Cardio-pulmonary resuscitations : perceptions, needs and barriers experiences by the registered nurses in Botswana
In Botswana, nurses play a major role in the provision of healthcare. Most of the time it is the professional nurses who frequently discover patients with cardiac arrests and it is necessary for them to be trained to perform CPR as efficiently as possible. The aim of this study is to describe and...
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Language: | en |
Published: |
2011
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Online Access: | Rajeswaran, Lakshmi (2009) Cardio-pulmonary resuscitations : perceptions, needs and barriers experiences by the registered nurses in Botswana, University of South Africa, Pretoria, <http://hdl.handle.net/10500/4925> http://hdl.handle.net/10500/4925 |
Summary: | In Botswana, nurses play a major role in the provision of healthcare. Most of the time it is the professional
nurses who frequently discover patients with cardiac arrests and it is necessary for them to be trained to
perform CPR as efficiently as possible. The aim of this study is to describe and explore the perceptions,
barriers and needs as experienced by nurses in Botswana during the provision of CPR.
For this study, the researcher utilised both quantitative and qualitative research designs in four phases. Phase
one assessed and audited the existing available facilities in the provision of CPR. Phase two investigated the
existing knowledge and skills of registered nurses in the performance of CPR. Focus groups discussions and
semi-structured interviews were held during phase three to identify the perceived barriers, needs in the
performance of CPR. In phase four, the researcher made recommendation to improve the provision of CPR in
relation to system, nurse and patient. Convenience sampling and purposive sampling were used in this study
respectively.
The auditing of the equipment in the two referral hospitals showed that the availability of equipment was below
50%. The CPR knowledge and skills demonstrated by the nurses in the pre-test were inadequate.
Following CPR training with the help of a manikin, the knowledge and skills among registered nurses improved
substantially.
The focus group discussions and semi-structured interviews among registered nurses and senior nurse
mangers revealed that there was a lack of organisational support and resources, lack of knowledge and skills among registered nurses, inadequate policies and protocols are the major contributory factors affecting the
registered nurses performance in the provision of CPR.
In order to enhance the performance of the registered nurses while providing CPR, the researcher
recommends the two referral hospitals to
• have adequate provision of equipment
• introduce regular BLS training program for registered nurses
• have clearly defined policies regarding the nurses’ role on end-of-life care === Health Studies |
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