Comparison of effectiveness of class lecture versus workshop-based teaching of basic life support on acquiring practice skills among the health care providers

Prehospital health-care providers regularly are called upon to assist terminally ill patients in residential or institutional, non-hospital settings such as nursing homes or hospices. Among the most crucial issues regarding such patients is whether they should be resuscitated. With alarming frequency, EMS providers are encountering vigorous and sometimes violent refusals of examination, treatment, and/or transportation from the terminally ill patient, members of the patient's family, or third persons ostensibly acting on the patient's behalf. Today, the prehospital emergency health-care provider repeatedly is faced with the legal and ethical questions that surround the issue of resuscitation and advanced life support.

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Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v10i1.1633 ◽

2018 ◽

Vol 10 (1) ◽

Cited By ~ 4

Author(s):

Lakshmi Rajeswaran ◽

Megan Cox ◽

Stoffel Moeng ◽

Billy M. Tsima

Keyword(s):

Health Care ◽

Cardiopulmonary Resuscitation ◽

Registered Nurses ◽

Health Care Providers ◽

Life Support ◽

Hospital Setting ◽

Care Providers ◽

Knowledge And Skills ◽

District Hospitals ◽

Post Test

Background: Nurses are usually the first to identify the need for and initiate cardiopulmonary resuscitation (CPR) on patients with cardiopulmonary arrest in the hospital setting. Cardiopulmonary resuscitation has been shown to reduce in-hospital deaths when received from adequately trained health care professionals.Aim: We aimed to investigate nurses’ retention of CPR knowledge and skills at district hospitals in Botswana.Methods: A quantitative, quasi-experimental study was conducted at three hospitals in Botswana. A pre-test, intervention, post-test, and a re-test after 6 months were utilised to determine the retention of CPR knowledge and skills. Non-probability, convenience sampling technique was used to select 154 nurses.The sequences of the test were consistent with the American Heart Association’s 2010 basic life support (BLS) guidelines for health care providers. Data were analysed to compare performance over time.Results: This study showed markedly deficient CPR knowledge and skills among registered nurses in the three district hospitals. The pre-test knowledge average score (48%) indicated that the nurses did not know the majority of the BLS steps. Only 85 nurses participated in the re-evaluation test at 6 months. While a 26.4% increase was observed in the immediate post-test score compared with the pre-test, the performance of the available participants dropped by 14.5% in the re-test 6 months after the post-test.Conclusion: Poor CPR knowledge and skills among registered nurses may impede the survival and management of cardiac arrest victims. Employers and nursing professional bodies in Botswana should encourage and monitor regular CPR refresher courses.

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Survey of Medical Services at Major League Baseball Stadiums

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00042151 ◽

1995 ◽

Vol 10 (4) ◽

pp. 268-271 ◽

Cited By ~ 5

Author(s):

O. John Ma ◽

Ronald G. Pirrallo ◽

Jonathan M. Rubin

Keyword(s):

Health Care ◽

Alcohol Consumption ◽

Health Care Providers ◽

Life Support ◽

Major League Baseball ◽

The United States ◽

Medical Services ◽

Care Providers ◽

Missing Responses ◽

Major League

AbstractObjective:To analyze the availability and level of medical services for fans at major league baseball games in the United States.Methods:A 10-item questionnaire was sent to the operations managers of each of 28 major league baseball stadiums. The survey was distributed in cooperation with a major league baseball club. Telephone follow-up was used to complete missing responses. The survey addressed five areas of fan medical services: 1) health-care provider availability and compensation; 2) advanced cardiac life support (ACLS) capabilities, including equipment; 3) presence of on-site ambulance(s); 4) fan fatalities; and 5) alcohol consumption limitations.Results:Survey response was 100%. Healthcare providers are on-site at all stadiums: nurses (86%), physicians (75%), emergency medical technicians (EMTs, [68%]), and paramedics (50%). Ninety-six percent use a combination of health-care providers. The most common medical teams are nurse + EMT + physician (25 %) and nurse + EMT + paramedic + physician (18%). All health-care providers receive some form of compensation. All stadiums have at least one ACLS-certified provider; 96% have ACLS equipment. Ambulances are on-site 75% of the time. Sixty-eight percent of the clubs reported at least one fan fatality through the 1992 and 1993 seasons (mean 1.1, range 0–4). All clubs limit alcohol consumption; 96% use multiple approaches. The various approaches include: 1) specific inning discontinuation (86%); 2) maximum purchase (68%); 3) restricted sale locations (64%); and 4) crowd conduct (57%). Advertisement for responsible alcohol consumption is displayed at 75% of the stadiums; designateddriver programs exist at 46%.Conclusions:All major league baseball clubs provide medical services for fans. Furthermore, almost all stadiums have ACLS capabilities. Responsible alcohol consumption also is a recognized priority for fan safety.

