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Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region
Introduction: The immediate response to a cardiac arrest is regarded as one of the most time-critical interventions in clinical medicine. First responders for cardiac arrest in imaging departments are often radiology staff. The study aim was to determine radiology staff-members' confidence in initia...
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| Format: | Thesis |
| Language: | English |
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Division of Radiology
2019
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| _version_ | 1867613299165626368 |
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| access_status_str | Open Access |
| author | Vorster, Isak Dawid |
| author2 | Beningfield, Steve |
| author_browse | Beningfield, Steve Vorster, Isak Dawid |
| author_facet | Beningfield, Steve Vorster, Isak Dawid |
| author_sort | Vorster, Isak Dawid |
| collection | Thesis |
| description | Introduction: The immediate response to a cardiac arrest is regarded as one of the most time-critical interventions in clinical medicine. First responders for cardiac arrest in imaging departments are often radiology staff. The study aim was to determine radiology staff-members' confidence in initiating basic life support.
Methods: A multi-centre, cross-sectional survey was conducted using peer-validated, anonymous questionnaires. Confidences were recorded using a 10-point Likert scale for recognising cardiac arrest, securing an airway, providing rescue breaths and initiating cardiac compressions. Questionnaires were distributed to and completed by radiology staff working in public sector hospitals within the Cape Town Metropole West. Due to the limited subject pool a convenience sample was collected (with no power calculation). Data were therefore statistically analysed using only summary statistics (mean, standard deviation (SD), proportions, etc.). Detailed between group comparisons were not made, given the sample size and type.
Results: We disseminated 200 questionnaires, of which 74 were completed (37%). There were no incomplete questionnaires or exclusions from the final sample. Using the Likert scale, the mean ability to recognise cardiac arrest was 6.45 (SD±2.7), securing an airway 4.86 (SD±2.9), and providing rescue breaths and initiating cardiac compressions 6.14 (SD±2.9). Only 2 (2.7%) of the participants had completed a basic life support course in the past year, while 11 (14.8%) had never completed any basic life support course and 28 (37.8%) had never completed any type of life support or critical care course. Radiologists, radiology trainees and nurses had the greatest confidence in providing rescue breaths and initiating cardiac compressions from all the groups.
Conclusion: The study demonstrates substantial lack of confidence in providing basic life support in a large part of the staff in Cape Town’s public hospital imaging departments. The participants indicated that regular training and improved support systems would increase confidence levels and improve skills. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/30045 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:55.830Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | Division of Radiology |
| publisherStr | Division of Radiology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/30045 Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region Vorster, Isak Dawid Beningfield, Steve Bruijns, Stevan Introduction: The immediate response to a cardiac arrest is regarded as one of the most time-critical interventions in clinical medicine. First responders for cardiac arrest in imaging departments are often radiology staff. The study aim was to determine radiology staff-members' confidence in initiating basic life support. Methods: A multi-centre, cross-sectional survey was conducted using peer-validated, anonymous questionnaires. Confidences were recorded using a 10-point Likert scale for recognising cardiac arrest, securing an airway, providing rescue breaths and initiating cardiac compressions. Questionnaires were distributed to and completed by radiology staff working in public sector hospitals within the Cape Town Metropole West. Due to the limited subject pool a convenience sample was collected (with no power calculation). Data were therefore statistically analysed using only summary statistics (mean, standard deviation (SD), proportions, etc.). Detailed between group comparisons were not made, given the sample size and type. Results: We disseminated 200 questionnaires, of which 74 were completed (37%). There were no incomplete questionnaires or exclusions from the final sample. Using the Likert scale, the mean ability to recognise cardiac arrest was 6.45 (SD±2.7), securing an airway 4.86 (SD±2.9), and providing rescue breaths and initiating cardiac compressions 6.14 (SD±2.9). Only 2 (2.7%) of the participants had completed a basic life support course in the past year, while 11 (14.8%) had never completed any basic life support course and 28 (37.8%) had never completed any type of life support or critical care course. Radiologists, radiology trainees and nurses had the greatest confidence in providing rescue breaths and initiating cardiac compressions from all the groups. Conclusion: The study demonstrates substantial lack of confidence in providing basic life support in a large part of the staff in Cape Town’s public hospital imaging departments. The participants indicated that regular training and improved support systems would increase confidence levels and improve skills. 2019-05-10T12:00:43Z 2019-05-10T12:00:43Z 2018 2019-05-07T09:51:27Z Master Thesis Masters MMed http://hdl.handle.net/11427/30045 eng application/pdf Division of Radiology Faculty of Health Sciences |
| spellingShingle | Vorster, Isak Dawid Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region |
| thesis_degree_str | Master's |
| title | Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region |
| title_full | Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region |
| title_fullStr | Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region |
| title_full_unstemmed | Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region |
| title_short | Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region |
| title_sort | evaluation of self reported confidence amongst radiology staff in initiating basic life support across hospitals in the cape town metropole west region |
| url | http://hdl.handle.net/11427/30045 |
| work_keys_str_mv | AT vorsterisakdawid evaluationofselfreportedconfidenceamongstradiologystaffininitiatingbasiclifesupportacrosshospitalsinthecapetownmetropolewestregion |