scholarly journals Dismal situation of cardio pulmonary resuscitation knowledge and skills among junior doctors in twin cities of Pakistan

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Sanniya Khan Ghauri ◽  
Arslaan Javaeed ◽  
Faiza Shah ◽  
Misbah-ul-Hasan Ghani

Objective: To assess the knowledge, attitude, and practice of cardio pulmonary resuscitation (CPR) among junior doctors in 13 tertiary care hospitals of Rawalpindi and Islamabad. Methods: A total of 317 junior doctors from 13 tertiary care hospitals in Rawalpindi and Islamabad in Pakistan were included in this cross-sectional study. Data were collected using a 37-item interviewer-administered structured questionnaire by the researchers. Informed consent and ethical approval were secured. Doctors’ knowledge, attitude, and practice regarding CPR were presented and compared across the demographic variables (age, gender, CPR training etc.). Data analysis was done using SPSS V 23 at an alpha level of 5%. Results: Response rate for this study was 87.08%. Abbreviations of BLS, AED, and EMS were known by 94.3%, 36.0%, and 41.0% doctors respectively. No doctor had complete knowledge of CPR. Less than half of the participants knew the proper compression depths. Overall knowledge regarding CPR steps was poor. Out of 31 CPR knowledge, attitude, and practice related questions 21 correct answers were given by two doctors which was the highest score. The mean KAP score was 14.18 ± 0.15. Conclusion: Awareness regarding CPR is essential for all doctors. Many authorities in developed countries are giving CPR training to the general population whereas in Pakistan, many of the doctors never had CPR training. The current study showed the clear majority wants hands-on CPR training. Hospital authorities may find this as an opportunity to improve the knowledege and skills of health workers. doi: https://doi.org/10.12669/pjms.35.5.785 How to cite this:Ghauri SK, Javaeed A, Shah F, Ghani MH. Dismal situation of cardio pulmonary resuscitation knowledge and skills among junior doctors in twin cities of Pakistan. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.785 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

2018 ◽  
Vol 9 (1) ◽  
pp. 50-54
Author(s):  
Kanchan Kundu ◽  
Shib Shankar Kuiri ◽  
Utpal De

Background: Urinary catheterization is an integral part of patient management. At the same time it is also a major source of morbidity if not done properly. In spite of being an important procedure, most of the time it is performed by junior most member of the team. Huge gap in knowledge and skill has been detected among junior doctors as far as urinary catheterization is concerned. Proper training under experienced doctors is required to reduce the gap for better patient management.Aims and Objectives: This study aims to assess the knowledge, attitude and practice of urinary catheterization among residents (interns, house staff {HS} and post graduate trainees {PGT}) attached to the different departments in a medical college hospital in south Bengal.Materials and Methods: A hospital based crosssectional study was conducted with the help of pre tested questionnaire among 200 residents in the department of surgery. The data obtained were analyzed for different parameters. Ethical clearance was taken from the Institutional Ethical Committee.Results: Residents with good theoretical understanding (82%) and practical training (82.5%) regarding urinary catheterization had better knowledge, attitude and practice compared to residents with less theoretical and practical exposure (p<0.05). 75% participants (150/200) who received supervision during their first catheterization had more knowledge (p=0.00), better attitude (p=0.04) and practice (0.02). It was also revealed that there was significant difference between the knowledge and attitude of interns compared to HS and PGT’s (p =0.00) but the difference between HS and PGT’s was not significant (p >0.05). Difference of practice of intern with HS and PGT’s as well as difference of practice between HS and PGTs all were significant (p = 0.00).Conclusion: Pre procedural theoretical, practical exposure and expert supervision are significantly effective in terms of improvement of knowledge, attitude and practice of Residents. These rubrics so be included in the assessment of medical students and adoption of soft skills in their curriculum could make them efficient enough to manage the emergencies. Training should be designed in step by step approach which should be managed by an experienced urologist.Asian Journal of Medical Sciences Vol.9(1) 2018 50-54


Author(s):  
Anusha Rashmi ◽  
Rashmi Kundapur

Background: Health care professionals and particularly nurses are often exposed to microorganisms, many of which can cause serious infections. Although the potential for HBV transmission in the workplace setting is greater than for HIV, the mode of transmission for these two viruses are the same. Because of the environment in which they work, many health care workers are at an increased risk of accidental needle stick injuries (NSI) and blood borne pathogens such as HIV, Hep B, and HCV. The objectives of the study were to assess the knowledge, attitude and practice of standard precautions among nursing staff working in 5 tertiary care hospitals attached to teaching institutions in Mangalore and to assess the factors associated with non-compliance with standard precautions among nursesMethods: The study was done in 5 tertiary care hospitals attached to teaching institutions in Mangalore among the working nursing staff in these hospitals. A pre-tested questionnaire was used to collect the information regarding knowledge, attitude and practice and the reasons for non-adherence to standard precautions. Results: Regarding standard precautions 66.7% had a good knowledge, 74.7% had good practice and 87.3% had a positive attitude towards it. 26.34% attributed noncompliance to excess workload. Increasing age and increase in duration of nursing practice showed a significant increase in KAP scores. Conclusions: The duration of nursing practice influenced the knowledge and the compliance to standard precautions.


2016 ◽  
Author(s):  
Astha Srivastava ◽  
Bindiya Gupta ◽  
Vikas Lakha ◽  
Shilpa Singh

Objective: To study the knowledge, attitude and practice of nurses at tertiary centre regarding cervical cancer screening. Material and Methods: Validated questionnaire was circulated amongst staff nurses at tertiary care centre after taking informed consent. Results and Discussion: Cancer of cervix is the most common genital tract malignancy in female and it is ranked second to breast cancer. It has a positive association with HPV infection. Cervical cancer incidence and mortality have declined substantially following introduction of screening programmes. This present study investigated the knowledge, attitude and practice of nurses at GTB Hospital towards cervical cancer risk factors, sign & symptoms and screening as they are important health professionals. In our study, the results showed that 99% of respondents were aware of Pap smear as screening programme and about 60-70% were aware of HPV as positive organism, but most of them never had a Pap smear done before. Majority of them did not know VIA, VILI and colposcopy as screening techniques. Conclusion: It may thus be recommended that institutions should periodically organize seminars and training for health personnel especially the nurses which form a group of professionals that should give health education to women about cervical cancer.


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