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Resuscitation in Community Healthcare Facilities in Israel

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126612 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6612

Author(s):

Irena Zherebovich ◽

Avishay Goldberg ◽

Amir Ben Tov ◽

Dagan Schwartz

Keyword(s):

Health Care Providers ◽

Online Survey ◽

Basic Life Support ◽

Life Support ◽

Health Maintenance Organization ◽

Care Providers ◽

Health Maintenance ◽

Community Healthcare ◽

Healthcare Facilities ◽

Self Confidence

Background: Out-of-hospital cardiac-arrest (OHCA) is a major public health challenge. Community health care providers (CHP) may play an important role through early identification, basic life support and defibrillation. Few studies have evaluated the incidence and characteristics of OHCAs initially cared for by CHP, most finding improved survival. This study combined CHP treated OHCA case analysis, with assessment of provider resuscitation preparedness. Methods: An analysis of all CHP initiated resuscitations in a large Health Maintenance Organization (HMO) reported over 42 months, coupled with an online survey assessing CHP resuscitation knowledge, experience, training and self-confidence. Results: 22 resuscitations met inclusion criteria. In 21 CHP initiated chest-compressions but in only 8 cases they utilized the clinic’s automated external defibrillator (AED) prior to emergency medical services (EMS) arrival. There were 275 providers surveyed. Of the surveyed providers, 89.4% reported previous basic life support (BLS)/advanced cardiovascular life support (ALS) training, 67.9% within the last three years. Previous resuscitation experience was reported by 72.7%. The lowest scoring knowledge question was on indications for AED application −56.3%. Additionally, 44.4% reported low confidence in their resuscitation skills. CHP with previous cardiopulmonary resuscitation (CPR) experience reported higher confidence. Longer time since last CPR training lowered self-confidence. Conclusions: Early AED application is crucial for patients with OHCA. All clinics in our study were equipped with AED’s and most CHP received training in their use, but remained insecure regarding their use, often failing to do so.

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Basic Newborn Resuscitation: Health Care Providers’ Level of Knowledge and Factors Affecting in the Hospitals of Southern Ethiopia

Journal of Neonatology ◽

10.1177/0973217920984442 ◽

2020 ◽

Vol 34 (4) ◽

pp. 187-195

Author(s):

Abera Mersha ◽

Shitaye Shibiru ◽

Teklemariam Gultie ◽

Nega Degefa ◽

Agegnehu Bante

Keyword(s):

Health Care ◽

Health Care Providers ◽

Life Support ◽

Southern Ethiopia ◽

P Value ◽

Care Providers ◽

Factors Affecting ◽

Newborn Resuscitation ◽

Adequate Knowledge ◽

Level Of Knowledge

Background: The health care provider’s knowledge and clinical experience determine the success of newborn resuscitation. Adequate knowledge of health care providers on newborn resuscitation is vital to avert adverse neonatal outcomes. But, a few studies assessed health care providers’ level of knowledge on basic newborn resuscitation, including Ethiopia. Objective: To assess the health care provider’s level of knowledge on basic newborn resuscitation and factors affecting it. Methods: In this cross-sectional survey, 445 health care providers involved by using a simple random sampling method from the hospitals of southern Ethiopia. The data were collected by self-administered questionnaires and an observational checklist. A binary logistic regression model was used and P-value < .05 was considered to declare a statistically significant association. Results: Health care providers with an adequate level of knowledge on basic newborn resuscitation indicated 76.2% (95% CI [72.2%, 80.3%]). Age, training, recent involvement in basic newborn resuscitation, and the well-equipped facility had shown significant association. Conclusions: This study indicated that adequate knowledge of health care providers on basic newborn resuscitation was optimum. Hence, health care providers train periodically, and the health facilities should equip with materials to provide essential life support for the newborns.

