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Abstract
Introduction: Basic Life Support (BLS) is a fundamental skill used to restore cardiac, pulmonary, and cerebral circulation through cardiopulmonary resuscitation (CPR) in patients with cardiac arrest, ideally within seconds of the incident or trauma. The survival of cardiac arrest victims depends on early recognition and high-quality CPR, which requires the knowledge, practice, and confidence of the BLS provider.
Objective: This study aimed to assess the effect of a BLS training program among healthcare providers at a tertiary hospital.
Methodology: This study was conducted at Dhulikhel Hospital, Kathmandu University Hospital from November 2021 to December 2022 on 294 healthcare professionals who underwent an 8-hour-long video-based BLS training program using census sampling . Knowledge related to BLS was assessed before and after the training using a quasi-experimental study design. Furthermore, the attitude and perceived confidence of the participants were also evaluated.
Result: There was a significant increase in the participant’s mean knowledge score following the BLS training program (mean pre-training score (SD): 9.97 (2.29), mean post-training score:15.04 (0.88), p <0.0001). Post-training feedback showed that the participants had a positive attitude toward BLS and were confident in their ability to perform CPR.
Conclusion: After the training, the participants demonstrated improved knowledge, attitude, and perceived confidence scores. Regular BLS training for health care providers will contribute to preventing mortality and morbidity related to cardiac arrest.
References
Vazquez AR, Sudhir A. Cardiac arrest as a public health issue. Emerg Med Clin North Am [Internet]. 2023 Aug;41(3):405–11.[ PubMed | Full Text | DOI ].
Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-hospital cardiac arrest: A review: A review. JAMA [Internet]. 2019 Mar 26 [cited 2024 Sep 22];321(12):1200–10.[ PubMed | Full Text | DOI ].
Ritter G, Wolfe RA, Goldstein S, Landis JR, Vasu CM, Acheson A, et al. The effect of bystander CPR on survival of out-of-hospital cardiac arrest victims. Am Heart J [Internet]. 1985 Nov [cited 2024 Jul 23];110(5).[ PubMed | Full Text | DOI ].
Gwinnutt CL, Columb M, Harris R. Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines. Resuscitation [Internet]. 2000 Oct;47(2):125–35.[ DOI | Full Text ].
Brady B, Charlton NP, Lawner BJ, Sutherland SF. Cardiac Arrest, An Issue of Emergency Medicine Clinics - E-Book [Internet]. Elsevier Health Sciences; 2012. 960 p. [ Full Text ].
Poudel M, Bhandari R, Giri R, Chaudhary S, Uprety S, Baral DD. Knowledge and attitude towards basic Life Support among health care professionals working in emergency of BPKIHS. J BP Koirala Inst Health Sci [Internet]. 2019 Jul 23 [cited 2024 Sep 25];2(1):18–24.[ DOI | Full Text ].
Fuchs A, Käser D, Theiler L, Greif R, Knapp J, Berger-Estilita J. Survival and long-term outcomes following in-hospital cardiac arrest in a Swiss university hospital: a prospective observational study. Scand J Trauma Resusc Emerg Med [Internet]. 2021 Aug 11 [cited 2024 Dec 17];29(1):115. [ Pubmed | Full Text ]
Vestergaard LD, Lauridsen KG, Krarup NHV, Kristensen JU, Andersen LK, Løfgren B. Quality of cardiopulmonary resuscitation and 5-year survival following in-hospital cardiac arrest. Open Access Emerg Med [Internet]. 2021 Dec 16 [cited 2024 Dec 17];13:553–60.[ Pubmed | Full Text ]
Paratz ED, Rowsell L, Zentner D, Parsons S, Morgan N, Thompson T, et al. Cardiac arrest and sudden cardiac death registries: a systematic review of global coverage. Open Heart [Internet]. 2020 Jan 20 [cited 2024 Sep 23];7(1):e001195.[ PubMed | Full Text | DOI ].
Alao DO, Mohammed NA, Hukan YO, Al Neyadi M, Jummani Z, Dababneh EH, et al. The epidemiology and outcomes of adult in-hospital cardiac arrest in a high-income developing country. Resusc Plus [Internet]. 2022 Jun;10(100220):100220.[ PubMed | Full Text | DOI ].
Vedanthan R, Fuster V, Fischer A. Sudden cardiac death in low- and middle-income countries. Glob Heart [Internet]. 2012 Dec [cited 2024 Sep 24];7(4):353–60.[ PubMed | Full Text | DOI ].
Merchant RM, Topjian AA, Panchal AR, Cheng A, Aziz K, Berg KM, et al. Part 1: Executive summary: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation [Internet]. 2020 Oct 20 [cited 2024 Sep 18];142(16_suppl_2):S337–57.[ Full Text | DOI ].
Chaudhary GP, Sah K, Malla J, Das N, Chaudhary S, Chaudhary I, et al. Knowledge regarding Basic Life Support among health care workers of the hospital of Nepal. J Healthc Eng [Internet]. 2023 Jan 5 [cited 2024 Sep 24];2023(1):9936114.[ PubMed | Full Text | DOI ].
