Do teachers know up-to-date basic life support? A field survey in Amasya, Turkey.

Öz

Aim: It is important for teachers to have sufficient knowledge about basic life support (BLS) to reduce mortality and morbidity rates in life-threatening events at schools. This study aimed to determine teachers’ knowledge levels about BLS in XXXXX .

Methods: 1,365 teachers in the city of XXXXX constituted its sample. Data was collected using a questionnaire with 35 questions about the teachers’ demographic information, attitudes towards BLS and knowledge about up-to-date BLS practices (According to AHA 2015 guidelines). Their knowledge levels were evaluated on an 18-point scale.

Results: The data of 1.365 teachers who completely filled out the questionnaire were analyzed. The teachers’ mean score on the BLS questionnaire was 7.93±2.16. Their BLS knowledge levels were not associated with gender, age, education level or the number of years since their most recent BLS training (p>0.05). The ratios of teachers who knew emergency call numbers (98.4%), were able to evaluate respiration (80.6%), had the ability to maintain airway patency (66.9%) and knew the starting criteria for BLS (90.6%) were high. The ratio of teachers who knew the first assessment of process steps (4.5%) and maximum time that should be spent (23.7%), compression site (17.8%), the number of compressions and compression to respiration ratios (33.3%), depth of compression (37.6%), time for life-saving exhalation (8.0%), the number of compressions per minute (15.6%), and for civilian first aiders, knew how to use an automatic external defibrillator (AED) (24.2%) were low.

Conclusion: The teachers in XXXXX do not have sufficiently updated information about BLS practices (the first BLS assessment and required time for BLS, BLS steps, respiration period, compression site, depth and the number of compressions).

Anahtar Kelimeler

• basic life support,knowledge level

Öğretmenler güncel temel yaşam desteğini biliyor mu? Amasya'da bir alan araştırması, Türkiye.

Öz

Amaç: Bu çalışma ile XXXXX ilinde görev yapan öğretmenlerin güncel Temel Yaşam Desteği (TYD) uygulamaları hakkındaki bilgi düzeylerini belirlemek amaçlanmıştır.

Gereç ve yöntem: Örneklemi XXXXX ilinde bulunan 1365 öğretmen oluşturdu. Veriler öğretmenlerin demografik bilgilerini, TYD'ye yönelik tutumlarını ve güncel (AHA 2015 klavuzuna göre) TYD uygulama bilgilerini sorgulayan 35 soruluk form kullanılarak toplandı.

Bulgular: Mesleki ders öğretmenlerinin (p=0,000) ve temel yaşam desteği eğitimi almayan öğretmenlerin (p=0,000) ortalama puanları daha yüksekti. Ayrıca, resmi destekli derslerden temel yaşam desteği eğitimi alan öğretmenler (p=0,003) ve 1-10 yıllık mesleki tecrübeye sahip olanlar (p=0,022) daha yüksek bilgi seviyesine sahipti. Öğretmenlerin, solunumu değerlendirebilme (%80,6), hava yolu açıklığını sağlayabilme (%66,9), TYD'ye başlama kriterlerini bilme oranları (%90,6) yüksek bulundu. TYD'de ilk değerlendirme işlem basamaklarını (%4,5) ve harcanması gereken maksimum süreyi (%23,7), kompresyon uygulama noktasını (%17,8), kompresyon sayısı ve solunum desteği oranını (%33,3), kompresyon derinliğini (%37,6), kurtarıcı soluk verme süresini (%8,0), bir dakikada uygulanması gereken kompresyon sayısını (%15,6), sivil ilkyardımcılar için OED (otomatik eksternal defibrilatör) kullanımını bilme oranlarının (%24,2) düşük olduğu tespit edildi.

Sonuç: XXXXXXX ilinde görev yapan öğretmenler BLS uygulamaları hakkında yeterince güncel bilgiye sahip değildir.

