Perceived clinical comptency and associated factors of basic life support among nurses working in debre birhan referal hospital, Amhara region, northeast Ethiopia, 2020.
Corresponding Author(s) : Infant Rani Augustin
raniinfant@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 9 No. 2 (2021): 2021 Volume - 9 Issue - 2
Abstract
Background: Basic life support is a level of medical care used to support and treat victims of life threatening illnesses or injuries until they can give full medical care. Perception of nurses will make an important contribution to reduce disability and avoidable death. Thus, nursing professionals need to have full perception to contribute more efficiently to perform cardiopulmonary resuscitation.
Objective: The study aimed to assess perceived clinical competency towards basic life support and associated factors among nurses working Debre Birhan Referral Hospital, Northeast Ethiopia.
Methods: An institutional based cross-sectional study was conducted from October to December, 2020.All nurses working from Debre Birhan Referral Hospital were considered as study subjects. Self-administered questionnaire was used for data collection. Data were entered and analyzed using SPSS version 21. Logistic regression analysis was used to assess associated factors of perceived clinical competency of nurses.
Results: From study participants (234) 135(57.7%) were female, 145(62.0%) were married and 172(73.5%) perceived themselves highly competent while 62(26.5%) had low perception towards Basic Life Support. Majority of the study participants 177(75.6%) had poor knowledge. Based on logistic regression, clinical work experience [AOR=4.98(1.35, 7.83)], duration of working in the current area [AOR=3.6(1.67, 7.84)] and participation in patients care on Basic Life Support [AOR=8.552(1.247, 58.673)] were significantly associated with nurses perceived clinical competence.
Conclusion and Recommendation: The overall perception of nurses towards Basic Life Support was high but majority of study participants were having poor knowledge. Health administrations should motivate nurses to develop their knowledge to have clinically competent.
Keywords
Basic Life Support
clinical competency
perception
1.
Lehulu Tilahun, Infant Rani Augustin. Perceived clinical comptency and associated factors of basic life support among nurses working in debre birhan referal hospital, Amhara region, northeast Ethiopia, 2020. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2021 Apr. 11 [cited 2025 Jul. 16];9(2):135-43. Available from: https://ijamscr.com/ijamscr/article/view/986
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References
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1. Zaheer H, Haque Z. Students’ Corner-Awareness about BLS (CPR) among medical students: status and requirements. JPMA J Pak Med Assoc. 2011;59(1):59.
2. Hicks FD, Merritt SL, Elstein AS. Critical thinking and clinical decision making in critical care nursing: a pilot study. Heart Lung. 2003;32(3):169-80. doi: 10.1016/s0147-9563(03)00038-4. PMID 12827102.
3. Rajashekar S, Nagendra Gowda MR, Anthony A. Knowledge of basic life support among health care professionals 21July 2018.
4. Cheng C-Y, Liou S-R. Perceptions of clinical competence among nurse pregraduates: do different types of nursing programs make a difference? J Nurs Educ Pract. 2013;3(9):139. doi: 10.5430/jnep.v3n9p139.
5. White AH. Clinical decision making among fourth-year nursing students: an interpretive study. J Nurs Educ. 2003;42(3):113-20. PMID 12661711.
6. Sudden Cardiac Arrest Foundation. Save Life any were 2015, available at www.scaa aware.org.
7. Bony. A, MKaraye.K, Rationale and Design of Pan African sudden cardiac death survey. Cardiovasc J Afr. 2014;15(4):176-81.
8. Shiraki. T et al.. Incidence and outcome of hospital cardiac arrest. Int Heart J. 2014;54:489-500.
9. Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar, Shabbir PM, Chandrasekaran V. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesth. 2010;54(2):121-6. doi: 10.4103/0019-5049.63650, PMID 20661349.
10. Madden C. Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Educ Today. 2006;26(3):218-27. doi: 10.1016/j.nedt.2005.10.003. PMID 16314002.
