The skills of defibrillation practice and certified life‐support training in the healthcare providers in Turkey
Makaleler > Tam Makale · 2021
Yazarlar: OKŞAN DERİNÖZ GÜLERYÜZ, Mutlu Uysal-Yazici, Muhammed Udurgucu, Candemir Karacan, Halise Akca, Ebru Atike Ongun, FARUK EKİNCİ, MURAT DUMAN, Ayla Akca-Caglar, GÖKSEL VATANSEVER, Sevcan Bilen, Metin Uysalol, Leman Akcan-Yildiz, Eylem Ulaş SAZ, Alkan Bal, Etem Piskin, SABİHA ŞAHİN, Funda Kurt, MURAT ANIL, Esen Besli, MEHMET ALAKAYA, Ayse Gultekingil, RESUL YILMAZ, Ozlem Temel-Koksoy, SELMAN KESİCİ, Nihal Akcay, ERDEM ÇEBİŞLİ, Serhat Emeksiz, Mehmet Arda Kilinc, Alper Koker, Yasemin Coban, NİLGÜN ERKEK, RAMAZAN GÜRLÜ, Emel Eksi-Alp, Caner TURAN
International Journal of Clinical Practice, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2021, cilt 75, ss e14978-e14978
DOI: 10.1111/ijcp.14978
Özet
AIM OF THE STUDY: Successful cardiopulmonary resuscitation and early defibrillation are critical in survival after in- or out-of-hospital cardiopulmonary arrest. The scope of this multi-centre study is to (a) assess skills of paediatric healthcare providers (HCPs) concerning two domains: (1) recognising rhythm abnormalities and (2) the use of defibrillator devices, and (b) to evaluate the impact of certified basic-life-support (BLS) and advanced-life-support (ALS) training to offer solutions for quality of improvement in several paediatric emergency cares and intensive care settings of Turkey. METHODS: This cross-sectional and multi-centre survey study included several paediatric emergency care and intensive care settings from different regions of Turkey. RESULTS: A total of 716 HCPs participated in the study (physicians: 69.4%, healthcare staff: 30.6%). The median age was 29 (27-33) years. Certified BLS-ALS training was received in 61% (n = 303/497) of the physicians and 45.2% (n = 99/219) of the non-physician healthcare staff (P < .001). The length of professional experience had favourable outcome towards an increased self-confidence in the physicians (P < .01, P < .001). Both physicians and non-physician healthcare staff improved their theoretical knowledge in the practice of synchronised cardioversion defibrillation (P < .001, P < .001). Non-certified healthcare providers were less likely to manage the initial doses of synchronised cardioversion and defibrillation: the correct responses remained at 32.5% and 9.2% for synchronised cardioversion and 44.8% and 16.7% for defibrillation in the physicians and healthcare staff, respectively. The indications for defibrillation were correctly answered in the physicians who had acquired a certificate of BLS-ALS training (P = .047, P = .003). CONCLUSIONS: The professional experience is significant in the correct use of a defibrillator and related procedures. Given the importance of early defibrillation in survival, the importance and proper use of defibrillators should be emphasised in Certified BLS-ALS programmes. Certified BLS-ALS programmes increase the level of knowledge and self-confidence towards synchronised cardioversion-defibrillation procedures.