Date of Award

11-13-2020

Degree Type

Thesis

Degree Name

MSc in Nursing

First Advisor

Dr Rubina Barolia

Second Advisor

Dr. Laila Ladak

Third Advisor

Ms. Afshan Nazar

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Cardiac arrest is among the leading cause of death, globally. CPR is a set of skills for sustaining life, intending to improve the chances of survival following cardiac arrest. Although, countless lives have been saved with CPR, still there is a discrepancy in survival rate between developed and underdeveloped regions. Current researches indicate that survival to discharge, following cardiac arrest is still very low in rural, disadvantaged, and low income areas. The HCPs in rural areas encounters cardiac arrest patients in the hospitals as well as in the community settings. Therefore, they should have good CPR knowledge, attitude, and skillsets to enhance the chances of survival. This study was conducted to assess the knowledge and attitude of HCPs regarding CPR, in the public hospitals of Chitral, rural Pakistan.
/="/">/="/">Aim of the Study:The study aimed to assess the HCPs’ knowledge and attitude regarding CPR, in the secondary sector public hospitals, in Chitral, Pakistan.|
/="/">/="/">Methodology: This research study employed a cross-sectional study design to achieve the study objectives. This study used proportionate sampling to recruit a total of 140 rural healthcare providers, for filling out the self-administered questionnaire. The collected data was entered and analyzed using the Statistical Package for Social Scientist (SPSS) software version.
/="/">/="/">Findings of the Study:A total of 140 healthcare providers were involved in the study. Among them 95% HCPs’ had practiced in rural healthcare settings for more than 3 years, 60% had attended a BLS course and 35% were currently BLS certified. Moreover, 75% had performed CPR more than five times, and 94% had witnessed cardiac arrest victims. The mean CPR knowledge 5 was very low (10.4 ± 3.52); only 2% secured excellent CPR knowledge, whereas, 33% secured adequate and 65% had inadequate knowledge. Overall, 75% of participants showed a positive attitude towards CPR. However, 54% were not confident in performing CPR and defibrillation, and 52% stated that lack of knowledge and training impacts their performance. More than 60% of females were not willing to perform mouth to mouth ventilation, and 60% of males were not confident to perform chest compressions on another gender. More than 85% recommended that BLS training should be the employer’s responsibility, and it should be rehearsed once a year. The participants having less experience in rural hospitals showed better knowledge and attitude scores, as compared to those having more experience.
/="/">/="/">Conclusion:The present study reported a low level of CPR knowledge among HCPs in the public hospitals of Chitral, but the majority showed a positive attitude. This study provides several recommendations, which include continuous in-service education, separate continuous education department and trainers in the district, annual BLS recertification, spot-knowledge and practice monitoring, and declaring BLS a mandatory skill. Furthermore, this study provided meaningful information to the healthcare leaders about the current status of knowledge and attitude regarding CPR, which will further assist in shaping the best-practice standards in the future.

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3

Last Page

99

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