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5 The study participant’s practice regarding Basic Life Support

5 The study participant’s practice regarding Basic Life Support

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Table 5: Study participants practice of Basic Life Support in the study assessment of KAP
regarding BLS among dental internes at selected health science colleges, Addis Ababa,
Ethiopia 2017.

Variable

Frequency (n)

%

Ever performed MMV on doll

Yes (n)
0

No (n)
114

Yes (%)
0

No (%)
100

Done Chest compression on doll

63

51

55.3

44.7

Done CPR/BLS on a patient

0

114

0

100

Done MMV on a patient

0

114

0

100

Done Chest compression on a
patient

0

114

0

100

5.6 Association of knowledge with independent variables
Binary Logistic regression was performed to assess the association of each independent variable
with BLS knowledge of dental interns. The factors that showed a p-value of 0.2 and less were
added to multivariate regression model. This consists of; Sex of the dental interns.
In the Multivariate regression analysis it was found that female dental medicine internes have
shown to have five times more BLS knowledge than the male dental medicine internes with
AOR=5.3299, at95% CI (2.373, 12.282).

22

Table6: Bivariate and multivariate logistic regression analysis of Knowledge status and the
independent Variables

Category

Knowledge Status
Sufficient
Insufficient
n(%)
n(%)
56(49.1%)
58(50.88%)

OR 95%CI
COR

AOR

5.399(2.373,
12.282)

Sex
M

42

21

5.286(2.356,11.856)

F

14

37

1

5.7 Association of attitude of dental internes towards BLS with independent
variables

Binary Logistic regression was performed to assess the association of each independent variable
with attitude of dental internes towards BLS. The factors that showed a p-value of 0.2 and less
were added to multivariate regression model. This consists of; the dental School at which the
dental interns studying at and clinical experience of the dental internes.
The model contained two independent variables. The result revealed that those dental internes
with less than 5 years clinical experience are more likely to have positive attitude towards BLS;
with AOR=0.157 at 95 CI (0.062,0.399).

Table 7: Bivariate and multivariate logistic regression analysis of Attitude and the
independent Variables
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Category

Attitude
Negative
n(%)
75(65.79%)

OR 95%CI
Positive
n(%)
39(34.21%)

COR

AOR

School
AAU
AHSC
Clinical
experience
None
Less than 5
years
Between 5
and 10 years

15

4

60

35

25

0

37

12

13

27

.457(.141, 1.486)
1

1

1

.156(.062,.395)

.157(.062,
.399)
0

.000

24

6. Discussion
This study emphasized on assessing the Knowledge, attitude, practice and skill of BLS of dental
interns. Health professionals should have sound knowledge and skills regarding BLS. Response
rate of the study were found to be consistently poor when compared with other studies, still in
our study many knowledge gaps were found among dental interns regarding BLS/CPR.
Certain domains where majority of study subjects gave incorrect answer were: Have you ever
had any prior training in BLS, Chest compression: Ventilation in infants is 30:2; Location for
chest compression in infants is one finger Breadth below the nipple line, depth of chest
compression in adults is 2-3 inches, compression depth in infant is about 1and 1/2 inches, and
ARD stands for Emergency Medical Services.

Most of the participants 89 (78.1%) thought that BLS/CPR should be included in the
undergraduate dental medicine curriculum. Results were consistent with other studies which
were done in similar population Pillow et al. (2014) and Roshana et al. (2012) Moreover, Zaheer
and Haque (2009) showed that a large number of participants (79%) were of the opinion that
training of BLS should be a part of the curriculum. Similarly in the study by Ohoud A. et al most
of the participants 425 (93.6 %) thought that dentists and dental students should know about BLS
and that it should be included in the undergraduate dental curriculum (30).
This study revealed that 56 (49.1%) of the participants have answered ≥ 50% of the knowledge
questions correctly in which they are classified as having sufficient knowledge whereas 58
(50.88%) have answered < 50% of the knowledge questions correctly. These findings were
consistent with those of the study conducted by Raghav et al (26).

This study also suggested that those with prior training in BLS had better knowledge, which is
consistent with a study conducted by Sudeep et al (8) which demonstrated the improvement of
knowledge and skills of CPR after BLS training.
25

Female dental medicine internes were found to have 5 times more knowledge than male dental
medicine internes in this study; which is consistent with a similar study conducted by Ohoud A.
et al in Saudi Arabia in which significantly higher knowledge score was observed among
females than males (30).
In this study 75 (65.79%) of the study participants were found to have negative attitude towards
BLS, whereas 39 (34.21%) were found to have positive attitude towards BLS. This is in contrary
to a study conducted in India, the attitude of interns, 69 (67.6%) had positive attitude towards
BLS and 33 (32.4%) had negative attitude towards BLS (16). This might be related to lack of
BLS training and practice at the dental schools.

In contrary to a study conducted by Varma L et al. (25) in which 50.5% of the dentists were
confident in managing any emergency condition at their dental offices, which was also similar to
the findings in other study done by Muller and Broadbent (22). In this study only 26 (22.8 %) of
the dental medicine internes reported as being confident to provide chest compression and the
majority 38 (33.3%) reported as likely when rating their level of confidence. The remaining 50
(43.2 %) of the study participants have said they aren’t confident. This is related to the lack of
practice and inadequacy of BLS training.

