Advanced Cardiac Life Support (ACLS) knowledge, practice, and associated factors among general practitioners and nurses at Primary Hospitals in Ethiopia
https://doi.org/10.4081/ecj.2023.12036
Accepted: 3 December 2023
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Advanced cardiac life support (ACLS) refers to a set of life-saving protocols and skills for urgently and emergently treating life-threatening conditions that result in cardiac arrest. An institutional-based cross-sectional study was conducted to assess knowledge, practices, and associated factors of ACLS among general practitioners (GPs) and nurses in Ethiopia. Data were collected using self-administered questionnaires. Data entry was carried out using EpiData version 4.6, and the analysis was performed using STATA 14. Bivariate and multivariable logistic regression analyses were employed. The study included 147 GPs and nurses, yielding a response rate of 94.2%, with 39.5% (95% CI: 32.3-47.7) and 35.37% (95% CI: 28.68-43.8) demonstrating good knowledge and practice, respectively. Sex, education, experience, and the availability of emergency equipment were significantly associated with the knowledge. Workplace, exposure to cases of cardiac arrest, training, and experience were found to be significantly associated with practice. There is a significant gap in both knowledge and practice. Based on our results, we recommend simulation-based in-service training and the inclusion of ACLS protocols in the formal education of health students.
Tintinalli JE, Stapczynski JS, Ma OJ, et al. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e. McGraw Hill Education; 2016.
Kleinman ME, Goldberger ZD, Rea T, et al. 2017 American Heart Association focused update on adult basic life support and cardiopulmonary resuscitation quality: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2018;137:e7-13. DOI: https://doi.org/10.1161/CIR.0000000000000539
Wong CX, Brown A, Lau DH, et al. Epidemiology of sudden cardiac death: global and regional perspectives. Heart Lung Circ 2019;28:6-14. DOI: https://doi.org/10.1016/j.hlc.2018.08.026
Andersen LW, Holmberg MJ, Berg KM, et al. In-hospital cardiac arrest: a review. JAMA 2019;321:1200-10. DOI: https://doi.org/10.1001/jama.2019.1696
Merchant R, Topjian A, Panchal A, et al. Adult Basic And Advanced Life Support Neonatal Life Support, Resuscitation Education Science, And Systems Of Care Writing Groups, Pb And Als. Circulation 2020;142:S337-57 DOI: https://doi.org/10.1161/CIR.0000000000000918
Lockey A, Conaghan P, Bland A, Astin F. Educational theory and its application to advanced life support courses: a narrative review. Resuscitation Plus 2021;5:100053. DOI: https://doi.org/10.1016/j.resplu.2020.100053
Lockey A, Lin Y, Cheng A. Impact of adult advanced cardiac life support course participation on patient outcomes—a systematic review and meta-analysis. Resuscitation 2018;129:48-54. DOI: https://doi.org/10.1016/j.resuscitation.2018.05.034
Cummins RO, Ornato JP, Thies WH, Pepe PE. Improving survival from sudden cardiac arrest: the" chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation 1991;83:1832-47. DOI: https://doi.org/10.1161/01.CIR.83.5.1832
Roshana S, Batajoo KH, Piryani RM, Sharma MW. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med 2012;3:141. DOI: https://doi.org/10.5847/wjem.j.issn.1920-8642.2012.02.011
Ullal NA, Sathis B, Farooqui ME. Periodic reinforcement of knowledge and attitude towards basic life support skills among the medical undergraduates: A necessity of undergraduate medical education. Biomedicine 2022;42:333-7. DOI: https://doi.org/10.51248/.v42i2.969
Yadav P. Attending training workshop of BLS/ACLS. JNMA 2022;60:916. DOI: https://doi.org/10.31729/jnma.7782
Kim H-J, Lee H-C. Differences in advanced cardiac life support knowledge, confidence, satisfaction, and performance ability of paramedic students according to simulation education methods. Korean J Emerg Med Serv 2021;25:111-25.