11. Greenberger H, Reches H, Riba S. Do new graduates of registered nursing programs in Israel perceive themselves as technically competent? J Contin Educ Nurs. 2005;36(3):133-40. doi: 10.3928/0022-0124-20050501-11, PMID 16022033.
12. Jose ZM, Deepika V, Melita S. Perceived competence on evidence based nursing practice among final year nursing students of selected College of Udupi Taluk. Int J Sci Res. 2015;4(11):248-9.
13. Katowa-Mukwato P, Banda S. Self-perceived versus objectively measured competence in performing clinical practical procedures by final year medical students. Int J Med Educ. 2016;7:122-9. doi: 10.5116/ijme.5709.2a7e, PMID 27132255.
14. Yenus AM, Habib M, Vandana R. Knowledge, Attitude and Practice among Junior Doctors and students in tertiary hospital. Shillong, India. Vol. 3; 2015. p. 12-3.
15. Abdollahi A, Kh Y, Hosseini S, Khoddam H. Effect of stational education on nurses’ cardiopulmonary resuscitation activity. J Crit Care Nurs. 2010;3(3):5-6.
16. Kandray DP, Pieren JA, Benner RW. Attitudes of Ohio dentists and dental hygienists on the use of automated external defibrillators. J Dent Educ. 2007;71(4):480-6. doi: 10.1002/j.0022-0337.2007.71.4.tb04299.x, PMID 17468308.
17. Nyman J, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000;47(2):179-84. doi: 10.1016/s0300-9572(00)00226-4. PMID 11008156.
18. Cheng C-Y, Liou S-R. Perceptions of clinical competence among nurse pregraduates: do different types of nursing programs make a difference? J Nurs Educ Pract. 2013;3(9):139. doi: 10.5430/jnep.v3n9p139.
19. Mitchell ML, Henderson A, Groves M, Dalton M, Nulty D. The objective structured clinical examination (OSCE): optimizing its value in the undergraduate nursing curriculum. Nurse Educ Today. 2009;29(4):398-404. doi: 10.1016/j.nedt.2008.10.007, PMID 19056152.
20. Mick DJ, Ackerman MH. Advanced practice nursing role delineation in acute and critical care: application of the strong model of advanced practice. Heart Lung. 2000;29(3):210-21. doi: 10.1067/mhl.2000.106936. PMID 10819802.
21. Smith KK, Gilcreast D, Pierce K. Evaluation of staff’s retention of ACLS and BLS skills. Resuscitation. 2008;78(1):59-65. doi: 10.1016/j.resuscitation.2008.02.007, PMID 18406037.
22. Al-Turki YA, Al-Fraih YS, Jalaly JB, Al-Maghlouth IA, Al-Rashoudi FH, Al-Otaibi AF, Al-Thnayan AA, Trabzoni AI, Al-Shaykh AS. Knowledge and attitudes towards cardiopulmonary resuscitation among university students in Riyadh, Saudi Arabia. Saudi Med J. 2008;29(9):1306-9. PMID 18813417
References
1. Zaheer H, Haque Z. Students’ Corner-Awareness about BLS (CPR) among medical students: status and requirements. JPMA J Pak Med Assoc. 2011;59(1):59.
2. Hicks FD, Merritt SL, Elstein AS. Critical thinking and clinical decision making in critical care nursing: a pilot study. Heart Lung. 2003;32(3):169-80. doi: 10.1016/s0147-9563(03)00038-4. PMID 12827102.
3. Rajashekar S, Nagendra Gowda MR, Anthony A. Knowledge of basic life support among health care professionals 21July 2018.
4. Cheng C-Y, Liou S-R. Perceptions of clinical competence among nurse pregraduates: do different types of nursing programs make a difference? J Nurs Educ Pract. 2013;3(9):139. doi: 10.5430/jnep.v3n9p139.
5. White AH. Clinical decision making among fourth-year nursing students: an interpretive study. J Nurs Educ. 2003;42(3):113-20. PMID 12661711.
6. Sudden Cardiac Arrest Foundation. Save Life any were 2015, available at www.scaa aware.org.
7. Bony. A, MKaraye.K, Rationale and Design of Pan African sudden cardiac death survey. Cardiovasc J Afr. 2014;15(4):176-81.
