Health care providers' experiences about the factors influencing their performance of the cardio-pulmonary resuscitation in the emergency department of a tertiary care hospital in Karachi, Pakistan
Date of Award
2014
Document Type
Thesis
Degree Name
Master of Science in Nursing (MScN)
Department
School of Nursing and Midwifery, Pakistan
Abstract
This study explored the health care providers' (HCPs) experiences about the factors influencing their performance of the cardio- pulmonary resuscitation in the Emergency Department (ED) of a tertiary care hospital in Karachi, Pakistan. Key Words: Cardio Pulmonary Resuscitation (CPR), Tertiary Care Hospital, Emergency Department (ED), Health Care Providers (HCPs), attitudes of HCPs. Methodology: A qualitative descriptive study design, with a purposive sampling, was used for the cut -rent study. The Participants were selected from the ED of a tertiary care hospital in Karachi, Pakistan. An open ended, self-administered questionnaire was used in the study, which was divided into two parts; the first part was on participants' profile and the second part was used to obtain the factors related to the attitude of HCPs influencing the performance of CPR. Applying the inclusion and exclusion criteria, 153 participants were approached for this study, out of which, 131 participants completed the participants' profile with a response rate of 85.6%. Whereas, the Attitude Questionnaire was completed by 119 participants, out of 153, with a response rate of 78%. The study was approved by the Ethic setting. The participants' anonymity was mai questionnaire. Results: Among the participants (n=131) 66 were nurses, 32 were doctors, 08 were critical care technicians, and 25 were nursing assistants. The participants' profile was analyzed to note their education level, years of experience, and the number of CPR attempted in the same setting. The qualitative data was analyzed using the four steps from Miles and Hubennan, 1994 analysis framework. Participants' responses to each open ended question were analyzed thematically. The main themes that emerged from the sub categories were: team building and moral support, need for competent leaders during CM, good quality human and material resources, effective and ongoing training, work load management, and separate rapid response team (RRT) for ED. The participants' experiences have highlighted to some significant recommendations at the education, practice andin-service training, and system/policy level, which should be followed to ensure effective CPR performance of HCPs. Conclusion: This study was the first of its kind in the Pakistani context. The study has brought out some significant findings in terms of factors related to the attitude of HCPs influencing the performance of CPR. Based on the study fmdings it has been recommended that ongoing and effective training, work load management, separate rapid response team (RRT) for ED, competent team leaders, and quality resources are required to enhance CPR performance. The experiences shared by the participants will inform training, practice, and policy
Recommended Citation
Shamsuddin, S. (2014). Health care providers' experiences about the factors influencing their performance of the cardio-pulmonary resuscitation in the emergency department of a tertiary care hospital in Karachi, Pakistan (Unpublished doctoral thesis). Aga Khan University, Karachi, Pakistan.