Lott C, Truhlá? A, Alfonzo A, Barelli A, González-Salvado V, Hinkelbein J, et al. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation [Internet]. 2021 Apr [cited 2024 Sep 24];161:152–219.[ PubMed | Full Text ].
Heart and Stroke Foundation. Highlights of 2015 American Heart Association Guidelines update for CPR and ECC [Internet].2015 [cited 2024 Sep 24] [ Full Text ]
American Heart Association.Highlights of 2020 American Heart Association Guidelines update for CPR and ECC AHA 2020 Guideline [Internet].2020 [cited 2024 Sep 24] [ Full Text ]
Madden C. Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Educ Today [Internet]. 2006 Apr;26(3):218–27..[ Full Text | DOI ].
Fahajan Y, Emad OJ, Albelbeisi AH, Albelbeisi A, Shnena YA, Khader A, et al. The effect of a simulation-based training program in basic life support on the knowledge of Palestinian nurses: a quasi-experimental study in governmental hospitals. BMC Nurs [Internet]. 2023 Oct 20 [cited 2024 Jul 29];22(1):398.[ PubMed | Full Text | DOI ].
Kose S, Akin S, Mendi O, Goktas S. The effectiveness of basic life support training on nursing students’ knowledge and basic life support practices: a non-randomized quasi-experimental study. Afr Health Sci [Internet]. 2019 Jun;19(2):2252–62.[ Full Text | DOI ].
Moon H, Hyun HS. Nursing students’ knowledge, attitude, self-efficacy in blended learning of cardiopulmonary resuscitation: a randomized controlled trial. BMC Med Educ [Internet]. 2019 Nov 9 [cited 2024 Jul 29];19(1):414. [ PubMed |Full Text | DOI ].
Shrestha R, Shresha A, Batajoo KH, Thapa R, Acharya S, Bajracharya S, et al. An experience of video based training on basic life support. JNMA J Nepal Med Assoc [Internet]. 2018 Aug 31 [cited 2024 Dec 17];56(212):774–80. [ PubMed | Full Text ]
Roshana S, Kh B, Rm P, Mw S. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med [Internet]. 2012;3(2):141–5. .[ Full Text | DOI ].
Thapa GB, Sapkota R, Thapa A, Sharma R, Lubetkin D, Lubetkin C, et al. Pilot training program on hands-only CPR and choking first aid for frontline police responders in rural Nepal. Wilderness Environ Med [Internet]. 2024 Mar [cited 2024 Dec 17];35(1):51–6. [ PubMed | Full Text | DOI ]
Tobase L, Peres HHC, Gianotto-Oliveira R, Smith N, Polastri TF, Timerman S. The effects of an online basic life support course on undergraduate nursing students’ learning. Int J Med Educ [Internet]. 2017 Aug 25 [cited 2024 Sep 21];8:309–13.[ Full Text | DOI ].
Kozamani A, Kapadochos T, Kadda O. Factors that influence nursing staff attitudes towards initiating CPR and in using an automatic external defibrillator when outside of a hospital. Health science journal [Internet]. 2012 Jan 1 [cited 2024 Jul 29];6(1):88–101. [ Full Text ].
Abolfotouh MA, Alnasser MA, Berhanu AN, Al-Turaif DA, Alfayez AI. Impact of basic life-support training on the attitudes of health-care workers toward cardiopulmonary resuscitation and defibrillation. BMC Health Serv Res [Internet]. 2017 Sep 22 [cited 2024 Jul 29];17(1):674.[ PubMed | Full Text | DOI].
Miller GE. The assessment of clinical skills/competence/performance. Acad Med [Internet]. 1990 Sep [cited 2024 Dec 17];65(9 Suppl):S63–7.[ PubMed | FullText | DOI ]
Wutzler A, Kloppe C, Bilgard AK, Mügge A, Hanefeld C. Use of automated external defibrillators for in-hospital cardiac arrest : Any time, any place?: Any time, any place? Med Klin Intensivmed Notfmed [Internet]. 2019 Mar [cited 2024 Sep 16];114(2):154–8.[ PubMed | Full Text | DOI ].
Kloppe C, Jeromin A, Kloppe A, Ernst M, Mügge A, Hanefeld C. First responder for in-hospital resuscitation: 5-year experience with an automated external defibrillator-based program. J Emerg Med [Internet]. 2013 Jun 1 [cited 2024 Sep 16];44(6):1077–82. [ Full Text | DOI ]
Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, et al. Part 3: Adult basic and advanced life support: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation [Internet]. 2020 Oct 20 [cited 2024 Dec 17];142(16_suppl_2):S366–468. [PubMed | Full Text ]
Berger S. CPR and AEDs save lives: insuring CPR--AED education and CPR--AED access in schools. Curr Opin Pediatr [Internet]. 2020 Oct [cited 2024 Dec 17];32(5):641–5. [PubMed | DOI | Full Text ]