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Identifier 000454819
Title Η πρακτική των αλγορίθμων και η δια βίου εκπαίδευση ιατρών, νοσηλευτών και διασωστών του νομού Χανίων στη βασική και εξειδικευμένη υποστήριξη της ζωής σε παιδιά και ενήλικες
Alternative Title The practice of algorithms and the lifelong training of doctors, nurses and rescuers of the prefecture of Chania in pediatric and adult basic and advanced life support
Author Αργυρακοπούλου, Μήνα
Thesis advisor Μπριασούλης, Γεώργιος
Reviewer Ηλία, Σταυρούλα
Αγγουριδάκης, Παναγιώτης
Abstract Background: The concept of emergency both for when it comes to its identification and its proper treatment troubles the medical community and constitutes one of the biggest sanitary challenges. The quality of treatment by the professionals in medical care correlates directly with the use of algorithm, therefore the integration, the preservation and the application of cognitive, behavioural, and psychokinetic attributes that are necessary for the successful revitalization of the patient. The lifelong education keeps the health care employees updated when it comes to modern practises and guidelines. A practise that is of vital importance for the best care of the patients. The importance of the aforementioned practise stems from studies that surveyed the level of education in paramedics, nurses, and doctors. Objective: The goal of this study, is first and foremost to record the current practice of the health workers in primary and secondary care as to the resuscitation of an emergency incident with the use of the algorithms for the adult and the young patients. To carry out the investigation, different departments of the general hospital of Chania were surveyed, as well as the primary centers, the local health unit, and the national emergency center of the district. Secondary aims of the study are to highlight the importance of the ongoing education in the resuscitation and the encouragement of the self-evaluation and the registration of proposals as to how it can be feasible. Methods: This is a cross sectional study conducted in Chania district by distributing a questionary of multiple choices, for which the respondents were called to answer anonymously. This was to evaluate their knowledge according to the up-to-date guidelines in basic and advanced life support. The sum was collected during a five-month period and included doctors, nurses, and paramedics. Results: The total of questionaries distributed was 380 from which 200 were fully filled. The 99 (49,5%) came from the hospital stuff, 57 (28,5%) from the primary centers, 25 (12,5%) from the national emergency center and only 19 (9,5%) from the local health unit. The highest percentage among the participants were women by 65% and had an average age of 40,811. Resuscitation technics were applied significantly more frequently by the paramedics (p=0,033) but a wider variety was applied by doctors (p=0,014). It is worth mentioning that approximately no one used the intraosseous injection from the members asked to participate in this study. On the other hand, the most common used practises were chest compressions and oxygen, especially among doctors. The CPR procedure is mentioned in the internal medicine and pneumonology clinic by the totality of the personnel during the last year. In contrary, the lowest percentages were found in the ICU (22%) and the paediatric (46%, p=0,035). In the total the given answers by the participants (19,96,1) varied in low plateau, with the paramedics (17,25,6) and nurses (18,15,7) answering correctly in less than half of the questions (20/40) when compared to doctors (22,65,6) (p<0,001). Being educated in several seminars of basic and advanced life support for adults mentioned by 86,5% (n=173) of the participants. Nevertheless, the portion of education in paediatric life support was low (21,5%) and did not fluctuate among the groups. Only the (30,3%) of doctors, the (26,3%) of nurses and the (13,8%) of paramedics reported a repetition of the seminar and 59% of them had complete the first one more than two years ago. Higher percentages of physicians (23.6%) and nurses (31.7%) characterize their knowledge of BLS as mediocre compared to rescuers (17.2%). The corresponding percentages of deficient knowledge for children's BLS also do not differ significantly between groups and are multiple for both physicians (37.1% moderate and 24.7% inadequate), nurses (32.9% and 23.2%, respectively) and rescuers (37.9% and 20.7%, respectively). The majority of the employees throughout health care facilities (96,6-97,6%) stated that they are willing to be part of lifelong education. Conclusion: The present study certifies that the expertise of the health care workers is below standard when it comes to complying to the current guidelines. The research demonstrates low educational levels when it comes to these protocols and a long period before the resurgence of knowledge. In conclusion, this study contributes to the lifelong education of health care professionals in basic and advanced life support for adults and children.
Language Greek
Subject ALS
ATLS
BLS
Αλγόριθμοι
Issue date 2023-04-05
Collection   School/Department--School of Medicine--Department of Medicine--Post-graduate theses
  Type of Work--Post-graduate theses
Permanent Link https://elocus.lib.uoc.gr//dlib/a/7/d/metadata-dlib-1681984753-456230-23042.tkl Bookmark and Share
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