A
research
report
submitted
to
the
Faculty
of
Health
Sciences,
University
of
the
Witwatersrand,
in
partial
fulfilment
of
the
requirements
for
the
Degree
of
Master
of
Medicine
in
Anaesthesia
Johannesburg,
2015 / The
aim
of
this
study
was
to
describe
the
resuscitation
skills
profile
and
self-‐perceived
adequacy
of
resuscitation
skills
of
registrars
in
four
major
disciplines
in
the
Faculty
of
Health
Sciences
at
Wits:
anaesthesiology,
general
surgery,
orthopaedic
surgery
and
obstetrics
and
gynaecology.
The
study
focused
mainly
on
the
popular
BLS,
ACLS
and
ATLS
resuscitation
courses.
A
prospective,
contextual,
descriptive
study
design
was
used.
An
anonymous
questionnaire
was
distributed
to
registrars.
Information
collected
included
demographics,
resuscitation
course
qualifications,
self-‐perceived
adequacy
of
resuscitation
skills,
and
any
impediments
to
completing
a
resuscitation
course.
One
hundred
and
ninety
(n=190)
participants
were
entered
into
the
study.
BLS,
ACLS
and
ATLS
courses
were
completed
by
161,
133
and
106
participants
respectively.
There
was
a
high
inter-‐disciplinary
difference
in
completion
rates.
Of
participants
who
had
completed
BLS,
ACLS
and
ATLS
courses,
25.55%,
34.59%,
68.88%
were
current
in
their
certification
respectively.
Registrars
cited
a
lack
of
time
(59.47%),
cost
(36.32%)
and
inability
to
take
leave
(28.42%)
as
the
main
impediments
to
completion
of
a
resuscitation
course.
The
majority
of
participants
(65,79%,
n=125)
felt
that
their
resuscitation
skills
were
adequate.
Registrars
were
less
confident
in
managing
anaphylaxis
and
dysrhythmia
than
inserting
a
CVP,
or
managing
shock
or
airway.
Registrars
who
had
previously
completed
either
ACLS
or
ATLS
were
more
confident
inserting
a
CVP
(p=0.0024),
managing
dysrhythmia
(p=0.0008)
and
managing
an
airway
(p=0.0166)
than
those
who
had
not
completed
any
courses
at
all.
While
a
high
level
of
completion
of
BLS,
ACLS
and
ATLS
courses
was
found
in
the
surveyed
registrars,
the
rate
of
current
certification
was
low.
There
was
a
high
overall
reported
level
of
confidence
in
resuscitation
skill.
A
number
of
impediments
exist
for
registrars
to
complete
resuscitation
courses.
More
certification
and
re-‐certification
in
resuscitation
courses
is
required.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/18477 |
| Date | January 2015 |
| Creators | Ravid, Nadav Binyamin |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | application/pdf |
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