Establishing Cardiopulmonary Resuscitation Services in Sub-Saharan Africa: A Survey of Suggestions Made by Health Care Workers in Cross River State, Nigeria
DOI:
https://doi.org/10.3889/oamjms.2018.223Keywords:
Cardiopulmonary resuscitation, Services, awareness, Infrastructure, Capacity building, Sub-Saharan Africa, Health workersAbstract
BACKGROUND: Rising trend in Non-Communicable Diseases (NCDs) in developing countries often result in sudden death, which are largely preventable through effective cardiopulmonary resuscitation (CPR). Most communities in Sub-Saharan Africa, however, lack access to CPR services, due to a deficiency in requirements for the establishment of such services. These requirements can be grouped into a triad of awareness, infrastructure and capacity building.
AIM: This study was aimed at assessing the perceived need and recommendations for improvement in CPR services in Cross River State.
METHODS: Proportionate sampling was used to recruit healthcare workers in this cross-sectional study. Data was obtained using semi-structured open-ended questionnaire consisting of recommendations for improving CPR services. Responses were coded and grouped into three essential areas. Data were entered and analysed using SPSS version 20.0.
RESULT: Two hundred and twenty-nine (229) questionnaires were completed; mean age of respondents was 42.1 ± 11.2 years. The commonest cadre of healthcare worker was nurses (135, 59.0%). One, two, and three areas of suggestions were made by 55.5%, 37.1%, and 7.4% of respondents, respectively. Suggestions included training of health care workers on CPR (111, 48.5%) and provision of resuscitation equipment (95, 41.5%). Sixty-five respondents (29.3%) recommended creating awareness and means of contact, while some respondents recommended capacity building (132, 57.6%) and resuscitation infrastructure set-up (149, 65.1%).
CONCLUSION: Healthcare workers perceive an urgent need for the establishment of CPR services in our health facilities and communities. There is need to address the triad of awareness, infrastructure and capacity building for the establishment of CPR services peculiar to Sub-Saharan Africa.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Bohn A, Seewald S, Wnent J. Resuscitation-Basic Life Support in adults and application of automatic external defibrillators. Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. AINS. 2016; 51:178-86. PMid:27022697
Alonso E, Eftestøl T, Aramendi E, Kramer-Johansen J, Skogvoll E, Nordseth T. Beyond ventricular fibrillation analysis: Comprehensive waveform analysis for all cardiac rhythms occurring during resuscitation. Resuscitation. 2014; 85:1541-8. https://doi.org/10.1016/j.resuscitation.2014.08.022 PMid:25195072
Ballesteros-Pena S, Fernández-Aedo I, Pérez-Urdiales I, GarcÃa-Azpiazu Z, Unanue-Arza S. Knowledge and attitudes of citizens in the Basque Country (Spain) towards cardiopulmonary resuscitation and automatic external defibrillators. Medicina Intensiva (English Edition). 2016; 40:75-83. https://doi.org/10.1016/j.medine.2015.10.002
Anthony-Pillai R. CPR decision making: why Winspear needs to be challenged? Journal of medical ethics. 2017;medethics-2016-103628.
