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Parthiban Chandran Segaran Nurul Shaliza Shamsudin Maryam Mohd Fauzi Elango Letchumanan

Abstract

Introduction: Basic life support is a crucial part of the management of cardiac arrest, provided at the right time, it reduces the likelihood of sudden cardiac death. This study aimed to explore the knowledge and attitudes related to Basic Life Support among nurses in Selangor and evaluate the effect of a training program for nurses on their BLS knowledge

 

Materials and methods: This observational study was conducted among 167 nurses from 11 selected health clinics in Selangor during the period of September 2016 to December 2016. A semi-structured questionnaire devised based on BLS and CPR Guidelines 2015 that sought information on socio-demographic characteristics, knowledge and attitude of Basic Life Support was used as the survey instrument.

 

Results: Of the 167 studied nurses, 71.3% had attended CPR training course previously and less than 50% were BLS certified within last 5 years. The mean pre and post BLS assessment knowledge score of the studied nurses was (6.92 ± 1.85) and (8.43 ± 1.00) respectively, out of a possible high score of 10. The results of this study show that there are statistically significant improvements from pre to post training. Higher mean score (7.10 ± 1.77), (p<0.05) was observed among nurses who had previous CPR training. Majority of the nurses expressed a positive attitude towards BLS training and performing BLS for a person in need of resuscitation. Lack of confidence, lack of skills and knowledge, fear of causing harm to the person during performing the resuscitation were the common reasons for nurses’ reluctance.

 

Conclusion: The study reveals inadequate knowledge and training in basic life support among nurses. There is significant improvement in nurses’ knowledge related to BLS/CPR immediately after program implementation. This highlights the need for frequent refresher courses for nurses to furnish them with the latest updates continuously throughout their career.

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Keywords

Basic life support (BLS); Cardiopulmonary resuscitation (CPR); Knowledge, attitude, practice (KAP); Nurses; Selangor

References
References
1. FarhanBhanji, Mary E. Mancini, Elizabeth Sinz, David
L. Rodgers et al. 2010 American Heart Association
Guidelines for Cardiopulmonary Resuscitation and
Emergency Cardiovascular Care Science Part 16:
Education, Implementation, and Teams: 2010 American
Heart Association Guidelines for Cardiopulmonary
Resuscitation and Emergency Cardiovascular Care
Circulation. 2010; 122:S920-S933.
2. Murola-Niemi L, Makinen M, Castren M. Medical and
nursing students‘ attitudes toward cardiopulmonary
resuscitation and current practice guidelines.
Resuscitation. 2007 Feb; 72(2):257-63.


3. Dr. Elhangga I, Eldesouky. Effect of training program
for nurses on their knowledge and practice about CPR.
International Journal of Recent Scientific Research.2016
March; 7 (3):9682-9689.
4. Chandrasekaran S, Kumar S, Bhat SA, Kumar S,
Shabbir PM, Chandrasekaran VP. Awareness of basic
life support among medical, dental and nursing students
and doctors. Indian J Anaesth. 2010 Mar; 54(2):121-6.
5. Nagashima K, Takahata O, Fujimoto K, Suzuki A et
al. Investigation on nurses knowledge of and experience
in cardiopulmonary resuscitation and on nurses '
knowledge of the guidelines for cardiopulmonary
resuscitation and emergency cardiovascular care
established in 2000 results of a survey at Asahikawa
Medical College Hospital Masui. 2003; 52 [4]: 427-30.
6. Bakhsha F et al. Assessing the need and effect of
updating the knowledge about cardio-pulmonary
resuscitation in experts. Journal of Clinical and
Diagnostic Research [serial online] 2010 June [cited:
2010 June 30]; 4:2512-2514.
7. Kaye W, Wynne G, Marteau T, Dubin HG, RalliS SF,
Simons RS, Evans TR. An advanced resuscitation
training course for preregistration house officers. J R
Coll Physicians Lond. 1990 Jan; 24(1): 51-4. 7.
8. Broomfield R. A quasi-experimental research to
investigate the retention of basic cardiopulmonary
resuscitation skills and knowledge by qualified nurses
following a course in professional development. Journal
of advanced Nursing, 1996; 23:1016-1023.
9. Verplancke T, De Paepe P et al. April 2008.
Determinants of the quality of basic life support by
hospital nurses. Resuscitation, 77(1):75-80.
10. Roshana S, Batajoo KH, Sharma MW. Basic life
support: Knowledge and attitude of medical/
paramedical professionals. World J Emerg Med. 2012
Jun; 3(2): 141-5. 10.
11. Lesnik D, Lesnik B, Golub J, Krizmaric M et al.
Impact of additional module training on the level of
basic life support knowledge of first year students at the
University of Maribor. Int J Emerg Med. 2011 Apr 19;
4:16.
12. Sodhi K, Singla MK, Shrivastava A. Impact of
advanced cardiac life support training program on the
outcome of cardiopulmonary resuscitation in a tertiary
care hospital. Indian J Crit Care Med. 2011 Oct;
15(4):209-12.
13. Dane FC, Russell-Lindgren KS, Parish DC, Durham
MD, Brown TD (2000). In hospital resuscitation
association between ACLS training and survival to
discharge. Resuscitation. 47:83-7.
14. Hazinski MF, Nolan JP, Aickin R et al. Part 1:
Executive Summary: 2015 International Consensus on
Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care Science With Treatment
Recommendations. Circulation. 2015 Oct 20; 132(16
Suppl 1):S2-39.
15. Gohary A. (2001): Nurses' performance concerning
control of patient with pulmonary tuberculosis. Master
thesis. Faculty of Nursing, Ain Shams University.
16. Chew KS, Hashairi FM, Zarina ZI, Farid AWS et al. A
survey on the knowledge, attitude and confidence level
of adult cardiopulmonary resuscitation among junior
doctors in Hospital Universiti Sains Malaysia and
Hospital Raja Perempuan Zainab II, Kota Bharu,
Kelantan, Malaysia. Med J Malaysia. 2011 Mar; 66 (1):
56-9. 9.
17. Oermann MH, Kardong-Edgren S, Odom-Maryon T,
Hallmark BF et al. 2011. Deliberate practice of motor
skills in nursing education: CPR as exemplar. Nursing
education perspectives, 32(5), 311-315.
18. Field JM, Hazinski MF, Sayre MR, Chameides L et al.
2010. Part 1: executive summary 2010 American Heart
Association guidelines for cardiopulmonary
resuscitation and emergency cardiovascular care.
Circulation, 122(18 suppl 3), S640-S656.
19. Passali C, Pantazopoulos I, Dontas I et al. 2011.
Evaluation of nurses' and doctors' knowledge of basic
and advanced life support resuscitation guidelines.
Nurse Education in Practice. 11(6), pp. 365-369.
Section
EMAS Meeting 2018 Abtracts