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463 “The ABCD Team – Reducing Patient Harm: Non-Technical Skills-Based Education”

British Journal of Surgery ◽

10.1093/bjs/znab135.025 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

M Mohamed

Keyword(s):

Health Care ◽

Health Care Providers ◽

Life Support ◽

Advanced Life Support ◽

Medical Emergency ◽

Care Providers ◽

Ward Staff ◽

Emergency Situations ◽

Complex Process ◽

Assessment Time

Abstract Background Although health-care workers are trained to provide basic, intermediate, or advanced life support from a technical perspective, working as a team is a more complex process in acute situations. Responding to the emergency buzzer from the ward staff, and before the medical emergency arrival, could be sometimes chaotic. This may result in deficient initial management or missing basic measures. Context The “ABC Team” is a project, aimed to enhance the health care providers' skills in dealing with emergency situations, within the surgical ward, in an organized manner. Innovation Guidance for the staff was created to identify an exact job for every health care provider in the shift by assigning one job/person. Over a period of 5 months, individual training was given to the ward staff. Roles are assigned in the shift handover and A, B, C, D cards (to be attached to the ID) were printed with the information needed for a quick response. Simulation training sessions were organized before launching the project. Implications Streamline patient care significantly improved and ABCD assessment time is broken down to half. Pre and post project surveys showed approximately 80% of staff are now satisfied, confident and clear with their role in the emergency event.

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ADULT BASIC LIFE SUPPORT (BLS) AWARENESS AND KNOWLEDGE AMONG MEDICAL AND DENTAL INTERNS COMPLETING INTERNSHIP FROM DEEMED UNIVERSITY

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703580 ◽

2012 ◽

Vol 02 (03) ◽

pp. 06-13 ◽

Cited By ~ 1

Author(s):

Raghava Sharma ◽

Nazir R. Attar

Keyword(s):

Health Care Providers ◽

Basic Life Support ◽

Life Support ◽

Heart Association ◽

Care Providers ◽

Complete Knowledge ◽

Work Shop ◽

Medical Interns ◽

Knowledge And Attitude ◽

One Year

AbstractThe present study was aimed to assess the awareness, knowledge, and attitude towards basic life support (BLS) among the interns completing their internship from both medical and dental streams of the Nitte university (a deemed university at Mangalore, Karnataka) and also to identify the areas to be addressed for improving the standards of BLS among the interns at their crucial juncture of moving out to the community, society as health care providers.A descriptive study was conducted by using a Questionnaire comprising of 19 questions to collect the data pertaining to demographic details, awareness and knowledge of BLS, attitude towards BLS among all the medical and dental interns completing their internship during March 2012. The study was conducted in the last week of their one year internship programme.After excluding the incomplete response sheets which were none in the present study, the data from 162 interns were subjected to the analysis. The Main outcome measure was the over all score in the BLS knowledge. Knowledge of BLS was assessed as per the data contained in the Basic life support manual from American Heart Association.The results were drawn based on the comparisons between Medical and Dental streams and also with in each stream. Out of 162 interns, 84 were medical interns and 78 were dental interns. All of them (100%) were aware of the BLS and its usefulness. 16 (19%) medical interns had complete knowledge of BLS while none (0%) among dental interns had complete knowledge of BLS. A score of less than 50% was evident in 37(44%) of medical interns and 69(88%) of dental interns thus indicating a poor knowledge of BLS among both medical and dental interns who were completing their internship. However medical interns scored better in comparison to dental interns. Resuscitation experience (performing BLS) and Training (attending BLS work shop) resulted in better BLS knowledge and better scoring pattern among the medical interns thus boosting the confidence among interns. (Statistically significant with P < 0.05).Present study highlights the need for a structured training of BLS and inclusion of BLS in the Medical and Dental academic curriculum.

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