ArticleBMJ open2022
Critical care nursing role in low and lower middle-income settings: a scoping review.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- End-of-Life Care Experiences, Attitudes and Perceptions of Intensive Care Clinicians in Middle Eastern Countries: A Systematic Integrative Review.Nursing in critical care · 2025Pooled it
- Cross-Sectional Survey of Critical Care Provision in Ministry of Health Hospitals in Zambia.Nursing in critical care · 2026Article
- Study Protocol for the Development of an African Framework for Critical Care Nursing Based on Ubuntu Using Participatory Cooperative Inquiry: Decolonising Care.Nursing in critical care · 2026Article
- Profile of cases and factors associated with poor outcomes among patients admitted to the intensive care unit at a regional referral hospital in Bhutan: an observational study.BMC health services research · 2025Observational
- Critical care nurses role and scope of practice during a global crisis: a qualitative study.BMC nursing · 2025Article
- Consensus statements for the establishment of medical intensive care in low-resource settings: international study using modified Delphi methodology.Critical care (London, England) · 2024Article
- Mobile Critical Care in Resource-Limited Settings: An Unmet Need.Annals of global health · 2024Review
- Knowledge and awareness of infection control practices among nursing professionals: A cross-sectional survey from South Asia and the Middle East.World journal of critical care medicine · 2023Article
- Critical care nursing role in low and lower middle-income settings: a scoping review.BMJ open · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesA scoping review was conducted to answer the question: How is critical care nursing (CCN) performed in low-income countries and lower middle-income countries (LICs/LMICs)?
designScoping review guided by the JBI Manual for Evidence Synthesis. DATA SOURCES: Six electronic databases and five web-based resources were systematically searched to identify relevant literature published between 2010 and April 2021. REVIEW
methodsThe search results received two-stage screening: (1) title and abstract (2) full-text screening. For sources of evidence to progress, agreement needed to be reached by two reviewers. Data were extracted and cross-checked. Data were analysed, sorted by themes and mapped to region and country.
resultsLiterature was reported across five georegions. Nurses with a range formal and informal training were identified as providing critical care. Availability of staff was frequently reported as a problem. No reports provided a comprehensive description of CCN in LICs/LMICs. However, a variety of nursing practices and non-clinical responsibilities were highlighted. Availability of equipment to fulfil the nursing role was widely discussed. Perceptions of inadequate resourcing were common. Undergraduate and postgraduate-level preparation was poorly described but frequently reported. The delivery of short format critical care courses was more fully described. There were reports of educational evaluation, especially regarding internationally supported initiatives.
conclusionsDespite commonalities, CCN is unique to regional and socioeconomic contexts. Nurses work within a complex team, yet the structure and skill levels of such teams will vary according to patient population, resources and treatments available. Therefore, a universal definition of the CCN role in LIC/LMIC health systems is likely unhelpful. Research to elucidate current assets, capacity and needs of nurses providing critical care in specific LIC/LMIC contexts is needed. Outputs from such research would be invaluable in supporting contextually appropriate capacity development programmes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.