Interprofessional knowledge and factors involved in the care of critically ill patients with COVID-19 in-hospital cardiopulmonary arrest

Authors

DOI:

https://doi.org/10.55892/jrg.v7i14.932

Keywords:

Knowledge, Information Dissemination, Interprofessional Education, Heart Arrest, Simulation Training

Abstract

Objective: To verify explicit knowledge and non-modifiable factors that interfere with knowledge about in-hospital cardiopulmonary resuscitation in the care provided by health professionals. Method: Quantitative cross-sectional study developed in an adult Intensive Care Unit with a sample consisting of 115 health professionals. A semi-structured questionnaire was used, validated by the Delphi method, divided into three domains. Descriptive analysis was performed and hypotheses were tested using the Kruskal-Wallis and Dunn-Mann-Whitney tests. Spearman correlations were calculated between continuous/ordinal variables and an α of 5% was considered significant. Results: Knowledge about basic life support was higher than advanced life support (68.8% vs 59.1%). The professionals presented a median score of 80 (70-85) points in relation to knowledge related to cardiorespiratory arrest in patients with COVID-19. Age (p=0.044) and time since professional health training (p=0.007) were shown to be non-modifiable factors that significantly interfere with the level of knowledge. Conclusion: Explicit interprofessional knowledge about the care of patients in cardiorespiratory arrest proved to be satisfactory, but still with gaps regarding aspects related to the care of individuals with COVID-19. The health professional's age and training time were shown to be non-modifiable factors that significantly interfere with the level of knowledge.

Downloads

Download data is not yet available.

Author Biographies

Susi Cristalino Pereira, Hospital Universitário de Brasília (HUB)

Graduada em Enfermagem; Mestre em Enfermagem pela Universidade de Brasília. Enfermeira do Hospital Universitário de Brasília (HUB), EBSERH, DF, Brasil.

Tayse Tâmara da Paixão Duarte, University of Brasília

[Lattes]
Graduada em Enfermagem; Doutora em Enfermagem pela Universidade de Brasília.

Marcia Cristina da Silva Magro, University of Brasília

Graduada em Enfermagem; Doutora em Enfermagem pela Universidade de São Paulo. Professora Associada. Departamento de Enfermagem - Faculdade de Ceilândia/ Universidade de Brasília (UnB), DF, Brasil.

References

ANDERSON, T. M. et al. Best Practices for Education and Training of Resuscitation Teams for In-Hospital Cardiac Arrest. Circulation: Cardiovascular Quality and Outcomes, v. 14, n. 2, p. E008587, 2021.

BOBERG, A. L.; MORRIS-KHOO, S. A. The Delphi Method: A Review of Methodology and an Application in the Evaluation of a Higher Education Program. Canadian Journal of Program Evaluation, v. 7, n. 1, p. 27–39, 1992. Disponível em: https://utpjournals.press/doi/pdf/10.3138/cjpe.07.002

DAWES, M.; LENS, M. Knowledge transfer in surgery: Skills, process and evaluation. Annals of the Royal College of Surgeons of England, v. 89, n. 8, p. 749–753, 2007.

DUIJN, C. C.M.A. et al. When to trust our learners? Clinical teachers’ perceptions of decision variables in the entrustment process. Perspectives on Medical Education, v. 7, n. 3, p. 192–199, 2018.

DURÁN-SÁENZ, I. et al. Knowledge and teaching-learning methods regarding venous leg ulcers in nursing professionals and students: A scoping review. Nurse Education in Practice, v. 63, n. March, 2022.

DYESS, A. L. et al. Impact of interprofessional education on students of the health professions: a systematic review. Journal of Educational Evaluation for Health Professions, v. 16, p. 33, 2019. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851655/pdf/jeehp-16-33.pdf

EDELSON, D.P. et al. Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates with Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get with the Guidelines-Resuscitation Adult and Pediatric Task Forces of the . Circulation, v. 141, n. 25, p. E933–E943, 2020.

FAROOQ, M. et al. Interprofessional On-floor Education on Oxygen Therapy in COVID-19 Patients, Cardiac Arrest, and Procedural Sedation: Perception of Health-care Workers in Emergency Setting. Open Access Emergency Medicine, v. 14, p. 535–543, 2022.

FEHRING, R. J. Methods to validate nursing diagnoses. Heart & lung : the journal of critical care, v. 16, n. 6 Pt 1, p. 625–629, 1987.

FORBES, T. H. et al. Getting work done: a grounded theory study of resident physician value of nursing communication. Journal of Interprofessional Care, v. 34, n. 2, p. 225–232, 2020. Disponível em: https://doi.org/10.1080/13561820.2019.1631764.

