Jacob McKnight
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View article: Understanding the relational culture of healthcare workplaces: a framework to guide improvement interventions, derived from a realist evaluation of neonatal care in Kenya
Understanding the relational culture of healthcare workplaces: a framework to guide improvement interventions, derived from a realist evaluation of neonatal care in Kenya Open
View article: Retention in a low‐resource, high‐burden South African cohort on antiretroviral therapy: Retrospective, longitudinal analysis comparing six measures of retention
Retention in a low‐resource, high‐burden South African cohort on antiretroviral therapy: Retrospective, longitudinal analysis comparing six measures of retention Open
Introduction Retention on antiretroviral therapy (ART) is a prerequisite for adherence and subsequent treatment success. Measuring retention is also easily implementable at facility and population levels, making it pragmatic to monitor ART…
View article: Longitudinal Patterns of Treatment Interruptions: Insights on Long-Term Engagement with Antiretroviral Care in a High-Burden, Low-Resource Setting
Longitudinal Patterns of Treatment Interruptions: Insights on Long-Term Engagement with Antiretroviral Care in a High-Burden, Low-Resource Setting Open
View article: Effects of health system limitations on the use of blood culture and sensitivity testing in Kenyan county hospitals: an interview-based qualitative study using causal loop diagrams
Effects of health system limitations on the use of blood culture and sensitivity testing in Kenyan county hospitals: an interview-based qualitative study using causal loop diagrams Open
View article: Computer-aided prognosis of tuberculous meningitis combining imaging and non-imaging data
Computer-aided prognosis of tuberculous meningitis combining imaging and non-imaging data Open
View article: Health care workers’ experiences of calling-for-help when taking care of critically ill patients in hospitals in Tanzania and Kenya
Health care workers’ experiences of calling-for-help when taking care of critically ill patients in hospitals in Tanzania and Kenya Open
View article: Clinical evaluation of AI-assisted muscle ultrasound for monitoring muscle wasting in ICU patients
Clinical evaluation of AI-assisted muscle ultrasound for monitoring muscle wasting in ICU patients Open
View article: Hospital readiness for the provision of care to critically ill patients in Tanzania– an in-depth cross-sectional study
Hospital readiness for the provision of care to critically ill patients in Tanzania– an in-depth cross-sectional study Open
View article: Third delay in care of critically ill patients: a qualitative investigation of public hospitals in Kenya
Third delay in care of critically ill patients: a qualitative investigation of public hospitals in Kenya Open
Objectives Third delay refers to delays in delivering requisite care to patients after they arrive at a health facility. In low-resource care settings, effective triage and flow of care are difficult to guarantee. In this study, we aimed t…
View article: Receive, Sustain, and Flow: A simple heuristic for facilitating the identification and treatment of critically ill patients during their hospital journeys
Receive, Sustain, and Flow: A simple heuristic for facilitating the identification and treatment of critically ill patients during their hospital journeys Open
Receive, Sustain, and Flow offers a heuristic for hospital management to identify and ameliorate limitations in human and technical resources for the care of the critically ill.
View article: Acceptance and User Experiences of a Wearable Device for the Management of Hospitalized Patients in COVID-19–Designated Wards in Ho Chi Minh City, Vietnam: Action Learning Project
Acceptance and User Experiences of a Wearable Device for the Management of Hospitalized Patients in COVID-19–Designated Wards in Ho Chi Minh City, Vietnam: Action Learning Project Open
Background Wearable devices have been used extensively both inside and outside of the hospital setting. During the COVID-19 pandemic, in some contexts, there was an increased need to remotely monitor pulse and saturated oxygen for patients…
View article: Hospital care for critical illness in low-resource settings: lessons learned during the COVID-19 pandemic
Hospital care for critical illness in low-resource settings: lessons learned during the COVID-19 pandemic Open
Care for the critically ill patients is often considered synonymous with a hospital having an intensive care unit. However, a focus on Essential Emergency and Critical Care (EECC) may obviate the need for much intensive care. Severe COVID-…
View article: Policies and resources for strengthening of emergency and critical care services in the context of the global COVID-19 pandemic in Kenya
Policies and resources for strengthening of emergency and critical care services in the context of the global COVID-19 pandemic in Kenya Open
Critical illnesses cause several million deaths annually, with many of these occurring in low-resource settings like Kenya. Great efforts have been made worldwide to scale up critical care to reduce deaths from COVID-19. Lower income count…
View article: Clinical benefit of AI-assisted lung ultrasound in a resource-limited intensive care unit
Clinical benefit of AI-assisted lung ultrasound in a resource-limited intensive care unit Open
Background Interpreting point-of-care lung ultrasound (LUS) images from intensive care unit (ICU) patients can be challenging, especially in low- and middle- income countries (LMICs) where there is limited training available. Despite recen…
View article: Wearable devices for remote monitoring of hospitalized patients with COVID-19 in Vietnam
Wearable devices for remote monitoring of hospitalized patients with COVID-19 in Vietnam Open
Patients with severe COVID-19 disease require monitoring with pulse oximetry as a minimal requirement. In many low- and middle- income countries, this has been challenging due to lack of staff and equipment. Wearable pulse oximeters potent…
View article: COVID-19 and unintended steps towards further equity in global health research
COVID-19 and unintended steps towards further equity in global health research Open
There was, and possibly still is, potential for COVID-19 to disrupt power inequities and contribute to positive transformation in global health research that increases equity. While there is consensus about the need to decolonise by transf…
