An Evaluation of Nurses’ Adherence to CPR Protocols in Emergency Departments at Federal Medical Centre, Gombe
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- NGN 5000
Background of the Study
Cardiopulmonary resuscitation (CPR) is a critical emergency procedure performed to preserve brain function and maintain blood circulation in individuals experiencing cardiac arrest. The effectiveness of CPR significantly influences patient survival rates, making adherence to established CPR protocols essential for healthcare providers, especially nurses in emergency departments.
In Nigeria, studies have indicated varying levels of CPR knowledge and practice among healthcare professionals. For instance, research conducted in Benin City revealed poor knowledge of CPR among doctors and nurses, with nurses demonstrating significantly lower proficiency levels.
This underscores the need for continuous training and evaluation of CPR practices among nursing staff. At the Federal Medical Centre (FMC) in Gombe, the adherence of nurses to CPR protocols has not been extensively studied. Understanding the current level of adherence is crucial for identifying gaps in knowledge and practice, which can inform targeted interventions to improve patient outcomes during cardiac emergencies.
Statement of the Problem
Despite the critical importance of CPR in emergency care, there is evidence suggesting that many nurses may lack adequate knowledge and skills to perform CPR effectively. A study assessing CPR knowledge among nurses in Namibia found that a significant number were unaware of the appropriate time required to check for a pulse before initiating CPR, with 94% of respondents agreeing that it should be done after 25 seconds, contrary to standard guidelines.
At FMC Gombe, the extent to which nurses adhere to established CPR protocols remains unclear. This lack of clarity poses a potential risk to patient safety, as deviations from recommended CPR procedures can lead to suboptimal outcomes. Therefore, it is imperative to evaluate nurses' adherence to CPR protocols to identify areas needing improvement and to implement strategies that enhance compliance and proficiency in life-saving procedures.
Objectives of the Study
1. To assess the level of adherence to CPR protocols among nurses in the emergency departments at FMC Gombe.
2. To evaluate the knowledge and skills of nurses regarding current CPR guidelines.
3. To identify barriers that hinder effective adherence to CPR protocols among nursing staff.
Research Questions
1. What is the current level of adherence to CPR protocols among nurses in the emergency departments at FMC Gombe?
2. How knowledgeable and skilled are the nurses concerning the latest CPR guidelines?
3. What factors impede nurses' adherence to established CPR protocols?
Research Hypotheses
1. H₀: There is no significant adherence to CPR protocols among nurses in the emergency departments at FMC Gombe.
2. H₀: Nurses at FMC Gombe possess inadequate knowledge and skills regarding current CPR guidelines.
3. H₀: There are no significant barriers affecting nurses' adherence to CPR protocols at FMC Gombe.
Scope and Limitations of the Study
This study focuses on nurses working in the emergency departments of FMC Gombe, assessing their adherence to CPR protocols, knowledge levels, and identifying barriers to effective practice. The study does not include other healthcare professionals or departments within the hospital. Limitations may include self-reported data, which could be subject to bias, and the cross-sectional nature of the study, which captures information at a single point in time.
Definition of Terms
• Cardiopulmonary Resuscitation (CPR): An emergency procedure involving chest compressions and artificial ventilation to maintain circulatory flow and oxygenation during cardiac arrest.
• Adherence: The extent to which healthcare providers follow established protocols or guidelines.
• Emergency Department: A medical treatment facility specializing in emergency medicine and acute care for patients without prior appointments.
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