Anahtar Kelimeler

• temel yaşam desteği,bilgi düzeyi

Kaynakça

1. 1. Selimen D, Kuguoglu S, Eti Aslan F. Emergency Care. Yuce Publishing, Istanbul; 2004.
2. 2. Herlitz J, Engdahl J, Svensson L, Angquist KA, Young, M, Holmberg S. Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden. Am Heart J. 2005;149:61-66.
3. 3. Gursoy A, Cilingir D. Changes in advanced life support: review. Turk J Med Sci. 2008;28:916-922.
4. 4. American Heart Assocation (2017). 2015 Guidelines update for cardiopulmonary resusitation and emergency cardiovasculer care. http://www.atuder.org.tr/atuderData/Uploads/files/2015-AHA-Guidelines-Highlights English.pdf . Date: 2015 (Accesed March 23, 2017).
5. 5. Karasar N. Scientific Research Method (28th Edition). Nobel Publication Distribution, Ankara; 2015.
6. 6. Dixe M, Gomez JCR. Knowledge of the Portuguese population on basic life support and availability to attend training. Rev Esc Enferm USP. 2015;49:636-644.
7. 7. Kara F, Yurdakul A, Erdogan B, Polat E. Evaluation of current basic life support information of nurses working in a public hospital. MAKU Institute of Health Sci.J. 2015;3:17-26.
8. 8. Alotaibi O, Alamri F, Almufleh F, Alsougi W. Basic life support: Knowledge and attitude among dental students and staff in the college of dentistry, King Saud University. Saudi J Dent Res. 2016;7:51–56.

