways: (1) those in a life-threatening state; (2) those with certain diagnoses; (3) those receiving care in certain locations; and (4) those in need of a certain level of care. CONCLUSION: There is a lack of a unified understanding about the label 'critical illness' among health workers in Tanzania and Kenya. This potentially hampers communication and the selection of patients for urgent life-saving care. A recently proposed definition, "a state of ill health with vital organ dysfunction, a high risk of imminent death if care is not provided and the potential for reversibility", could be useful for improving communication and care. |
540 ## - TERMS GOVERNING USE AND REPRODUCTION NOTE | |
Terms governing use and reproduction | © 2023 Mkumbo, Willows, Onyango, Khalid, Maiba, Schell, Oliwa, Mcknight and Baker. |
540 ## - TERMS GOVERNING USE AND REPRODUCTION NOTE | |
Terms governing use and reproduction | https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
546 ## - LANGUAGE NOTE | |
Language note | en |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | Health Services |
9 (RLIN) | 3161 |
655 7# - INDEX TERM--GENRE/FORM | |
Genre/form data or focus term | Text |
Source of term | local |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Willows, Tamara Mulenga |
Relator term | author |
9 (RLIN) | 3153 |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Onyango, Onesmus |
Relator term | author |
9 (RLIN) | 3154 |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Khalid, Karima |
Relator term | author |
9 (RLIN) | 3155 |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Maiba, John |
Relator term | author |
9 (RLIN) | 3156 |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Schell, Carl Otto |
Relator term | author |
9 (RLIN) | 3157 |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Oliwa, Jacquie |
Relator term | author |
9 (RLIN) | 3158 |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | McKnight, Jacob |
Relator term | author |
9 (RLIN) | 3159 |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Baker, Tim |
Relator term | author |
9 (RLIN) | 3160 |
786 0# - DATA SOURCE ENTRY | |
Note | Front Health Serv |
856 41 - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="http://dx.doi.org/10.3389/frhs.2023.1105078">http://dx.doi.org/10.3389/frhs.2023.1105078</a> |
Public note | Connect to this object online. |
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