Advanced Cardiovascular Life Support Performance: Study on the Effectiveness of Training among Nurses in a Tertiary Care Hospital, Karachi
Ramesh Kumar
College of Nursing, Thatta, Pakistan.
. Raja *
Department of Plastic and Reconstructive Surgery, Dr. Ruth K.M. Pfau Civil Hospital, Karachi, Pakistan.
. Badil
Dow Institute of Nursing and Midwifery, Dow University of Health Sciences, Karachi, Pakistan.
. Gulsher
Ziauddin University Faculty of Nursing and Midwifery, Karachi. Pakistan.
Junaid Ali
Memon College of Nursing Memon Medical Institute Hospital, Karachi, Pakistan.
Arjan Kumar
Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Nurses are the integral part of health care delivery system and play a vital role in critical areas. Nurses are required to respond quickly and effectively in the situation of cardiac arrest and the success of cardiopulmonary resuscitation depends upon their competence. Nurses’ knowledge, preparedness and skills in regard to cardiopulmonary resuscitation have to be at advanced level. Hence, this study was conducted to determine the effectiveness of advanced cardiovascular life support training among nurses at a tertiary care hospital, Karachi, Pakistan.
Study Design: Quasi-experimental (pre and post) study was employed.
Place and Duration of Study: Study was accomplished at Dr. Ruth K.M Pfau Civil Hospital, Karachi for the period of ten months from December 2018 to September 2019.
Methodology: Sample size was calculated through PASS version 11.0 with proportion formula, calculated sample size was 180 nurses. Nurses’ responses regarding advanced cardiovascular life support were assessed by validated and structured questionnaire. The collected data was analyzed by using SPSS version 21. The mean score of pre-test and post-test of advanced cardiovascular life support training were computed by using paired t-test. p-value ≤0.05 were considered as level of significance.
Results: The pre mean of advanced cardiac life support score was 19.28±5.29. While, after training mean score of advanced cardiac life support score was 22.38±4.0. It is also statistically significant (p<0.001).
Conclusion: Successful resuscitation in patients with cardiac emergencies necessitates early credit of condition, prompt activation of responders, timely and effective basic life support and timed defibrillation when needed. Formal basic life support and advanced cardiovascular life support trainings are essential for nurses to enhance their skills that lead to improve victim survival after cardiopulmonary resuscitation.
Keywords: Advanced cardiovascular life support, nurses, Tertiary Care hospital