9. 9. Patsaki A, Pantazopoulos I, Dontas I, Passali C, Papadimitriou L, Xanthos, T. Evaluation of Greek high school teachers' knowledge in basic life support, automated external defibrillation, and foreign body airway obstruction: Implications for nursing interventions. J Emerg Nurs. 2012;38:176-181.
10. 10. Roshana S, Kh B, Rm P, Mw S. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med. 2012;3:141-145.
11. 11. Kanstad BK, Nilsen SA, Fredriksen K. CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway. Resuscitation. 2011;82:1053-1059.
12. 12. Nayir T, Uskun E, Türkoğlu H, Uzun E, Öztürk M, Kişioğlu AN. First level knowledge and attitudes of the teachers working in Isparta province center. SDU Journal of Faculty Medicine. 2011;18:123-127.
13. 13. Marton J, Veszpremi-Koroknai R, Radnai B, Deutsch K, Peklow E, Banfai B, et al. BLS skills of Hungarian general practitioners. Resuscitation. 2013;84:8–98.
14. 14. Sönmez Y, Uskun E, Pehlivan A. Knowledge levels of pre-primary teachers about basic first aid practices, Isparta example. Turkish Pediatri Ars. 2014;49:238-246.
15. 15. Lockey AS, Barton K, Yoxall H. Opportunities and barriers to cardiopulmonary resuscitation training in English secondary schools. Eur J Emerg Med. 2015;23:381-385.
16. 16. Al Enizi BA, Saquib N, Zaghloul M.S, Alaboud MS, Shahid M.S, Saquib J. Knowledge and attitudes about basic life support among secondary school teachers in Al-Qassim, Saudi Arabia. Int J Health Sci (Qassim). 2016;10:415-422.
17. 17. Tobase L, Peres HHC, Tomazini EAS, Teodoro SV, Ramos MR, Polastri TF. Basic life support: evaluation of learning using simulation and immediate feedback devices. Rev Lat Am Enfermagem. 2017;25:2942.
18. 18. Hırca N. Does teachers knowledge meet first aid Needs of Turkish schools? Review of Turkish Literature. JEE (Journal of European Education). 2012;2:16-23.
19. 19. Zayapragassarazan Z. Urgent need to train teachers and students in first aid and CPR. Education in Medicine Journal. 2016;8:89-92.
20. 20. Jain M, Sharma L, Meena R. Cardiopulmonary resuscitation training for medical teachers: Need of the hour. Int J Recent Sci Res. 2016;7:12655-12657.
21. 21. Miyadahira AMK, Quilici AP, Martins CC, Araújo GL, Pelliciotti JSS. Cardiopulmonary resuscitation with semi-automated external defibrillator: Assessment of the teaching-learning process. Rev Esc Enferm USP. 2008;42:532-538.
22. 22. Janisha KP, Priya V, Fermina J. Effectiveness of planned teaching programme on knowledge regarding basic life support among young adults. IJONE. 2012;4:28.
23. 23. Pergola AM, Araujo IEM. Laypeople and basic life support. Rev Esc Enferm USP. 2009;43:335-342.
24. 24. Baser M, Coban S, Tascı S, Sungur G, Bayat M. Evaluating first-aid knowledge and attitudes of a sample of Turkish primary school teachers. J Emerg Nurs. 2007;33:428-432.
25. 25. Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar Shabbir PM, Chandrasekaran V. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesth. 2010;54:121-126.
26. 26. Reddy S, Doshi D, Reddy P, Kulkarni S, Reddy S. Awareness of basic life support among staff and students in a dental school. J Contemp Dent Pract. 2013;14:511-517.
27. 27. McCluskey D, Moore P, Campbell S, Topping A. Teaching CPR in secondary education: the opinions of head teachers in one region of the UK. Resuscitation. 2010;81:1601.
28. 28. Akpek EA, Kayhan Z. Knowledge of basic life support: a pilot study of the Turkish population by Baskent University in Ankara. Resuscitation. 2003;58:187-192.
29. 29. Zinckernagel L, Malta Hansen CM, Rod MH, Folke F, Torp-Pedersen C, Tjørnhøj-Thomsen T. What are the barriers to implementation of cardiopulmonary resuscitation training in secondary schools? A qualitative study. BMJ Open. 2016;6:e010481.
30. 30. Cheung BM, Ho C, Kou KO, Kuong EE, Lai KW, Leow PL, et al. Knowledge of cardiopulmonary resuscitation among the public in Hong Kong: Telephone questionnaire survey. Hong Kong Med J. 2003;9:323-328.
31. 31. Khan A, Shaikh S, Shuaib F, Sattar A, Samani SA, Shabbir Q, et al. Knowledge attitude and practices of undergraduate students regarding first aid measures. J Pak Med Assoc. 2010;60:68-72.
32. 32. Gok F, Kılıcaslan A, Topal A, Yavsan DM, Yosunkaya A. An assessment of the current knowledge of nurses, staffed in intensive care units, about airway management and basic life support. J Chest Dis Crit Care Med. 2014;1:56-60.
33. 33. Celikli S, Yıldırım GO, Eksi A. Evaluation of current basic life support information of health personnel. Turkey Emergency Medicine J. 2012;12:129-133.
34. 34. Erkan M, Goz F. Determination of the level of knowledge of teachers' first aid. Journal of Anatolia Nursing and Health Sciences. 2006;9:63-68.
35. 35. Ghrayeb FA, Amro NRN, Rahseed O, Yagi H, Amro R, Amro B. Knowledge and attitude of basic life support (BLS) among school teachers in Hebron. Palestine IJRMS. 2017; 5: 2477-2482.
36. 36. Mpotos N, Vekeman E, Monsieurs K, Derese A, Valcke M. Knowledge and willingness to teach cardiopulmonary resuscitation: A survey amongst 4273 teachers. Resuscitation. 2013;84:496-500.
37. 37. Juha N, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000;47:179-184.
38. 38. Weisfeldt ML, Sitlani CM, Ornato JP, Rea T, Aufderheide TP, Davis D, 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. J Am Coll Cardiol. 2010;55:1713-1720.
39. 39. Taniguchi T, Sato K, Kurita A, Noda T, Okajima M. Attitudes toward automated external defibrillator use in Japan in 2011. J Anesth. 2014;28:34–37.
40. 40. Nolan JP, Soar J, Zideman DA, Biarent D, Bossaert LL, Deakin C, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. Resuscitation. 2010;81:1219-1276.