GAO, Y. et al. Safety of mechanical and manual chest compressions in cardiac arrest patients: A systematic review and meta-analysis. Resuscitation, n. 169, p.124-135, 2021. Disponível em: https://www.resuscitationjournal.com/article/S0300-9572(21)00436-6/fulltext

GUIMARÃES, H. P. et al. Position statement: Cardiopulmonary resuscitation of patients with confirmed or suspected COVID-19 – 2020. Arquivos Brasileiros de Cardiologia, v. 114, n. 6, p. 1078–1087, 2020.

LEITHAUS, M. et al. Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review. International Journal of Integrated Care, v. 22, p. 28, 2022.

LONGHINI, F. et al. Helmet continuous positive airway pressure and prone positioning: A proposal for an early management of COVID-19 patients. Pulmonology, v. 26, n. 4, p. 186-191, 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190517/pdf/main.pdf

MAMO, N. et al. Characteristics of collaborative care networks in functional disorders: A systematic review. Journal of Psychosomatic Research, v. 172, p. 111357, 2023. Disponível em: https://doi.org/10.1016/j.jpsychores.2023.111357.

MANCINI, M. E.; KAYE, W. The effect of time since training on house officers’ retention of cardiopulmonary resuscitation skills. American Journal of Emergency Medicine, v. 3, n. 1, p. 31–32, 1985.

MCHUGH, S. K. et al. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. BMJ quality & safety, v. 29, n. 8, p. 1-12, 2020.

MERCHANT, R. M. et al. Part 1: Executive summary: 2020 american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, v. 142, p. S337–S357, 2020.

METTE, M. et al. Gaining interprofessional knowledge and interprofessional competence on a training ward. Medical Teacher, v. 43, n. 5, p. 583–589, 2021.

MUUSSE, J. S.C. et al. Influencing factors of interprofessional collaboration in multifactorial fall prevention interventions: a qualitative systematic review. BMC Primary Care, v. 24, n. 1, p. 1–15, 2023.

PARK, J. Proposal for a Modified Dreyfus and Miller Model with simplified competency level descriptions for performing self-rated surveys. Journal of Educational Evaluation for Health Professions, v. 12, p. 54, 2015.

PASQUALI, L. Princípios de elaboração de escalas psicológicas. Revista de Psiquiatria Clínica, v. 25, n. 5, p. 206–2013, 1998..

PICHON, A. et al. Divided We Stand: The Collaborative Work of Patients and Providers in an Enigmatic Chronic Disease. Proceedings of the ACM on Human-Computer Interaction, v. 4, n. CSCW3, p. 1–24, 2021. Disponível em: https://dl.acm.org/doi/10.1145/3434170.

REEVES, S.; XYRICHIS, A.; ZWARENSTEIN, M. Teamwork, collaboration, coordination, and networking: Why we need to distinguish between different types of interprofessional practice. Journal of interprofessional care, v. 32, n. 1, p. 1–3, 2018. Disponível em: https://doi.org/10.1080/13561820.2017.1400150.

ROSMALEN, J. G.M. et al. The European Training Network ETUDE (Encompassing Training in fUnctional Disorders across Europe): a new research and training program of the EURONET-SOMA network recruiting 15 early stage researchers.

Journal of Psychosomatic Research, v. 141, p. 110345, 2021.

SILVA, A. C. M. da et al. Condutas de enfermagem na parada cardiorrespiratória em clientes com COVID-19. Revista Recien - Revista Científica de Enfermagem, v. 12, n. 37, p. 265–271, 2022.

SO, H.Y. et al. Simulation in medical education. Sage Journals, 2019. Disponível em: https://doi.org/10.4997/jrcpe.201

TSCHANNEN, D.; DORN, R.; TEDESCO, C. Improving knowledge and behavior of leadership and followership among the interprofessional team. International journal of medical education, v. 9, p. 182–188, 2018.

WITT, C. M. et al. Education Competencies for Integrative Oncology—Results of a Systematic Review and an International and Interprofessional Consensus Procedure. Journal of Cancer Education, v. 37, n. 3, p. 499–507, 2022.

Published

2024-02-15

How to Cite

PEREIRA, S. C.; DUARTE, T. T. da P.; MAGRO, M. C. da S. . Interprofessional knowledge and factors involved in the care of critically ill patients with COVID-19 in-hospital cardiopulmonary arrest. JRG Journal of Academic Studies, Brasil, São Paulo, v. 7, n. 14, p. e14932, 2024. DOI: 10.55892/jrg.v7i14.932. Disponível em: https://revistajrg.com/index.php/jrg/article/view/932. Acesso em: 21 nov. 2024.

ARK