Understanding patient and family experiences of critical care in Bangladesh and India: What are the priority actions to promote person-centred care?

Autor:	Inglis R; Centre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom., Leaver M; Centre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom., Pell C; Amsterdam University Medical Center, Department of Global Health, University of Amsterdam, Amsterdam, the Netherlands.; Amsterdam Institute for Global Health and Development (AIGHD), Amsterdam, the Netherlands.; Amsterdam Public Health Research Institute, Amsterdam, the Netherlands., Ahmad S; Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences-Bhubaneswar, Odisha, India., Akter S; Department of Anaesthesia, Pain, Palliative and Intensive Care, Dhaka Medical College and Hospital, Dhaka, Bangladesh., Bhuia FIA; Centre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom., Ansary M; Department of Anaesthesia, Critical Care and Pain Medicine, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh., B S S; Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences-Bhubaneswar, Odisha, India., Begum M; Department of Anaesthesia, Pain, Palliative and Intensive Care, Dhaka Medical College and Hospital, Dhaka, Bangladesh., Chakraborty SR; Department of Anaesthesia, Critical Care and Pain Medicine, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh., Chowdhury H; Centre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom., Chowdhury MAR; Department of Anaesthesia, Pain, Palliative and Intensive Care, Dhaka Medical College and Hospital, Dhaka, Bangladesh., Deb P; Department of Anaesthesiology and Intensive Care Medicine, Chittagong Medical College Hospital, Chattogram, Bangladesh., Akhter Farzana N; Department of Anaesthesiology and Intensive Care Medicine, Chittagong Medical College Hospital, Chattogram, Bangladesh., Ghose A; Department of Anaesthesiology and Intensive Care Medicine, Chittagong Medical College Hospital, Chattogram, Bangladesh., Harun Or Roshid M; Department of Anaesthesiology and Intensive Care Medicine, Chittagong Medical College Hospital, Chattogram, Bangladesh., Hoque Tipu MR; Department of Anaesthesiology and Intensive Care Medicine, Chittagong Medical College Hospital, Chattogram, Bangladesh., Hosain S; Centre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom., Hossain MM; Department of Anaesthesia, Pain, Palliative and Intensive Care, Dhaka Medical College and Hospital, Dhaka, Bangladesh., Moinul Islam M; Department of Anaesthesia, Critical Care and Pain Medicine, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh., Kumar Tirupakuzhi Vijayaraghavan B; Department of Critical Care Medicine, Apollo Hospitals, Chennai, India., Mohsin M; Department of Anaesthesia, Pain, Palliative and Intensive Care, Dhaka Medical College and Hospital, Dhaka, Bangladesh., Mund M; Department of Anaesthesiology and Critical Care, SCB Medical College & Hospital, Cuttack, Odisha, India., Nasrin S; Department of Anaesthesia, Critical Care and Pain Medicine, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh., Kumar Nath R; Department of Anaesthesiology and Intensive Care Medicine, Chittagong Medical College Hospital, Chattogram, Bangladesh., Nayak S; Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences-Bhubaneswar, Odisha, India., Pani N; Postgraduate Institute of Medical Education and Research and Capital Hospital, Bhubaneswar, Odisha, India., Ahmmad Sarker S; Department of Anaesthesia, Critical Care and Pain Medicine, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh., Dondorp A; Centre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom., Tripathy S; Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences-Bhubaneswar, Odisha, India., Faiz MA; Dev Care Foundation, Dhaka, Bangladesh.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Jun 28; Vol. 4 (6), pp. e0003372. Date of Electronic Publication: 2024 Jun 28 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0003372
Abstrakt:	Patients' experiences in the intensive care unit (ICU) can enhance or impair their subsequent recovery. Improving patient and family experiences on the ICU is an important part of providing high quality care. There is little evidence to guide how to do this in a South Asian critical care context. This study addresses this gap by exploring the experiences of critically ill patients and their families in ICUs in Bangladesh and India. We elicit suggestions for improvements from patients, families and staff and highlight examples of practices that support person-centred care. This multi-site hospital ethnography was carried out in five ICUs in government hospitals in Bangladesh and India, selected using purposive sampling. Qualitative data were collected using non-participant observation and semi-structured interviews and analysed using reflexive thematic analysis. A total of 108 interviews were conducted with patients, families, and ICU staff. Over 1000 hours of observation were carried out across the five study sites. We identified important mediators of patient and family experience that span many different aspects of care. Factors that promote person-centred care include access to ICU for families, support for family involvement in care delivery, clear communication with patients and families, good symptom management for patients, support for rehabilitation, and measures to address the physical, environmental and financial needs of the family. This study has generated a list of recommendations that can be used by policy makers and practitioners who wish to implement person-centred principles in the ICU. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Inglis et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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