The skills of defibrillation practice and certified life-support training in the healthcare providers in Turkey
© 2021 John Wiley & Sons Ltd..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:75 |
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| Enthalten in: |
International journal of clinical practice - 75(2021), 12 vom: 20. Dez., Seite e14978 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Derinoz-Guleryuz, Oksan [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 31.12.2021 Date Revised 31.12.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/ijcp.14978 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Derinoz-Guleryuz, Oksan |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The skills of defibrillation practice and certified life-support training in the healthcare providers in Turkey |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 31.12.2021 | ||
| 500 | |a Date Revised 31.12.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021 John Wiley & Sons Ltd. | ||
| 520 | |a 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 | ||
| 520 | |a METHODS: This cross-sectional and multi-centre survey study included several paediatric emergency care and intensive care settings from different regions of Turkey | ||
| 520 | |a 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) | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 700 | 1 | |a Uysal-Yazici, Mutlu |e verfasserin |4 aut | |
| 700 | 1 | |a Udurgucu, Muhammed |e verfasserin |4 aut | |
| 700 | 1 | |a Karacan, Candemir |e verfasserin |4 aut | |
| 700 | 1 | |a Akça, Halise |e verfasserin |4 aut | |
| 700 | 1 | |a Ongun, Ebru Atike |e verfasserin |4 aut | |
| 700 | 1 | |a Ekinci, Faruk |e verfasserin |4 aut | |
| 700 | 1 | |a Duman, Murat |e verfasserin |4 aut | |
| 700 | 1 | |a Akça-Çaglar, Ayla |e verfasserin |4 aut | |
| 700 | 1 | |a Vatansever, Goksel |e verfasserin |4 aut | |
| 700 | 1 | |a Bilen, Sevcan |e verfasserin |4 aut | |
| 700 | 1 | |a Uysalol, Metin |e verfasserin |4 aut | |
| 700 | 1 | |a Akcan-Yıldız, Leman |e verfasserin |4 aut | |
| 700 | 1 | |a Saz, Eylem Ulas |e verfasserin |4 aut | |
| 700 | 1 | |a Bal, Alkan |e verfasserin |4 aut | |
| 700 | 1 | |a Piskin, Etem |e verfasserin |4 aut | |
| 700 | 1 | |a Sahin, Sabiha |e verfasserin |4 aut | |
| 700 | 1 | |a Kurt, Funda |e verfasserin |4 aut | |
| 700 | 1 | |a Anil, Murat |e verfasserin |4 aut | |
| 700 | 1 | |a Besli, Esen |e verfasserin |4 aut | |
| 700 | 1 | |a Alakaya, Mehmet |e verfasserin |4 aut | |
| 700 | 1 | |a Gültekingil, Ayse |e verfasserin |4 aut | |
| 700 | 1 | |a Yılmaz, Resul |e verfasserin |4 aut | |
| 700 | 1 | |a Temel-Koksoy, Ozlem |e verfasserin |4 aut | |
| 700 | 1 | |a Kesici, Selman |e verfasserin |4 aut | |
| 700 | 1 | |a Akcay, Nihal |e verfasserin |4 aut | |
| 700 | 1 | |a Cebisli, Erdem |e verfasserin |4 aut | |
| 700 | 1 | |a Emeksiz, Serhat |e verfasserin |4 aut | |
| 700 | 1 | |a Kılınc, Mehmet Arda |e verfasserin |4 aut | |
| 700 | 1 | |a Köker, Alper |e verfasserin |4 aut | |
| 700 | 1 | |a Çoban, Yasemin |e verfasserin |4 aut | |
| 700 | 1 | |a Erkek, Nilgün |e verfasserin |4 aut | |
| 700 | 1 | |a Gurlu, Ramazan |e verfasserin |4 aut | |
| 700 | 1 | |a Eksi-Alp, Emel |e verfasserin |4 aut | |
| 700 | 1 | |a Apa, Hursit |e verfasserin |4 aut | |
| 700 | 0 | |a Turkish Defibrillation Study Group |e verfasserin |4 aut | |
| 700 | 1 | |a Kalkan, Gokhan |e investigator |4 oth | |
| 700 | 1 | |a Azapagası, Ebru |e investigator |4 oth | |
| 700 | 1 | |a Yener, Nazik |e investigator |4 oth | |
| 700 | 1 | |a Sarac-Sandal, Ozlem |e investigator |4 oth | |
| 700 | 1 | |a Horoz, Ozden Ozgur |e investigator |4 oth | |
| 700 | 1 | |a Öztürk, Ali |e investigator |4 oth | |
| 700 | 1 | |a Tuygun, Nilden |e investigator |4 oth | |
| 700 | 1 | |a Özdemir, İhsan |e investigator |4 oth | |
| 700 | 1 | |a Göktuğ, Aytac |e investigator |4 oth | |
| 700 | 1 | |a Gökulu, Gamze |e investigator |4 oth | |
| 700 | 1 | |a Gümüs, Suheyla |e investigator |4 oth | |
| 700 | 1 | |a Teksam, Ozlem |e investigator |4 oth | |
| 700 | 1 | |a Turan, Caner |e investigator |4 oth | |
| 700 | 1 | |a Zengin, Neslihan |e investigator |4 oth | |
| 700 | 1 | |a Kardeş, Hakan |e investigator |4 oth | |
| 700 | 1 | |a Bozan, Gurkan |e investigator |4 oth | |
| 700 | 1 | |a Ünal, Bahri |e investigator |4 oth | |
| 700 | 1 | |a Bardak, Sefika |e investigator |4 oth | |
| 700 | 1 | |a Arslanköylü, Ali Ertug |e investigator |4 oth | |
| 700 | 1 | |a Yorulmaz, Alaaddin |e investigator |4 oth | |
| 700 | 1 | |a Celegen, Mehmet |e investigator |4 oth | |
| 700 | 1 | |a Sevketoglu, Esra |e investigator |4 oth | |
| 700 | 1 | |a Dursun, Oguz |e investigator |4 oth | |
| 700 | 1 | |a Perk, Oktay |e investigator |4 oth | |
| 700 | 1 | |a Başpınar, Omerhan |e investigator |4 oth | |
| 700 | 1 | |a Akgul, Fatma |e investigator |4 oth | |
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