Ahfad University for Women
Master of Public Health
Batch 5
Health Policy and Management Track
Knowledge attitude and
practice of
cardiopulmonary
resuscitation among
Medical Officers in
Teaching hospitals in
Omdurman city
By: Alaa Alshfee Abdalgader Jadalla
Introduction
Background:
Basic life support (BLS) is refer to care healthcare providers and public safety professionals
provide to patients who have experience respiratory arrest, cardiac arrest or air way
obstructi
on.It
includes
psychom
otor skills for performing high quality cardiopulmonary resuscitation (CPR), using an automated
external defibrillator (AED) and reliving an obstructed airway for all ages( American Red Cross,
2015).
CRP as one BLS components – is an emergency lifesaving procedure and copmoses of further
three consequence steps which is chest compression, keeping airway patent and ventilation
abreviated to CAB ( fot Compression, Airway and Breathing).
The purpose of CPR is to bring oxygen to the victim's lungs ( through ventilation methods)and
to keep blood circulating ( through chest compression) so oxygen gets to every part of the body.
CPR is a critical step in American Heart Association's (AHA) cardiac chain of servival which
composes of:
Adult cardiac chain of servival:
1-Recognition of cardiac arrest and activation of the emergency response system.
2-Early CPR with an emphasis on chest compressions.
3-Rapid defibrillation.
4-Basic and advanced emergency medical services.
5-Advanced life support and post-cardiac arrest care.
Pediatric cardiac chain of servival:
1- Prevention of arrest.
2-Early high quality CPR.
3-Rapid activation of emergency medical services system or response team to get help on the
way quickly.
4-Effective advanced life support.
5-Integrated post cardiac arrest care.
A strong Chain of Survival can improve chances of survival and recovery for victims of cardiac
arrest( AHA, 20).
In AHA cardiac chain of survival High-quality CPR should be performed by anyone - including
bystanders, and has a five critical components:
1-Minimize interruptions in chest compressions.
2-Provide compressions of adequate rate and depth (100-120/minutes for rate and not less
than 2 inch and not more than 2.4 inch for depth).
3-Avoid leaning on the victim between compressions.
4-Ensure proper hand placement.
5-Avoid excessive ventilation.
Problem statement:
Literature review:
Objectives:
General objectives:
To assess knowledge, attitude and practice of cardiopulmonary resuscitation
among pediatrics Registrars in pediatric hospitals in Omdurman city.
Specific objectives:
1- To assess knowledge of cardiopulmonary resuscitation among medical
officers in teaching hospitals in Omdurman city.
2- To assess attitude toward cardiopulmonary resuscitation among medical
officers in teaching hospitals of Omdurman city.
3- To assess practice of cardiopulmonary resuscitation among medical officers
in technical hospitals of Omdurman city.
4- To identify factors associated with knowledge attitude and practice of
medical officers in teaching hospitals of Omdurman city.
Methodology
Study design:
Institutional based cross sectional study
Study area:
Teaching hospitals of Omdurman city; one of the three cities making the
Khartoum state the capital of sudan. Omdurman has 7 secondary and tertiary
teaching hospitals with different specializations.
Study population:
All medical officers who work in Omdurman's city teaching hospitals.
Variables:
Variable
Operational describtion
Scale of measurement
Age
Age of medical officers Years
responders by years
Gender
Gender of medical officers Male/Female
responders
Marital status
Marital status of medical Single,
officers responders
married,
divorced/widowed
No response
Residence
Place
of
resident
medical
of Rural area, urban area
officers no response
responders
Department
Trauma,
Years of professional Numbers
experience
of
years
of Years
professional
experience
after
permanent
registration.
Knowledge
Percentage of correctly
answered questionsfrom
total questions
Attitude
Percentage of correctly
answered questionsfrom
total questions
Practice
Source of information
Inclusion criteria:
Medical officers in Omdurman's city teaching hospitals who have permanent
registration.
Exclusion criteria:
Medical officers in Omdurman's city teaching hospitals who don't have a
permanent registration.
Sample size:
Sample size (ss) will be calculated using Cochran equation:
ss = Z 2 * (p) * (1-p)/e2
At a confidence level of 95% Z will be 1.96, and the margin of error (e) will be
0.5.
The population proportion will be choice as 0.5.
So ss = 385 ≈ 400.
Sampling methods:
Multistage or cluster random sampling to choice from Omdurman's city
teaching hospitals by dividing Omdurman city into it 3 defined localities
( karari,Omdurman and Ombada), then it will be stratified random sampling
to determine presentation of each hospital department in the study sample.
Techniques for data collection:
Plan for data analsis and interpretation:
Ethical consideration:
Project management
Timetable:
Activity
Person
responsible
Timing
J
Writing research proposal
√
Pretest and refine research
√
F
M
tools
Pilot study
Data collection
Data entery cleaning and
analysis
√
√
√
A
Report writing
Dissemination of finding
√
√