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

Md. Yunus; Animesh Mishra; Habib M. R. Karim; Vandana Raphael; Ghazal Ahmed; Catherine E. Myrthong

doi:10.18203/2320-6012.ijrms20151416

Authors

Md. Yunus Department of Anaesthesiology & Critical Care, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong
Animesh Mishra Department of Cardiology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong
Habib M. R. Karim Department of Anaesthesiology & Critical Care, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong
Vandana Raphael North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong
Ghazal Ahmed Department of Community Medicine, All India Institute of Hygiene & Public Health, Kolkata
Catherine E. Myrthong College of Nursing, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong

DOI:

https://doi.org/10.18203/2320-6012.ijrms20151416

Keywords:

Basic life support, Medical education, Cardiopulmonary resuscitation, Medical students, Junior doctors, Knowledge, Attitude, Practice

Abstract

Background: Basic life support (BLS) is an integral part of health care. However, teaching of BLS is not yet a part of protocolized curriculum and uniform throughout. The present study is designed to assess the knowledge, attitude and practice of BLS and compare it among trained and untrained medical students and junior doctors in a medical institute.

Methods: After approval from Institute Ethical Committee and informed consent from the participant, the present study was conducted among the undergraduate-level medical and nursing students and junior doctors. A questionnaire consisting of 30 questions based on knowledge, attitude and practice of BLS was used to collect data which is evaluated as per scale defined for this study. Statistical significance was assessed using INSTAT software (GraphPad Software, Inc., La Zolla, USA).

Results: Only 16.41% of all participants and 52% of doctors have received class and/or hands on training. The untrained participants have scored poorly as compared to trained participants in theoretical knowledge and practice of BLS (24.36 % and 53.45% versus 9.25 % and 24.07%) respectively. The mean score for both theoretical knowledge and practice of BLS for trained students was higher than that of the untrained participants and the statistical difference was highly significant - p<0.0001. Most of the participants of both trained and untrained group were having very good attitude towards BLS.

Conclusions: Knowledge and practice skills of BLS/CPR are poor in medical and nursing students. A significant portion of trainees do not acquire adequate knowledge in a single session of training. An organised curriculum for BLS and its protocolized training is the need of the hour in medical education.

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References

Berg RA, Hemphill R, Abella BS, Aufderheide TP, Cave DM, MF, Haziniski MF et al. Adult basic life support:2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122:685-705.

Freund Y, Duchateau FX, Baker EC, Goulet H, Carreira S, Schmidt M, et al. Self-perception of knowledge and confidence in performing basic life support among medical students. Eur J Emerg Med. 2013;20:145-6.

Mastoridis S, Shanmugarajah K, Kneebone R. Undergraduate education in trauma medicine: The students’ verdict on current teaching. Med Teach 2011;33:585-7.

Chojnacki P, Ilieva R, Kolodziej A, Krolikowska A, Lipka J, Ruta J. Knowledge of BLS and AED resuscitation algorithm amongst medical students--preliminary results. Anestezjol Intens Ter. 2011;43:29-32.

Businger A, Rinderknecht S, Blank R, Merki L, Carrel T. Students’ knowledge of symptoms and risk factors of potential life-threatening medical conditions. Swiss Med Wkly. 2010;140:78-84.

Zaheer H, Haque Z. Awareness about BLS (CPR) among medical students: Status and requirements. J Pak Med Assoc. 2009;59:57-9.

Chandrasekharan S, Kumar S, Bhat SA, Saravanakumar, Shabbir PM, Chandrasekharan V. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesth. 2010;54:121-6.

Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R, et al. Executive Summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122:640-56.

Hazinski MF, Markenson D, Neish S, Gerardi M, Hootman J, Nichol G,et al. American Heart Association; American Academy of Pediatrics; American College of Emergency Physicians; American National Red Cross; National Association of School Nurses; National Association of State EMS Directors; National Association of EMS Physicians; National Association of Emergency Medical Technicians; Program for School Preparedness and Planning; National Center for Disaster Preparedness; Columbia University Mailman School of Public Health Response to cardiac arrest and selected life-threatening medical emergencies: the medical emergency response plan for schools: a statement for healthcare providers, policymakers, school administrators, and community leaders. Circulation. 2004;109:278-91.

Chamberlain DA, Hazinski MF.European Resuscitation Council; American Heart Association; Heart and Stroke Foundation of Canada; Resuscitation Council of Southern Africa; Australia and New Zealand Resuscitation Council; Consejo Latino-Americano de Resusucitación. Education in resuscitation: an ILCOR symposium: Utstein Abbey: Stavanger, Norway: June 22-24, 2001. Circulation. 2003;108:2575-94

Fernandes JMG, Leite AL dos S, Auto B de SD, de Lima JEG, Rivera IR, Mendonça MA. Teaching Basic Life Support to Students of Public and Private High Schools. Arquivos Brasileiros de Cardiologia. 2014;102:593-601.

Remmen R, Scherpbier A, Denekens J, Derese A, Hermann I, Hoogenboom R, et al. Correlation of a written test of skills and a performance based test: a study in two traditional medical schools. Med Teach. 2001;23:29-32.

Kramer AW, Jansen JJ, Zuithoff P, Düsman H, Tan LH, Grol RP, et al. Predictive validity of a written knowledge test of skills for an OSCE in postgraduate training for general practice. Med Educ. 2002;36:812-9.