Abstract
IntroductionCardiopulmonary resuscitation (CPR) is considered a core emergency skill in which all health care professionals must be proficient. CPR remains a new procedure in developing compared to develop countries. The objective of this study was to assess Nurses Knowledge and Skills following Cardiopulmonary Resuscitation Training at Mbarara Regional Referral Hospital.MethodsA prospective pre/post intervention design was adopted. CPR knowledge and skills of 32 nurses from MRRH were assed using two tools. Tool I consisted of 17 item of multiple choice questions that assessed CPR knowledge. Tool II involved an observation checklist of 15-point skills questions. A penalty score of 5 or 10 or 20 was set for each question, based on the guideline.ResultsThe average score prior to instruction was 53.8 for knowledge and posttest 82.5, and for skills was 46 pre-instruction and 81.5 post instruction. There was a statistically significant (p < 0.001) improvement in the CPR knowledge and (p = 0.02) for CPR skills. The percentage change in respondent's knowledge and skills ranged from 16.8% to137.2% with a mean of 59.9% for knowledge and from 19.18% to 2115.6% with a mean of 159.8% for the skills assessment.ConclusionRespondents had inadequate CPR knowledge and skills at pretest. The study revealed statistically significant improvement in both knowledge and skills of CPR for all nurses post training. There was a significant change in nurses' skills than in knowledge post training.
Highlights
Cardiopulmonary resuscitation (CPR) is considered a core emergency skill in which all health care professionals must be proficient
This study indicated that nurses in Mbarara Regional Referral Hospital (MRRH) had low competences in CPR knowledge and skills at pretest assessment
Effective CPR regular training needs to be instituted in MRRH to ensure continuous training and practice for the nurses to acquire competency and maintain the knowledge and skills
Summary
Cardiopulmonary resuscitation (CPR) is considered a core emergency skill in which all health care professionals must be proficient. In Uganda, nurses are more likely to identify cardiac arrest both in the emergency/critical care units and medical/surgical wards than any other health professional and clinical and CPR procedure guidelines appears to be limited. This affects the nurse's potential to initiate CPR. This study was designed to assess Nurses knowledge and skills following CPR training among all nurses working in the emergency/critical care units and medical/surgical wards given that there are more likely to identify cardiac arrest patients.
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