Ro YS, Do Shin S, Song KJ, et al. Public awareness and self-efficacy of cardiopulmonary resuscitation in communities and outcomes of out-of-hospital cardiac arrest: a multi-level analysis. Resuscitation. 2016; 102:17-24. https://doi.org/10.1016/j.resuscitation.2016.02.004 PMid:26898411
Weisfeldt ML, Sitlani CM, Ornato JP, et al. Survival after application of automatic external defibrillators before arrival of the emergency medical system: evaluation in the resuscitation outcomes consortium population of 21 million. Journal of the American College of Cardiology. 2010; 55:1713-20. https://doi.org/10.1016/j.jacc.2009.11.077 PMid:20394876 PMCid:PMC3008654
Vaillancourt C, Stiell IG. Cardiac arrest care and emergency medical services in Canada. The Canadian journal of cardiology. 2004; 20:1081-90. PMid:15457303
Chu KH, May CR, Clark MJ, Breeze KM. CPR training in households of patients with chest pain. Resuscitation. 2003; 57:257-68. https://doi.org/10.1016/S0300-9572(03)00039-X
Becerra M, Hurst SA, Perron NJ, Cochet S, Elger BS. 'Do not attempt resuscitation'and 'cardiopulmonary resuscitation'in an inpatient setting: factors influencing physicians' decisions in Switzerland. Gerontology. 2011; 57:414-21. PMid:21099190
Allen JY, Hilgeman MM, Allen RS. Prospective end-of-life treatment decisions and perceived vulnerability: Future time left to live and memory self-efficacy. Aging & mental health. 2011;15:122-31. https://doi.org/10.1080/13607863.2010.505229 PMid:20924818
Freeman K, Field RA, Perkins GD. Variation in local trust Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) policies: a review of 48 English healthcare trusts. BMJ Open. 2015; 5:e006517. https://doi.org/10.1136/bmjopen-2014-006517 PMid:25586369 PMCid:PMC4298091
Schneider L, Sterz F, Haugk M, et al. CPR courses and semi-automatic defibrillators—life saving in cardiac arrest? Resuscitation. 2004; 63:295-303. https://doi.org/10.1016/j.resuscitation.2004.06.005 PMid:15582765
Finn JC, Jacobs IG. Cardiac arrest resuscitation policies and practices: a survey of Australian hospitals. Medical Journal of Australia. 2003; 179:470-4. PMid:14583077
Fontana A, Zancaner S. The early semiautomatic defibrillation: legislative Italian framing and medical-legal aspects. Italian heart journal Supplement: official journal of the Italian Federation of Cardiology. 2004; 5:785-93.
Callaway CW, Schmicker R, Kampmeyer M, et al. Receiving hospital characteristics associated with survival after out-of-hospital cardiac arrest. Resuscitation. 2010; 81:524-9. https://doi.org/10.1016/j.resuscitation.2009.12.006 PMid:20071070 PMCid:PMC2856722
Aguilera-Campos A, Asensio-Lafuente E, Fraga-SastrÃas JM. Analysis of the inclusion of police personnel on the out of hospital cardiac arrest emergency response. Salud publica de Mexico. 2012; 54:60-7. PMid:22286829
Caputo ML, Muschietti S, Burkart R, et al. Lay persons alerted by mobile application system initiate earlier cardio-pulmonary resuscitation: A comparison with SMS-based system notification. Resuscitation. 2017; 114:73-8. https://doi.org/10.1016/j.resuscitation.2017.03.003 PMid:28268186
Roberts D, Djärv T. Preceding national early warnings scores among in-hospital cardiac arrests and their impact on survival. The American journal of emergency medicine. 2017; 35:1601-6. https://doi.org/10.1016/j.ajem.2017.04.072 PMid:28476552
Baxter AD, Cardinal P, Hooper J, Patel R. Medical emergency teams at The Ottawa Hospital: the first two years. Canadian Journal of Anesthesia. 2008; 55:223. https://doi.org/10.1007/BF03021506 PMid:18378967
Gonçales PDS, Polessi JA, Bass LM, et al. Reduced frequency of cardiopulmonary arrests by rapid response teams. Einstein (São Paulo). 2012; 10:442-8. https://doi.org/10.1590/S1679-45082012000400009
Bolle SR, Scholl J, Gilbert M. Can video mobile phones improve CPR quality when used for dispatcher assistance during simulated cardiac arrest? Acta Anaesthesiologica Scandinavica. 2009; 53:116-20. https://doi.org/10.1111/j.1399-6576.2008.01779.x PMid:19032569 PMCid:PMC2659378
Downloads
Published
How to Cite
Issue
Section
License
http://creativecommons.org/licenses/by-nc/4.0
