Influence of Healthcare Provider Training on the Survival Rate of Cardiac Arrest Among Adults in Kenya

Abstract

The study purpose was to determine the influence of healthcare provider training on the survival rate of cardiac arrest among adults in Kenya. A cross-sectional design was used to collect data from 402 nurses in Machakos Level 5 Hospital, Muranga Level 5 Hospital, and the Aga Khan University Hospital, Nairobi. Descriptive and inferential statistics were examined and the findings were presented through tables, figures, and explanations. The major results of the questionnaire provided 280(77%) nurses were of a positive opinion on the relevance of CPR in their work jurisdiction. Therefore, out of 191(60%) who attended CPR training, 143(45%) had completed the training to get a certificate. Further, 207(64%) had acquired BLS training and 170(53%) had heart saver training. In the training, 273(85%) noted that they had gained teamwork skills while at the same time, 285(88%) said that they were able to use patient simulators that enabled them to gain relevant skills applicable during actual occurrence. That notwithstanding, 193(60%) had no training in ACLS while 186(58%) did not get life support training every 2 years. More discouraging was that 149(46%) never got a chance to put into

practice their CPR skills at a team-based CRP event therefore .145(45%) lacked the actual real- life experience to respond to a CPR. It was also noted that 188(59%) nurses were not in a

position to administer medication in a CPR occurrence since they lacked training in advanced life support. Further, the regression results indicated that the Pearson correlation coefficient of r was 0.495** at α < 0.002 and 99% significance level. Therefore, since the correlation values were less than 1 and significance level was less than 0.05, the study rejected the null hypothesis. It was concluded that healthcare provider training had a significant influence on the survival rate of cardiac arrest among adults. Healthcare providers lacked advanced professional skills such as ACLS training and lacked the zeal and discipline to consistently attend CPR training every 2 years. Hospitals were noted to have poor implementation of policies that guided the correct exposure to CPR management to all healthcare providers. The recommendations on the healthcare provider training are that the hospital management should enact learning and development policies that make it mandatory for various staff in different units to attend CPR training. Additionally, the medical staff should improve awareness through internal forums such as hospital workers' unions on the need to acquire advanced professional skills such as ACLS training.