8. Shiraki. T et al.. Incidence and outcome of hospital cardiac arrest. Int Heart J. 2014;54:489-500.
9. Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar, Shabbir PM, Chandrasekaran V. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesth. 2010;54(2):121-6. doi: 10.4103/0019-5049.63650, PMID 20661349.
10. Madden C. Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Educ Today. 2006;26(3):218-27. doi: 10.1016/j.nedt.2005.10.003. PMID 16314002.
11. Greenberger H, Reches H, Riba S. Do new graduates of registered nursing programs in Israel perceive themselves as technically competent? J Contin Educ Nurs. 2005;36(3):133-40. doi: 10.3928/0022-0124-20050501-11, PMID 16022033.
12. Jose ZM, Deepika V, Melita S. Perceived competence on evidence based nursing practice among final year nursing students of selected College of Udupi Taluk. Int J Sci Res. 2015;4(11):248-9.
13. Katowa-Mukwato P, Banda S. Self-perceived versus objectively measured competence in performing clinical practical procedures by final year medical students. Int J Med Educ. 2016;7:122-9. doi: 10.5116/ijme.5709.2a7e, PMID 27132255.
14. Yenus AM, Habib M, Vandana R. Knowledge, Attitude and Practice among Junior Doctors and students in tertiary hospital. Shillong, India. Vol. 3; 2015. p. 12-3.
15. Abdollahi A, Kh Y, Hosseini S, Khoddam H. Effect of stational education on nurses’ cardiopulmonary resuscitation activity. J Crit Care Nurs. 2010;3(3):5-6.
16. Kandray DP, Pieren JA, Benner RW. Attitudes of Ohio dentists and dental hygienists on the use of automated external defibrillators. J Dent Educ. 2007;71(4):480-6. doi: 10.1002/j.0022-0337.2007.71.4.tb04299.x, PMID 17468308.
17. Nyman J, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000;47(2):179-84. doi: 10.1016/s0300-9572(00)00226-4. PMID 11008156.
18. Cheng C-Y, Liou S-R. Perceptions of clinical competence among nurse pregraduates: do different types of nursing programs make a difference? J Nurs Educ Pract. 2013;3(9):139. doi: 10.5430/jnep.v3n9p139.
19. Mitchell ML, Henderson A, Groves M, Dalton M, Nulty D. The objective structured clinical examination (OSCE): optimizing its value in the undergraduate nursing curriculum. Nurse Educ Today. 2009;29(4):398-404. doi: 10.1016/j.nedt.2008.10.007, PMID 19056152.
20. Mick DJ, Ackerman MH. Advanced practice nursing role delineation in acute and critical care: application of the strong model of advanced practice. Heart Lung. 2000;29(3):210-21. doi: 10.1067/mhl.2000.106936. PMID 10819802.
21. Smith KK, Gilcreast D, Pierce K. Evaluation of staff’s retention of ACLS and BLS skills. Resuscitation. 2008;78(1):59-65. doi: 10.1016/j.resuscitation.2008.02.007, PMID 18406037.
22. Al-Turki YA, Al-Fraih YS, Jalaly JB, Al-Maghlouth IA, Al-Rashoudi FH, Al-Otaibi AF, Al-Thnayan AA, Trabzoni AI, Al-Shaykh AS. Knowledge and attitudes towards cardiopulmonary resuscitation among university students in Riyadh, Saudi Arabia. Saudi Med J. 2008;29(9):1306-9. PMID 18813417
2. Hicks FD, Merritt SL, Elstein AS. Critical thinking and clinical decision making in critical care nursing: a pilot study. Heart Lung. 2003;32(3):169-80. doi: 10.1016/s0147-9563(03)00038-4. PMID 12827102.
3. Rajashekar S, Nagendra Gowda MR, Anthony A. Knowledge of basic life support among health care professionals 21July 2018.
