scholarly journals Knowledge, attitude and practice of basic life support among junior doctors and students in a tertiary care medical institute

Author(s):  
Md. Yunus ◽  
Animesh Mishra ◽  
Habib Karim ◽  
Vandana Raphael ◽  
Ghazal Ahmed ◽  
...  
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


2021 ◽  
Vol 8 (3) ◽  
pp. 81-85
Author(s):  
Uma Kulkarni ◽  
Harshad Dongare ◽  
Dhanashree Dongare

In India the organized trauma care services are restricted only to tertiary care centres and golden hour trauma care is often delayed. We decided to create awareness among the MBBS students by teaching basic trauma management skills since they are the first responders to a trauma victim brought to any hospital setup. This would help improve primary trauma care. Aim: To assess the improvement in knowledge, attitude and practice after primary trauma care workshop in MBBS students Methods and Material: A one day primary trauma care workshop was conducted in our institute for two consecutive years during the annual academic undergraduate conference 2018 and 2019 respectively. The MBBS students enrolled were given a questionnaire to solve before and after the workshop. They received a lecture on triage and hands-on practice on Primary survey, log roll & cervical spine stabilization, Airway management, Intravenous fluids & shock management and Basic life support. Statistical analysis: The pre and post workshop questionnaires were statistically analyzed by paired t-test using software version SPSS 20.0 and a P value of < 0.05 was considered statistically significant. Results: Pre workshop 9.9% and 10.5% of the students had above average total score in 2018 and 2019 respectively which increased to 67.6% and 78.5% post workshop. The mean Knowledge, Attitude and Practice scores also improved individually. Conclusion: We should include such workshops in the undergraduate curriculum, it would improve primary trauma care and will reduce trauma related morbidity and mortality


2021 ◽  
Vol 55 (1) ◽  
Author(s):  
Rogelio N. Velasco, Jr. ◽  
Mark David G. Francisco ◽  
Elmer Jasper B. Llanes

Objective. This study aimed to assess the knowledge, attitude, and practice on the Basic Life Support (BLS) among the Philippine General Hospital medical interns, compare the scores between trained and untrained interns, and determine the proportion of respondents with updated BLS training. Methods. This was a cross-sectional study using a thirty-five item questionnaire on the knowledge, attitude, and practice of medical interns at the Philippine General Hospital on the BLS. Results. A total of 262 interns were included in the study. Although the mean knowledge scores of untrained and trained medical interns did not differ significantly (7.00 vs. 7.30, p=0.1637), more than 20% committed mistakes on questions on the following: jaw-thrust, rescue breaths, defibrillation, and CPR check. Generally, interns followed the BLS guidelines in their practice and had a positive attitude towards BLS. However, only 37% of trained participants had training within the past two years. Conclusion. Most medical interns have a fair knowledge on BLS regardless of training status and adhere to them in practice. Since the training duration did not affect their knowledge scores, initial training in medical school and continuous exposure in the wards may have provided adequate BLS reinforcement. Recertification may not be needed during their formative years in medical school.


Author(s):  
Harshal Gajanan Mendhe ◽  
Lavanya Burra ◽  
Daneshwar Singh ◽  
Hanumanth Narni

Background: Cardiac arrest is a substantial public health problem estimated to account for 15–20% of all death. It is documented that a timely performed cardiopulmonary resuscitation (CPR) can largely prevent sudden death. Being important members of the health care delivery team, medical professionals and nursing staff are deemed to pass the basic skills and expertise which are needed to perform CPR. The principle objectives of the research project are to assess knowledge and attitude of CPR and to compare knowledge regarding CPR among medical and nursing students.Methods: It was a cross sectional study for duration of 2 month from March 2013 to April 2013, conducted among 100 nursing and medical interns of a tertiary care institute in Vijayawada (A.P). Pre tested structured questionnaire of 2010 American health association guidelines for CPR and basic life support (BLS) Practice Test of National Health Care Provider Solutions of 30 questions were used to assess the knowledge, attitude and practice among study participants. Results: The median for knowledge score of MBBS interns was 6 with inter-quartile range 2 and the median for the knowledge score of nursing interns was 6 with inter-quartile range 1. The median for the practice score for MBBS interns was 5 with inter-quartile range of 2.25 and median for practice score in case of nursing interns was 4 with inter-quartile range 2. 36% of MBBS interns had poor knowledge score and 46% of nursing interns had poor knowledge score. Conclusions: The present study identified the knowledge and practice score of BLS or CPR which is poor in both medical and nursing students, even though they have positive and good attitude towards it. BLS training should be the part of the curriculum to solve this issue. 


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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