Challenges experienced by health care professionals working in resource-poor intensive care settings in the Limpopo province of South Africa

Curationis. 2019 Mar 26;42(1):e1-e8. doi: 10.4102/curationis.v42i1.1921.

Abstract

Background: Providing optimal care to critically ill patients poses challenges in resource-poor settings because of the lack of equipment, inadequately trained personnel and limited infrastructure.

Objectives: This study explored challenges experienced by health care professionals working in resource-poor intensive care units.

Method: A qualitative, explorative, descriptive design was used. The population comprised nurses and doctors working in an intensive care unit of one hospital in the Limpopo province of South Africa. A purposive sample was selected and 17 semi-structured interviews were conducted. Data were analysed using Tesch's method. Ethical considerations were adhered to.

Results: Participants experienced challenges related to provision of suboptimal patient care, the challenge of non-adherence to protocols and/or instructions and the challenge of practising beyond the scope of practice.

Conclusion: Lack of resources resulted in providing suboptimal intensive patient care. Patients were prone to infections and their safety might be compromised.

Keywords: critically ill patients; health care professionals; intensive care units; resource-poor intensive care units.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Female
  • Health Personnel / psychology*
  • Health Personnel / trends
  • Health Resources / supply & distribution*
  • Humans
  • Intensive Care Units / organization & administration
  • Interviews as Topic / methods
  • Male
  • Middle Aged
  • Qualitative Research
  • Quality of Health Care / standards*
  • South Africa