Similar to the study conducted by Ohoud A. et al which showed that 63.2 % reluctance of the
study participants to perform resuscitation; this study also revealed that 50 % of the study
participants reported as being reluctant to perform resuscitation.
In this study all of the dental medicine interns 100 % never have performed MMV on a doll or
actual patient or have done CPR; which is in contrast to a study conducted to assess the
preparedness of dental practitioners toward medical emergencies by enquiring about the key start
points such as medical history, drug history, vital signs of the patients, and availability of
emergency drug kits at their dental office. 94.02% of the total practitioners enquired about
medical and drug history, but only 67.11% of them obtained filled Performa and about 83.06%
recorded vital signs. All the above findings were high when compared to a similar study
conducted by Kumarswami et al. which was mainly due to increase in the awareness regarding
medical emergencies among dentists (25).
26

7: Conclusion, Recommendation and Limitations of the study
7.1: Conclusion and Recommendations
Knowledge and Practice skills of BLS were found to be poor among the dental internes in the
study. A significant portion of the study participants have shown negative attitude towards
providing BLS.
An organized curriculum for BLS should be part of the dental medicine curriculum with much
higher emphasis. Workshops on a regular basis should be focused on skills of BLS for dental
students.
Trainees might not acquire adequate knowledge in a single session of training. Repeated training,
hands-on practice and practical demonstrations are equally necessary for acquiring practical
knowledge.

7.2: Limitations
As the sample size for the study is small only (120) the results might lack representativeness.
Since the data was collected by using a structured questionnaire; there might be a chance of getting a false
response. So to overcome this problem and to objectively assess the practice of dental interns towards
BLS in future it will be good to employ observational study. The other limitation was the time given for
the study is short.

Other than the above mentioned limitations; to the best of our knowledge the study have assessed
the

KAP

of

dental

internes

regarding

27

BLS

in

Addis

Ababa,

Ethiopia.

References
1.

Marsden AK. Guidelines for Cardiopulmonary Resuscitation Basic Life Support Revised
recommendations of the Resuscitation Council (UK) BMJ. 1989;299: 442–445.

2.

Shanta Chandrasekaran, Sathish Kumar, Shamim Ahamed Bhat, Saravana Kumar, P
Mohammed Shabbir, VP Chandrasekaran. Awareness of basic life support among
medical, dental, nursing students and doctors. India Journal of Anesthesia 2010; 54:1216.

3.

AJ Handley. Guidelines for basic life support. BMJ; 1993; 306:1587-9.

4.

H. Sarin, D. Kapoor. Adult basic life support. Indian J Crit Care Med 2006; 10:95-104.

5.

HT Srinivas, Nalini Kotekar, Sindhu R Rao. A survey of basic life support awareness
among final year undergraduate medical, dental, and nursing students. International
Journal of Health and Allied Sciences 2014; 3:91-94.

6.

Ji Ung Na, Min Seob Sim, Ik Joon Jo, Hyoung Gon Song, Keun Jeong Song. Basic life
support skill retention of medical interns and the effect of clinical experience of
cardiopulmonary resuscitation. Emergency Medical Journal 2012; 29:833-837.

7.

Neha Baduni, Prem Prakash, Dhirendra Srivastava, Manoj Kumar Sanwal, Bijender Pal
Singh. Awareness of Basic life Support among Dental Practitioners National Journal of
Maxillofacial Surgery 2014; 5:19-22.

8.

S. Elanchezhiyan, Awareness of Dental Office Medical Emergencies Among Dental
Interns in Southern India: An Analytical Study. Journal of Dent Educ. March 2013;
77(3): 364-69.

9.

Carvalho RM, Costa LR, Marcelo VC. Brazilian dental students’ perceptions about
medical emergencies: a qualitative explorative study. Journal of Dent Educ. 2008;
72(11): 1343-49.

10.

Gonzaga HF, Buso L, Jorge MA, Gonzaga LH, Chaves MD, Almedia OP. Evaluation of
knowledge and experience of dentists of São Paulo State, Brazil about cardiopulmonary
resuscitation. Brazil Dent Journal. 2003; 14: 220-22.)

28

11.

Owais Khalid Durrani BDS, FCPS, MOrth RCSEd, FFD RCSI, Associate Professor,
Department of Orthodontics, Islamic International Dental College and Hospital, Riphah
International University)

12.

Zamir Q, Nadeem A, Rizvi AH. Awareness of cardiopulmonary resuscitation in medicalstudents and doctors in Rawalpindi- Islamabad, Pakistan. J Pak Med Assoc 2012; 62:
1361–1364.

13.

Kandray DP, Pieren JA, Benner RW. Attitudes of Ohio dentists and dental hygienists on
the use of automated external defi brillators. Jornal of Dental Educ. 2007; 71: 480–486.

14.

