A Qualitative Study Of Emergency Nurses’ Basic Life Support Practices In A Ghanaian University Hospital

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PDF    Published May 25, 2021    DOI https://doi.org/10.37341/jkg.v0i0.217      Abstract viewed: 42   PDF viewed: 35  
Alex Darteh Afrifa
Mohammed Najimudeen Abdulai
James Kojo Prah



Background: Medical emergencies are common but Sudden Cardiac Arrest (SCA) incidences are rare; yet when they occur could be life threatening leading either to disability or death. During SCA incidents, health care professionals will be required to act skilfully and swiftly to restart the heart and stabilise the patient until advanced care can be accessed or provided. There is evidence that victims of cardio and/or respiratory arrest whilst in the hospital will have improved outcomes if Cardiopulmonary Resuscitation (CPR) is initiated within three to five minutes. The objectives of this study were to find if emergency nurses were adequately resourced to practice Basic Life Support (BLS), and the ease or difficulties with which they practice BLS.

Methods: This Qualitative Descriptive (QD) study was conducted at the University of Cape Coast Hospital (UCCH) between June and September 2019. Six nurses were purposively recruited for the study. All interviews were audio-recorded and transcribed verbatim. The transcription was done with Microsoft Word and transferred to Microsoft Excel for thematic analysis using an inductive descriptive approach. Data analysis took a conventional qualitative content analysis approach.

Results: Four of the participants were females whilst two were males. During data aggregation and analysis, 17 first-level codes were extracted from which two themes, five categories and six subcategories were obtained for discussion. The major themes were: (1) Basic Life Support (BLS) equipment and material resources, and (2) working environment and human resource.

Conclusion: The study found that nurses working at emergency ward at UCCH were adequately resourced and well prepared to practice BLS. They however had challenges as their work seem to be hindered by patients who present to the ward without emergency needs and unavailability of emergency drugs.

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How to Cite
Afrifa, A., Abdulai, M., & Prah, J. (2021). A Qualitative Study Of Emergency Nurses’ Basic Life Support Practices In A Ghanaian University Hospital. (JKG) Jurnal Keperawatan Global, 9-18. https://doi.org/10.37341/jkg.v0i0.217


Abicho, T. B. (2017). Causes of Overcrowding and NEDCOS Score at Resource Limited Setting: Experiance from Ethiopian Teritary Care Hospital Emergency Center. Prehospital and Disaster Medicine, 32(S1), S32–S33. https://doi.org/10.1017/S1049023X17001030

Afaya, A., Bam, V., Azongo, T. B., Afaya, R. A., Yakong, V. N., Kpodo, G. K., Kaba, R. A., Nangsire Zinle, D. A., Tayuu, D. K., Asantewaa, S. & Adatara, P. (2021). “We are left with nothing to work with”; challenges of nurses working in the emergency unit at a secondary referral hospital: A descriptive qualitative study. PLoS ONE, 16(2 February), 1–12. https://doi.org/10.1371/journal.pone.0247062

American College of Emergency Physicians (ACEP). (2019). Crowding. Dallas, TX: American College of Emergency Physicians.

Atakro, C. A., Ninnoni, J. P., Adatara, P., Gross, J., & Agbavor, M. (2016). Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana. Emergency Medicine International, 1–7. https://doi.org/10.1155/2016/6082105

Guba, E. G., & Lincoln, Y. S. (1994). Competing Paradigms in Qualitative Research. In N. K. Denzin & Y. S.Lincoln (Ed.), Handbook of qualitative research (pp. 105–117). Thousand Oaks, CA: Sage. https://doi.org/http://www.uncg.edu/hdf/facultystaff/Tudge/Guba%20&%20Lincoln%201994.pdf

Guetterman, T. C., Kellenberg, J. E., Krein, S. L., Harrod, M., Lehrich, J. L., Iwashyna, T. J., Kronick, S. L., Girotra, S., Chan, P. S., & Nallamothu, B. K. (2019). Nursing roles for in-hospital cardiac arrest response: higher versus lower performing hospitals. BMJ Quality & Safety, 28(11), 916–924. https://doi.org/10.1136/bmjqs-2019-009487

Kouwenhoven, W. B., Jude, J. R., & Knickerboker, G. G. (1960). Closed-chest cardiac massage. JAMA, 173, 1064–1067. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14411374

Lincoln, Y. S. & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.

Neergaard, M. A., Olesen, F., Andersen, R. S., & Sondergaard, J. (2009). Qualitative description-the poor cousin of health research? BMC Medical Research Methodology, 9(1), 1–5. https://doi.org/10.1186/1471-2288-9-52

Peberdy, M. A., Kaye, W., Ornato, J. P., Larkin, G. L., Nadkarni, V., Mancini, M. E., … Lane-Trultt, T. (2003). Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation, 58(3), 297–308. https://doi.org/10.1016/S0300-9572(03)00215-6

Perkins, G. D., Handleyc, A. J., Kosterd, R. W., Castréne, M., Smytha, M. A., Olasveengeng, T., Monsieursh, K. G., Raffay V., Gräsnerk, J., Wenzell, V., Ristagnom, G., & Soar, J. (2015). European Resuscitation Council Guidelines for Resuscitation 2015. Section 2. Adult basic life support and automated external defibrillation. Resuscitation, 95, 81–99. https://doi.org/10.1016/j.resuscitation.2015.07.015

Sandelowski, M. (2000). Focus on research method: Whatever happend to Qualitative Description. Research in Nursing & Health, (23), 334–340. https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G

Sandelowski, M. (2010). What ’ s in a Name ? Qualitative Description Revisited, (December 2009), 77–84. https://doi.org/10.1002/nur.20362

Saramma, P. P., Suja, R. L., P. K. Dash, P. K., & Sarma, P. S. (2016). Assessment of Long-Term Impact of Formal Certified Cardiopulmonary Resuscitation Training Program among Nurses. Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 20(4), 226–232. https://doi.org/10.4103/0972-5229.180043

Stang, A. S., Crotts, J., Johnson, D. W., Hartling, L., & Guttmann, A. (2015). Crowding measures associated with the quality of emergency department care: A systematic review. Academic Emergency Medicine, 22(6), 643–656. https://doi.org/10.1111/acem.12682

Tunstall-Pedoe, H., Bailey, L., Chamberlain, D. A., Marsden, A. K., Ward, M. E., Zideman, D. A. (1992). Survey of 3765 cardiopulmonary resuscitations in British hospitals (the BRESUS Study): methods and overall results. BMJ, 304(1347). https://doi.org/http://www.bmj.com/content/304/6838/1347.pdf%2Bhtml

UC Davis Health. (2021). Center for Professional Practice of Nursing Resources. Retrieved from https://health.ucdavis.edu/cppn/resources/clinical_skills_refresher/crash_cart/