Baherin, Muhammad Faiz
(2015)
A survey on knowledge, attitude and confidence level of adult cardiopulmonary resuscitation among medical officers in health clinics in Kelantan.
Masters thesis, Universiti Sains Malaysia.
Abstract
Introduction
Medical officers are defined as those who have already completed a two-year
internship in hospital settings. They will be posted to any government health facilities
including health clinics. Health clinics are considered out-of-hospital health facilities. Based
on recent statistics, out-of-hospital cardiac arrests survival rates were very low as compared to
in-hospital survival rates. Medical officers working in health clinics have long left the hospital
settings. Are their knowledge, attitude and confidence level sufficient enough to deal with
these cases of cardiac arrest? The aim of this study is to determine the level of knowledge,
attitude and confidence of medical officers in health clinics in Kelantan and the factors
associated with it.
Methodology
This was a cross-sectional study using simple random sampling. To validate and test
the reliability of the questionnaire, a pre-test was previously done. All medical officers in
health clinics in Kelantan were involved in this study. The questionnaire were posted to their
workplace and then collected in a period of a few months. The data was entered and analyzed
by SPSS software version no 22.
Results
A total of 75 medical officers were involved in the study. The average age was 30.0
years. 73.4% had practiced medicine for more than two years. 58.7% of them had attended
more than 5 cardiac arrest cases and 54.7% of them had last performed CPR for more than 12
months. 98.7% had attended BLS courses. 28% out of them had never attended ACLS
Courses. 40% of the subjects achieved good knowledge scoring. 100% of these subjects had
positive attitude towards adult CPR. In the confidence domain, 53.3% of the subjects had
poor confidence in dealing with resuscitation. 60% was not confident to perform endotracheal
intubation, 49.3% was not confident to perform defibrillation, 48% was not confident in using
resuscitation drugs and 41.3% was not confident to be the team leader in resuscitation. ACLS
training was the most important factor that improved their confidence level in adult
cardiopulmonary resuscitation.
Conclusion
Knowledge of adult CPR among medical officers in health clinics in Kelantan was
only average but all of them had positive attitude. The majority had low confidence level.
From the study, it was revealed that ACLS training improved both knowledge and confidence
level of the doctors. The researcher’s recommendation includes integration of life support
courses in medical school’s syllabus as well as frequent recertification of the courses for
everyone. Better knowledge, attitude and confidence level in cardiopulmonary resuscitation
would lead to a better healthcare system in Malaysia.
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