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

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 c...

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Main Authors: Lakshmi Rajeswaran, Megan Cox, Stoffel Moeng, Billy M. Tsima
Format: Article
Language:English
Published: AOSIS 2018-04-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/1633
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author Lakshmi Rajeswaran
Megan Cox
Stoffel Moeng
Billy M. Tsima
author_facet Lakshmi Rajeswaran
Megan Cox
Stoffel Moeng
Billy M. Tsima
author_sort Lakshmi Rajeswaran
collection DOAJ
description 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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spelling doaj.art-3a2bc548751749f58b347d2619a6217a2022-12-22T01:49:42ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362018-04-01101e1e610.4102/phcfm.v10i1.1633523Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in BotswanaLakshmi Rajeswaran0Megan Cox1Stoffel Moeng2Billy M. Tsima3School of Nursing, University of BotswanaDepartment of Emergency Medicine, University of BotswanaDepartment of Statistics, University of BotswanaDepartment of Family Medicine & Public Health, University of BotswanaBackground: 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.https://phcfm.org/index.php/phcfm/article/view/1633Cardiopulmonary resuscitationknowledgeskillsdistrict hospitalsBotswana
spellingShingle Lakshmi Rajeswaran
Megan Cox
Stoffel Moeng
Billy M. Tsima
Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana
African Journal of Primary Health Care & Family Medicine
Cardiopulmonary resuscitation
knowledge
skills
district hospitals
Botswana
title Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana
title_full Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana
title_fullStr Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana
title_full_unstemmed Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana
title_short Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana
title_sort assessment of nurses cardiopulmonary resuscitation knowledge and skills within three district hospitals in botswana
topic Cardiopulmonary resuscitation
knowledge
skills
district hospitals
Botswana
url https://phcfm.org/index.php/phcfm/article/view/1633
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AT stoffelmoeng assessmentofnursescardiopulmonaryresuscitationknowledgeandskillswithinthreedistricthospitalsinbotswana
AT billymtsima assessmentofnursescardiopulmonaryresuscitationknowledgeandskillswithinthreedistricthospitalsinbotswana