Tsushima T, Patel TR, Sahadevan J. Advanced cardiac life support algorithms—reply. JAMA Internal Med 2021;181:1141-2. DOI: https://doi.org/10.1001/jamainternmed.2021.3174
Tadesse M, Seid SA, Getachew H, Ali SA. Knowledge, attitude, and practice towards basic life support among graduating class health science and medical students at Dilla University; a cross sectional study. Ann Med Surg 2022;82:104588. DOI: https://doi.org/10.1016/j.amsu.2022.104588
Kelkay MM, Kassa H, Birhanu Z, Amsalu S. A cross sectional study on knowledge, practice and associated factors towards basic life support among nurses working in amhara region referral hospitals, northwest Ethiopia, 2016. Hos Pal Med Int Jnl 2018;2:123-30. DOI: https://doi.org/10.15406/hpmij.2018.02.00070
Adal O, Emishaw S. Knowledge and attitude of healthcare workers toward advanced cardiac life support in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia, 2022. SAGE Open Med 2023;11:20503121221150101. DOI: https://doi.org/10.1177/20503121221150101
Abebe TA, Zeleke LB, Assega MA, Sefefe WM, Gebremedhn EG. Health-Care Providers' Knowledge, Attitudes, and Practices Regarding Adult Cardiopulmonary Resuscitation at Debre Markos Referral Hospital, Gojjam, Northwest Ethiopia. Adv Med Educ Pract 2021;12:647-654. DOI: https://doi.org/10.2147/AMEP.S293648
Mersha AT, Egzi AH, Tawuye HY, Endalew NS. Factors associated with knowledge and attitude towards adult cardiopulmonary resuscitation among healthcare professionals at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: an institutional-based cross-sectional study. BMJ Open 2020;10:e037416. DOI: https://doi.org/10.1136/bmjopen-2020-037416
Nigatu M, Debebe F, Tuli W. Assessment of Knowledge, Practice, and Associated Factors Towards Airway and Breathing Management Among Nurses Working in the Emergency Departments of Selected Public Hospitals in Addis Ababa, Ethiopia: A Cross-Sectional Study. Open Access Emerg Med 2022;14:235-247. DOI: https://doi.org/10.2147/OAEM.S366218
Getachew Y, Kumar P, Deres A. An assessment of clinical expertise on updated cardiac life support among health workers at Government hospitals in Eastern Amhara region with intervention to fill observable gap. BMJ Open 2016;10:251-7.
Nambiar M, Nedungalaparambil NM, Aslesh OP. Is current training in basic and advanced cardiac life support (BLS & ACLS) effective? A study of BLS & ACLS knowledge amongst healthcare professionals of North-Kerala. World J Emerg Med 2016;7:263. DOI: https://doi.org/10.5847/wjem.j.1920-8642.2016.04.004
Ahmad A, Akhter N, Mandal RK, et al. Knowledge of basic life support among the students of Jazan University, Saudi Arabia: Is it adequate to save a life? Alexandria J Medicine 2018;54:555-9. DOI: https://doi.org/10.1016/j.ajme.2018.04.001
Aroor AR, Saya RP, Attar NR, Saya GK, Ravinanthanan M. Awareness about basic life support and emergency medical services and its associated factors among students in a tertiary care hospital in South India. J Emerg Trauma Shock 2014;7:166. DOI: https://doi.org/10.4103/0974-2700.136857
Derinoz‐Guleryuz O, Uysal‐Yazici M, Udurgucu M, et al. The skills of defibrillation practice and certified life‐support training in the healthcare providers in Turkey. Int J Clin Pract 2021;75:e14978. DOI: https://doi.org/10.1111/ijcp.14978
Srinivasan AP, Albalawe MA, Issrani R, et al. Awareness, knowledge, and attitude of Saudi students towards basic life support: a Cross-Sectional Study. Pesquisa Brasileira em Odontopediatria e Clínica Integrada 2021 29;21. DOI: https://doi.org/10.1590/pboci.2021.142
Irfan B, Zahid I, Khan MS, et al. Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study. BMC health services research. 2019; 19:1-7. DOI: https://doi.org/10.1186/s12913-019-4676-y
Hamzah TMAT. A study on Advance cardiac life support knowledge and skills among health care professionals and their predicting factors during ACLS course. Universiti Sains Malaysia 2018;7:35-8.
Alsayil SN, Alzahran SM, Alhawiti WM. Awareness of basic life support among medical and nursing students at Tabuk University. Basic Res J Med Clin Sci 2016;5:53-7.
Pradhan S, Tenzin K, Pelzom D, Dorji JL, Dorji P, Gurung MS. Knowledge, attitude and practice on advanced cardiac life support (ACLS) among the general duty medical officers in Bhutan. Bhutan Health J 2019;5:35-7. DOI: https://doi.org/10.47811/bhj.77
Olajumoke TO, Afolayan JM, Raji SA, Adekunle MA. Cardiopulmonary resuscitation-knowledge, attitude & practices in osun state, Nigeria. J West African College Surg 2012;2:23.
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