Marsden AK. Guidelines for Cardiopulmonary Resuscitation Basic Life Support Revised
recommendations of the Resuscitation Council (UK). BMJ 1989; 299: 442–445.

15.

Steen P A, Kramer-Johansen J. Improving cardiopulmonary resuscitation quality to
ensure survival CurrOpinCrit Care. 2008; 14:299-304.

16.

Dhage Pundalika Rao Narayan, S. N Biradar, Mayurnath T Reddy & Sinjatha BK.
Assessment of knowledge and attitude about basic life support among dental interns and
postgraduate students in Bangalore city, India. Adapted from World Journal of
Emergency Medicine, 2015.

17.

M P Müller, M Hänsel, S N Stehr, S Weber, T Koch. A state-wide survey of medical
emergency management in dental practices: incidence of emergencies and training
experience. Emerg Med J 2008;25:296-300 doi:10.1136/emj.2007.052936

18.

Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar Shabbir PM, Chandrasekaran V.
Awareness of basic life support among medical, dental, nursing students and
doctors. Indian J Anaesth. 2010;54:121–126. [PMC free article] [PubMed]

19.

Atherton GJ, McCaul JA, Williams SA. Medical emergencies in general dental practice
in Great Britain. Part 3: Perceptions of training and competence of GDPs in their
management. Br Dent J.1999; 186: 234-7.

20.

Sopka S, Biermann H, Druener S, Skorning M, Knops A, Fitzner C, et al. Practical skills
training influences knowledge and attitude of dental students towards emergency medical
care. Eur J Dent Educ 2012;16:179-86.

29

21.

Jodalli PS, Ankola AV. Evaluation of knowledge, experience and perceptions about
medical emergencies amongst dental graduates (Interns) of Belgaum city, India. J Clin
Exp

Dent

2012;4:e14-

8. http://www.medicinaoral.com/odo/volumenes/v4i1/jcedv4i1p14.pdf
22.

Morrison AD, Goodday RH. Preparing for medical emergencies in the dental office. J
Can Dent.Assoc.1999;65:2846.

23.

Broadbent JM, Thomson WM. The readiness of New Zealand general dental practitioners
for medical emergencies. N Z Dent J 2001;97:82-6.

24.

Varma L S, Pratap K, Padma T M, Kalyan V S, Vineela P. Evaluation of preparedness
for medical emergencies among dental practitioners in Khammam town: A crosssectional study. J Indian Assoc Public Health Dent [serial online] 2015 [cited 2017 Jan
18]; 13:422-8. Available from: http://www.jiaphd.org/text.asp?2015/13/4/422/171178

25.

Gbotolorun OM, Babatunde LB, Osisanya O, Omokhuale E. Preparedness of government
owned dental clinics for the management of medical emergencies: A survey of
government dental clinics in Lagos. Nig Q J Hosp Med 2012; 22:263-7.

26.

Shrestha Roshana, Batajoo KH, Piryani RM, Sharma MW.Basic life support: knowledge
and attitude of medical/paramedical professionals. World J Emerg Med. 2012; 3(2): 141–
145.

27.

Osinaike BB, Aderinto DA, Oyebamiji EO, Dairo MD, Diya KS. Evaluation of
knowledge of doctors in Nigerian tertiary hospital about CPR. Nigerian Medical
Practitioner. 2007;52: 16–18.

28.

Elif AA, Zeynep K. Knowledge of basic life support: a pilot study of the Turkish
population by Baskent University in Ankara. Resuscitation. 2003;58: 187–192. [PubMed]

29.

Laurent F, Augustin P. Managing a cardiac arrest: evaluation of final year predoctoral
dental students. J Dent Educ. 2009; 73: 211-8.

30

30.

Ohoud Alotaibi , Faizah Alamri, Laila Almufleh, Wedad Alsougi. Basic life support:
Knowledge and attitude among dental students and Staff in the College of Dentistry,
King Saud University. The Saudi Journal for Dental Research (2016) 7, 51–56

Annex

Annex I. Information Sheet

Research Topic: Assessment of KAP towards BLS among dental medicine interns in
selected Health Science Colleges, Addis Ababa Ethiopia, 2017.
Investigator: Abubeker Hussen

Dear Respondent:
I am a Masters student at AAU, School of Medicine, Department of Emergency Medicine and
Critical Care. I kind heartedly request you to participate in a study that is aimed at assessing the
knowledge, Attitude and Practice of Dental interns towards BLS in Selected Health Science
Colleges in Addis Ababa.
Participation in this study is voluntary; you can also withdraw at any time from the study if you
feel uncomfortable. Refusal to participate will not affect your work or care you shall seek at any
of the health facilities in any way. Confidentiality will be ensured by not using your name or
address on the questionnaire. There are no risks involved in participating in this study.
The study has no immediate benefits to the respondents, but will have benefits later in improving
the knowledge of schools in long runs by implementation of study findings at time of training in
higher institutions.
31

I welcome any question if you have any about the study and your participation. Should you have
any questions about the research or any related matters, please contact the researcher at
Phone no:

+251-911616512

Email:Sweetabuki@gmail.com

32