4. Cheng C-Y, Liou S-R. Perceptions of clinical competence among nurse pregraduates: do different types of nursing programs make a difference? J Nurs Educ Pract. 2013;3(9):139. doi: 10.5430/jnep.v3n9p139.
5. White AH. Clinical decision making among fourth-year nursing students: an interpretive study. J Nurs Educ. 2003;42(3):113-20. PMID 12661711.
6. Sudden Cardiac Arrest Foundation. Save Life any were 2015, available at www.scaa aware.org.
7. Bony. A, MKaraye.K, Rationale and Design of Pan African sudden cardiac death survey. Cardiovasc J Afr. 2014;15(4):176-81.
8. Shiraki. T et al.. Incidence and outcome of hospital cardiac arrest. Int Heart J. 2014;54:489-500.
9. Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar, Shabbir PM, Chandrasekaran V. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesth. 2010;54(2):121-6. doi: 10.4103/0019-5049.63650, PMID 20661349.
10. Madden C. Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Educ Today. 2006;26(3):218-27. doi: 10.1016/j.nedt.2005.10.003. PMID 16314002.
11. Greenberger H, Reches H, Riba S. Do new graduates of registered nursing programs in Israel perceive themselves as technically competent? J Contin Educ Nurs. 2005;36(3):133-40. doi: 10.3928/0022-0124-20050501-11, PMID 16022033.
12. Jose ZM, Deepika V, Melita S. Perceived competence on evidence based nursing practice among final year nursing students of selected College of Udupi Taluk. Int J Sci Res. 2015;4(11):248-9.
13. Katowa-Mukwato P, Banda S. Self-perceived versus objectively measured competence in performing clinical practical procedures by final year medical students. Int J Med Educ. 2016;7:122-9. doi: 10.5116/ijme.5709.2a7e, PMID 27132255.
14. Yenus AM, Habib M, Vandana R. Knowledge, Attitude and Practice among Junior Doctors and students in tertiary hospital. Shillong, India. Vol. 3; 2015. p. 12-3.
15. Abdollahi A, Kh Y, Hosseini S, Khoddam H. Effect of stational education on nurses’ cardiopulmonary resuscitation activity. J Crit Care Nurs. 2010;3(3):5-6.
16. Kandray DP, Pieren JA, Benner RW. Attitudes of Ohio dentists and dental hygienists on the use of automated external defibrillators. J Dent Educ. 2007;71(4):480-6. doi: 10.1002/j.0022-0337.2007.71.4.tb04299.x, PMID 17468308.
17. Nyman J, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000;47(2):179-84. doi: 10.1016/s0300-9572(00)00226-4. PMID 11008156.
18. Cheng C-Y, Liou S-R. Perceptions of clinical competence among nurse pregraduates: do different types of nursing programs make a difference? J Nurs Educ Pract. 2013;3(9):139. doi: 10.5430/jnep.v3n9p139.
19. Mitchell ML, Henderson A, Groves M, Dalton M, Nulty D. The objective structured clinical examination (OSCE): optimizing its value in the undergraduate nursing curriculum. Nurse Educ Today. 2009;29(4):398-404. doi: 10.1016/j.nedt.2008.10.007, PMID 19056152.
20. Mick DJ, Ackerman MH. Advanced practice nursing role delineation in acute and critical care: application of the strong model of advanced practice. Heart Lung. 2000;29(3):210-21. doi: 10.1067/mhl.2000.106936. PMID 10819802.
21. Smith KK, Gilcreast D, Pierce K. Evaluation of staff’s retention of ACLS and BLS skills. Resuscitation. 2008;78(1):59-65. doi: 10.1016/j.resuscitation.2008.02.007, PMID 18406037.
22. Al-Turki YA, Al-Fraih YS, Jalaly JB, Al-Maghlouth IA, Al-Rashoudi FH, Al-Otaibi AF, Al-Thnayan AA, Trabzoni AI, Al-Shaykh AS. Knowledge and attitudes towards cardiopulmonary resuscitation among university students in Riyadh, Saudi Arabia. Saudi Med J. 2008;29(9):1306-9. PMID 18813417