Department of Emergency Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
Emergency and Trauma Centre, KPJ Johor Specialist Hospital, Johor Bahru, Johor, Malaysia.
Int Emerg Nurs. 2022 Sep;64:101214. doi: 10.1016/j.ienj.2022.101214. Epub 2022 Jul 21.
The COVID-19 pandemic is an international public health emergency. As hospitals receive more severe forms of COVID-19 that necessitate resuscitation, emergency health care workers (HCW) must follow interim COVID-19 resuscitation guidelines.
The aim is to evaluate the levels of knowledge, attitude, and practice among emergency HCW of the COVID-19 resuscitation protocol by the European Resuscitation Council (ERC).
A cross-sectional study using a validated questionnaire was conducted among HCW in the emergency department of University of Malaya Medical Centre (UMMC), Malaysia from April to June 2021.
A total of 159 respondents were included in the analysis (89% response rate). Sixty-eight percent of respondents had adequate knowledge regarding COVID-19 resuscitation. Majority of the respondents had knowledge on airborne-precaution personal protective equipment (PPE) (99%) and infection control measures (98%). Nearly 73% were pessimistic about the COVID-19 prognosis. Seventy-three percent of respondents thought an arrested COVID-19 patient may benefit from cardiopulmonary resuscitation (CPR) and 94% were willing to administer CPR provided airborne-precaution PPE was available. Ninety percent of respondents reported adherence to resuscitation guidelines. There were significant differences in the mean knowledge scores between designation, education levels, and COVID-19 training. Overall, the respondents' level of practice was insufficient (27%), with a mean score of 53.7%(SD = 14.7). There was a lack of practicein the resuscitation oftheintubatedand patients who were beingprone. There was insufficient practice about ventilation technique, use ofsupraglotticdevices, and intubation barriers. There was a positive correlation between adequate knowledge and good practice.
Emergency HCW have adequate knowledge, but poor compliance to the ERC COVID-19 guidelines. Emergency HCW were willing and confident to resuscitate COVID-19 patients, despite fears of nosocomial infection and expectation of poor patients' prognosis. Ongoing education and trainingprogramsare recommended to improve their knowledge, cultivate a positive attitude, andachievegood compliance with COVID-19 resuscitation guidelines.
COVID-19 大流行是一场国际公共卫生紧急事件。随着医院接收更多需要复苏的严重形式的 COVID-19，急救卫生保健工作者（HCW）必须遵循 COVID-19 复苏临时指南。
评估急救 HCW 对欧洲复苏委员会（ERC）COVID-19 复苏方案的知识、态度和实践水平。
2021 年 4 月至 6 月期间，在马来西亚马来亚大学医学中心（UMMC）的急诊科，采用经过验证的问卷对 HCW 进行了横断面研究。
共纳入 159 名应答者进行分析（应答率为 89%）。68%的应答者对 COVID-19 复苏有足够的认识。大多数应答者了解空气传播预防个人防护设备（PPE）（99%）和感染控制措施（98%）。近 73%的人对 COVID-19 的预后持悲观态度。73%的应答者认为 COVID-19 已停止呼吸的患者可能受益于心肺复苏（CPR），如果提供空气传播预防 PPE，94%的人愿意进行 CPR。90%的应答者报告遵守复苏指南。在职称、教育程度和 COVID-19 培训方面，知识得分的平均值存在显著差异。总体而言，应答者的实践水平不足（27%），平均得分为 53.7%（SD=14.7）。对插管和俯卧位患者的复苏、通气技术、使用声门上设备和插管障碍的实践不足。知识充足与良好实践之间存在正相关。
急救 HCW 具有足够的知识，但对 ERC COVID-19 指南的遵守情况不佳。尽管担心医院感染和对患者预后不佳的预期，急救 HCW 仍愿意并有信心对 COVID-19 患者进行复苏。建议开展持续的教育和培训计划，以提高他们对 COVID-19 复苏指南的知识、培养积极的态度，并实现良好的依从性。
