Development of a short course on management of critically ill patients with acute respiratory infection and impact on clinician knowledge in resource-limited intensive care units
JournalInfluenza and other Respiratory Viruses
PublisherBlackwell Publishing Ltd
MetadataShow full item record
AbstractBackground: The 2009 influenza A (H1N1) pandemic caused surges of patients in intensive care units (ICUs) in resource‐limited settings. Several Ministries of Health requested clinical management guidance from the World Health Organization (WHO), which had not previously developed guidance regarding critically ill patients. Objective: To assess the acceptability and impact on knowledge of a short course about the management of critically ill patients with acute respiratory infections complicated by sepsis or acute respiratory distress syndrome delivered to clinicians in resource‐limited ICUs. Methods: Over 4 years (2009‐2013), WHO led the development, piloting, implementation and preliminary evaluation of a 3‐day course that emphasized patient management based on evidence‐based guidelines and used interactive adult‐learner teaching methodology. International content experts (n = 35) and instructional designers contributed to development. We assessed participants’ satisfaction and content knowledge before and after the course. Results: The course was piloted among clinicians in Trinidad and Tobago (n = 29), Indonesia (n = 38) and Vietnam (n = 86); feedback from these courses contributed to the final version. In 2013, inaugural national courses were delivered in Tajikistan (n = 28), Uzbekistan (n = 39) and Azerbaijan (n = 30). Participants rated the course highly and demonstrated increased immediate content knowledge after (vs before) course completion (P < .001). Conclusions: We found that it was feasible to create and deliver a focused critical care short course to clinicians in low‐ and middle‐income countries. Collaboration between WHO, clinical experts, instructional designers, Ministries of Health and local clinician‐leaders facilitated course delivery. Future work should assess its impact on longer‐term knowledge retention and on processes and outcomes of care. Copyright 2018 The Authors.
SponsorsWorld Health Organization (WHO), Government of Japan and United States Agency for International Development provided funding for the development and teaching of the course. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. JVD is a current staff member of WHO but was not at the time of this work. JRO is a former WHO staff member but was not involved with this work when so employed. NS is a staff member of WHO. JVD, PL, JRO, and NKJA have had consultant positions with WHO related to the development and teaching of the Critical Care Training Short Course. The authors alone are responsible for the views expressed in this publication, and they do not necessarily represent the decisions, policies, or views of WHO.
Keywordacute respiratory distress syndrome
acute respiratory infection
low- and middle-income countries
Identifier to cite or link to this itemhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85047641001&doi=10.1111%2firv.12569&partnerID=40&md5=cb4cd7dd2d8a690bc8b7de8c321ebf7d; http://hdl.handle.net/10713/9145