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.
Highlights
Over the past few years, the importance of cardiopulmonary resuscitation (CPR) is emphasized both nationally and internationally
Basic life support (BLS) and Advanced cardiovascular life support (ACLS) are used for early detection of sudden cardiac arrest (SCA), myocardial infarction, foreign body, airway obstruction, respiratory failure and other life threatening cardiovascular conditions [3]
It is important that registered nurses and healthcare professionals should know the latest protocol and guidelines of BLS & ACLS skills to save valuable lives and improve the quality of health [4]
Summary
Over the past few years, the importance of cardiopulmonary resuscitation (CPR) is emphasized both nationally and internationally. Advanced cardiovascular life support (ACLS) is one of the life saving techniques, the focus of ACLS is to educate and certify healthcare professionals such as doctors, nurses, and paramedical staff with the cardiopulmonary resuscitation techniques [1,2]. Basic life support (BLS) and ACLS are used for early detection of sudden cardiac arrest (SCA), myocardial infarction, foreign body, airway obstruction, respiratory failure and other life threatening cardiovascular conditions [3]. It is important that registered nurses and healthcare professionals should know the latest protocol and guidelines of BLS & ACLS skills to save valuable lives and improve the quality of health [4]. Initiation of CPR, early epinephrine administration, continuously measuring arterial blood pressure, intravenous access for medication administration during ACLS resuscitation and care of the patient after return of spontaneous circulation has been combined for adult BLS and ACLS in the AHA 2020 guidelines
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