Add wos sample results library
This commit is contained in:
parent
6305e61d1f
commit
19e409ad85
2173 changed files with 235628 additions and 20 deletions
|
|
@ -0,0 +1,135 @@
|
|||
abstract: 'Background
|
||||
|
||||
During the 2013-2016 West Africa Ebola outbreak, supportive care was the
|
||||
|
||||
only non-experimental treatment option for patients with Ebola virus
|
||||
|
||||
disease (EVD). However, providing care that would otherwise be routine
|
||||
|
||||
for most clinical settings in the context of a highly contagious and
|
||||
|
||||
lethal pathogen is much more challenging. The objective of this study
|
||||
|
||||
was to document and deepen understanding of barriers to provision of
|
||||
|
||||
supportive care in Ebola treatment units (ETUs) as perceived by those
|
||||
|
||||
involved in care delivery during the outbreak.
|
||||
|
||||
Methods
|
||||
|
||||
This qualitative study consisted of 29 in-depth semi-structured
|
||||
|
||||
interviews with stakeholders (decision-makers, physicians, nurses)
|
||||
|
||||
involved in patient care delivery during the outbreak. Analysis
|
||||
|
||||
consisted of interview debriefing and team-based transcript coding in
|
||||
|
||||
NVivo10 software using thematic analysis.
|
||||
|
||||
Findings
|
||||
|
||||
Participants emphasized three interconnected barriers to providing
|
||||
|
||||
high-quality supportive care during the outbreak: 1) lack of material
|
||||
|
||||
and human resources in ETUs; 2) ETU organizational structure limiting
|
||||
|
||||
the provision of supportive clinical care; and 3) delayed and poorly
|
||||
|
||||
coordinated policies limiting the effectiveness of global and national
|
||||
|
||||
responses. Participants also noted the ethical complexities of defining
|
||||
|
||||
and enacting best clinical practices in low-income countries. They noted
|
||||
|
||||
tension between, on one hand, scaling up minimal care and investing in
|
||||
|
||||
clinical care preparedness to a level sustainable in West Africa and, on
|
||||
|
||||
the other, providing a higher level of supportive care, which in
|
||||
|
||||
low-resource health systems would require important investments.
|
||||
|
||||
Conclusion
|
||||
|
||||
Our findings identified potentially modifiable barriers to the delivery
|
||||
|
||||
of supportive care to patients with EVD in West Africa. Addressing these
|
||||
|
||||
in the inter-outbreak period will be useful to improve patient care and
|
||||
|
||||
outcomes during inevitable future outbreaks. Promoting community trust
|
||||
|
||||
and engagement through long-term capacity building of the healthcare
|
||||
|
||||
work-force and infrastructure would increase both health system
|
||||
|
||||
resilience and ability to handle other outbreaks of emerging diseases.'
|
||||
affiliation: 'Loignon, C (Corresponding Author), Univ Sherbrooke, Fac Med \& Hlth
|
||||
Sci, Sherbrooke, PQ, Canada.
|
||||
|
||||
Loignon, Christine; Couturier, Francois; Benhadj, Lynda; Lamontagne, Francois, Univ
|
||||
Sherbrooke, Fac Med \& Hlth Sci, Sherbrooke, PQ, Canada.
|
||||
|
||||
Nouvet, Elysee, Univ Western Ontario, Sch Hlth Studies, London, ON, Canada.
|
||||
|
||||
Adhikari, Neill K. J.; Fowler, Rob A., Univ Toronto, Interdept Div Crit Care, Dept
|
||||
Crit Care Med, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada.
|
||||
|
||||
Murthy, Srinivas, Univ British Columbia, Fac Med, Vancouver, BC, Canada.'
|
||||
article-number: e0201091
|
||||
author: Loignon, Christine and Nouvet, Elysee and Couturier, Francois and Benhadj,
|
||||
Lynda and Adhikari, Neill K. J. and Murthy, Srinivas and Fowler, Rob A. and Lamontagne,
|
||||
Francois
|
||||
author-email: Christine.Loignon@Usherbrooke.ca
|
||||
author_list:
|
||||
- family: Loignon
|
||||
given: Christine
|
||||
- family: Nouvet
|
||||
given: Elysee
|
||||
- family: Couturier
|
||||
given: Francois
|
||||
- family: Benhadj
|
||||
given: Lynda
|
||||
- family: Adhikari
|
||||
given: Neill K. J.
|
||||
- family: Murthy
|
||||
given: Srinivas
|
||||
- family: Fowler
|
||||
given: Rob A.
|
||||
- family: Lamontagne
|
||||
given: Francois
|
||||
da: '2023-09-28'
|
||||
doi: 10.1371/journal.pone.0201091
|
||||
files: []
|
||||
issn: 1932-6203
|
||||
journal: PLOS ONE
|
||||
keywords-plus: EPIDEMIC
|
||||
language: English
|
||||
month: SEP 5
|
||||
number: '9'
|
||||
number-of-cited-references: '32'
|
||||
orcid-numbers: 'Murthy, Srinivas/0000-0002-9476-839X
|
||||
|
||||
Nouvet, Elysee/0000-0002-1607-3453
|
||||
|
||||
Ansumana, Rashid/0000-0002-1973-7200
|
||||
|
||||
Lamontagne, Francois/0000-0002-0360-3427'
|
||||
papis_id: 51a173f357f75adc2fcca1d5ad1b945d
|
||||
ref: Loignon2018barrierssupportive
|
||||
researcherid-numbers: 'Murthy, Srinivas/AAS-7243-2020
|
||||
|
||||
'
|
||||
times-cited: '14'
|
||||
title: 'Barriers to supportive care during the Ebola virus disease outbreak in West
|
||||
Africa: Results of a qualitative study'
|
||||
type: Article
|
||||
unique-id: WOS:000443789900003
|
||||
usage-count-last-180-days: '0'
|
||||
usage-count-since-2013: '12'
|
||||
volume: '13'
|
||||
web-of-science-categories: Multidisciplinary Sciences
|
||||
year: '2018'
|
||||
Loading…
Add table
Add a link
Reference in a new issue