View article: Health Care Workers’ Experiences of Calling-for-help When Taking Care of Critically Ill Patients in Hospitals in Tanzania and Kenya
Health Care Workers’ Experiences of Calling-for-help When Taking Care of Critically Ill Patients in Hospitals in Tanzania and Kenya Open
Background When caring for critically ill patients, health workers often need to ‘call-for-help’ to get assistance from colleagues in the hospital. Systems are required to facilitate calling-for-help and enable the timely provision of care…
View article: Conceptualising engagement with HIV care for people on treatment: the Indicators of HIV Care and AntiRetroviral Engagement (InCARE) Framework
Conceptualising engagement with HIV care for people on treatment: the Indicators of HIV Care and AntiRetroviral Engagement (InCARE) Framework Open
View article: Hospital readiness for the provision of care to critically ill patients in Tanzania - an indepth cross-sectional study
Hospital readiness for the provision of care to critically ill patients in Tanzania - an indepth cross-sectional study Open
Background: Critical illness is a state of ill health with vital organ dysfunction, a high risk of imminent death if care is not provided and potential for reversibility. The burden of critical illness is high, especially in low- and middl…
View article: Reflections on the Implementation of Wearable Vital Signs Monitors in a Vietnamese ICU
Reflections on the Implementation of Wearable Vital Signs Monitors in a Vietnamese ICU Open
The number of patients in need of critical care increased sharply in Vietnam during the COVID-19 pandemic putting increased pressure on the Hospital for Tropical Diseases, which was designated as a centre for treatment. In order to meet th…
View article: Protocol for the Pathways Study: a realist evaluation of staff social ties and communication in the delivery of neonatal care in Kenya
Protocol for the Pathways Study: a realist evaluation of staff social ties and communication in the delivery of neonatal care in Kenya Open
Introduction The informal social ties that health workers form with their colleagues influence knowledge, skills and individual and group behaviours and norms in the workplace. However, improved understanding of these ‘software’ aspects of…
View article: Same label, different patients: Health-workers’ understanding of the label ‘critical illness’
Same label, different patients: Health-workers’ understanding of the label ‘critical illness’ Open
Background During the course of patients’ sickness, some become critically ill, and identifying them is the first important step to be able to manage the illness. During the course of care provision, health workers sometimes use the term ‘…
View article: Wearable devices for remote monitoring of hospitalized patients with COVID-19 in Vietnam
Wearable devices for remote monitoring of hospitalized patients with COVID-19 in Vietnam Open
Patients with severe COVID-19 disease require monitoring with pulse oximetry as a minimal requirement. In many low- and middle- income countries, this has been challenging due to lack of staff and equipment. Wearable pulse oximeters potent…
View article: The CINAMR (Clinical Information Network-Antimicrobial Resistance) Project: A pilot microbial surveillance using hospitals linked to regional laboratories in Kenya: Study Protocol
The CINAMR (Clinical Information Network-Antimicrobial Resistance) Project: A pilot microbial surveillance using hospitals linked to regional laboratories in Kenya: Study Protocol Open
Background: Antimicrobial resistance (AMR) is a global threat and is thought to be acute in low-and middle-income country (LMIC) settings, including in Kenya, but there is limited unbiased surveillance that can provide reliable estimates o…
View article: Measuring patient engagement with HIV care in sub‐Saharan Africa: a scoping study
Measuring patient engagement with HIV care in sub‐Saharan Africa: a scoping study Open
Introduction Engagement with HIV care is a multi‐dimensional, dynamic process, critical to maintaining successful treatment outcomes. However, measures of engagement are not standardized nor comprehensive. This undermines our understanding…
View article: Conceptualising engagement with HIV care for people on treatment: the Indicators of HIV Care and AntiRetroviral Engagement (InCARE) Framework
Conceptualising engagement with HIV care for people on treatment: the Indicators of HIV Care and AntiRetroviral Engagement (InCARE) Framework Open
Background As the crisis-based approach to HIV care evolves to chronic disease management, supporting ongoing engagement with HIV care is increasingly important to achieve long-term treatment success. However, ‘engagement’ is a complex con…
View article: Improving facility-based care: eliciting tacit knowledge to advance intervention design
Improving facility-based care: eliciting tacit knowledge to advance intervention design Open
Attention has turned to improving the quality and safety of healthcare within health facilities to reduce avoidable mortality and morbidity. Interventions should be tested in health system environments that can support their adoption if su…
View article: Protocol for the Pathways Study: a realist evaluation of staff social ties and communication in the delivery of neonatal care in Kenya
Protocol for the Pathways Study: a realist evaluation of staff social ties and communication in the delivery of neonatal care in Kenya Open
Introduction Initiatives to improve the quality of neonatal care in low- and middle-income countries are vital to meet the Sustainable Development Goal 3 of reducing to at most 12 neonatal deaths per 1,000 by the year 2030. These initiativ…
View article: The social networks of hospital staff: A realist synthesis
The social networks of hospital staff: A realist synthesis Open
Objectives The social ties people have with one another are known to influence behaviour, and how information is accessed and interpreted. It is unclear, however, how the social networks that exist in multi-professional health care workpla…
View article: Reporting of diagnostic and laboratory tests by general hospitals as an indication of access to diagnostic laboratory services in Kenya
Reporting of diagnostic and laboratory tests by general hospitals as an indication of access to diagnostic laboratory services in Kenya Open
Introduction Information on laboratory test availability and current testing scope among general hospitals in Kenya is not readily available. We sought to explore the reporting trends and test availability within clinical laboratories in K…