Knowledge of the in-hospital resuscitation algorithm among medical staff of selected hospital departments

• Main Authors: Tomasz Klejne, Akila Randika Jayamaha
• Format: Article
• Language: English
• Published: Towarzystwo Pomocy Doraźnej 2019-06-01
• Series: Critical Care Innovations
• Subjects: intra-hospital circulatory arrest; resuscitation; medical personnel; advanced life suport; als
• Online Access: https://www.irdim.net/cci/2(2)9-16.html

INTRODUCTION: The hospitalized patient has a potentially greater chance of surviving sudden cardiac arrest compared to pre-hospital conditions. This, however, requires proper preparation of medical personnel who should recognize and treat reversible causes of cardiac arrest. The authors make an attempt to assess the state of knowledge of doctors, nurses and paramedics in the field of in-hospital resuscitation algorithm. MATERIAL AND METHODS: The study was conducted in 2018 among medical staff of hospitals in central Poland. To determine the relationship between variables, the Chi-square test and one-way Kruskal-Wallis variance analysis were used. The results were considered significant at p <0.05, and values of 0.05 < p <0.10 were considered significant only at the level of statistical tendency. RESULTS: Sixty people participated in the study (20 women and 40 men). The average work experience was 3.7 years (SD = 2.6). The leading places of work were: Hospital Emergency Department (50%), Internal Medicine Department (9%), Surgical Ward (8%), Intensive Care Unit (8%). The average test result for all respondents will reach 73.6% (doctors: 100%, paramedics: 74.6, nurses: 56%). There was no correlation between the result and the sex of patients (p = 0.622), workplace (p = 0.107), seniority (p = 0.063). There were significant differences between particular occupational groups (p = 0.01). CONCLUSIONS: The highest level of knowledge in hospital resuscitation is provided by doctors, and the lowest level of nursing staff. Adequate lifelong learning in the field of advanced life support for medical staff should be implemented in order to improve the quality of healthcare services provided to healthcare entities.