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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

23



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



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