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Identifier 000446577
Title Η πρακτική των αλγορίθμων και η δια βίου εκπαίδευση ιατρών, νοσηλευτών και διασωστών του νομού Λασιθίου 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 Lasithi in pediatric and adult basic and advanced life support
Author Λαμπρινάκη, Σωτηρία
Thesis advisor Μπριασούλης, Γεώργιος
Reviewer Ηλία, Σταυρούλα
Αγγουριδάκης, Παναγιώτης
Abstract Introduction For emergencies, the medical and nursing staff, using the appropriate algorithms and their acquired skills, follow a structural approach of initial assessment, resuscitation, and emergency treatment. Basic life support (BLS and PLS) includes recognizing a life-threatening condition and treating it appropriately. Advanced life support (ALS and APLS) includes advanced interventions, following basic life support (BLS / PLS) and the use of automatic external defibrillator. Lifelong education helps healthcare professionals acquire new skills, stay updated in their profession and deepen their knowledge. In fact, lifelong education is an opportunity, and a responsibility, as it allows healthcare professionals to provide safer and more effective care for their patients. Aim The aim of this study is to investigate the knowledge of health professionals of Emergency services – EMS, Primary healthcare, emergency departments and hospitals’ clinics in the prefecture of Lassithi on the structured approach of algorithms in emergencies of severe disease and serious trauma in children and adults and to demonstrate the need for better organization and continuing education in the field of life support. Methodology This is a cross-sectional study using a multiple – choice questionnaire, which assesses basic knowledge in emergency response (life support, resuscitation and emergency treatment for severe illness and trauma in adults and children), self-assessment in adequate knowledge and perception of participants on the importance and necessity of lifelong education. The sample consisted of the healthcare personnel of the prefecture of Lassithi and its collection took place from July to November 2021. Results 307 questionnaires were disseminated and 208 were returned completed. 75% of the health professionals who participated in the study were women (156/208) and their average age was 42.6±9 years. Most often the role of team leader was taken by the doctors (p <0.001) and the role of team member by the nurses (p = 0.019), with the rescuers being activated in both roles. Regarding the various skills used by health professionals, the most used procedures were CPR, defibrillation, and foreign body removal, while none of the participants had ever done an intraosseous needle insertion. Less than 40 questions were answered correctly by all health professionals who participated in the study (17.6±4.6) with the average value of correct answers falling below 50% (47.5±19.8%). Overall, physicians answered more than half of the 40 questions (21.9±4.9) correctly compared to nurses (16.9±4.2) and rescuers (15.5±2.2) (p <0.001). The percentages of correct answers per workplace department also differed significantly. Training in various basic or specialized adult life support seminars was reported by 72.1% (n = 150) of participants, while 10.5% of physicians and 39.4% of nurses had never been trained in a basic or advanced life support seminar. 63-80% of the employees do not report a repetitive training, while the few, who had attended a repetitive seminar, did so more than 2 years ago (p <0.001). Doctors and nurses of the cardiology clinic are more trained in advanced life support compared to all other workplace structures. Most participants stated that they wish to receive lifelong learning, regardless of their workplace (87.1-100%). Conclusions The present study demonstrates that the healthcare personnel’s knowledge is not of the required level to deal with emergencies. This weakness is related to the inadequate training they have received for these protocols and the passage of time since the last training. It is possible to provide lifelong training to doctors and nurses through appropriate, integrated, and repetitive training programs, as desired and proposed by the vast majority of healthcare personnel
Language Greek
Issue date 2022-03-30
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/e/b/2/metadata-dlib-1647251606-181531-10212.tkl Bookmark and Share
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