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CC BY 4.0 · Journal of Health and Allied Sciences NU
DOI: 10.1055/s-0044-1793838
Original Article

Effectiveness of Basic Life Support Training Program on Knowledge, Attitude, and Self-Efficacy in Management of Drowning Among Adults Living in Coastal Areas of Mangaluru

Riyaz M. Puthiyapurayil
1   Department of Community Health Nursing, Yenepoya Nursing College, Yenepoya (deemed to be) University, Mangaluru, Karnataka, India
,
Leena K. Chacko
1   Department of Community Health Nursing, Yenepoya Nursing College, Yenepoya (deemed to be) University, Mangaluru, Karnataka, India
,
Savitha Naik
1   Department of Community Health Nursing, Yenepoya Nursing College, Yenepoya (deemed to be) University, Mangaluru, Karnataka, India
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Abstract

Introduction Drowning is a major, but often neglected, public health problem in India. About 97% of all deaths from drowning occur in low- and middle-income countries. Drowning is a preventable morbidity and mortality worldwide. Early use of basic life support (BLS) by a rescuer on site is crucial for the survival of victims of drowning.

Aim This article aims to find out the effectiveness of BLS training program on knowledge, attitude, and self-efficacy in the management of drowning.

Materials and Methods A preexperimental, one-group pretest, posttest study design was adopted to study 91 purposively selected subjects who met the selection criteria. The sample size was estimated using a research article by Joseph et al. The data were collected by using valid and reliable tools: 25-item knowledge questionnaire (r = 0.846), 15-item attitude scale (r = 0.867), and 12-item self-efficacy scale (r = 0.928). Ethical approval and informed consent obtained. After obtaining baseline data, pretest was conducted using the said tools and BLS training in the management of drowning was provided. Posttest assessment of knowledge, attitude, and self-efficacy was done 7 days after intervention.

Results More than three-fourths (80.2%) had inadequate knowledge during pretest, whereas in posttest half (49.5%) had adequate level of knowledge, with mean and standard deviation of 11.18 ± 3.82 in pretest and 18.21 ± 3.08 in posttest. Regarding attitude, more than half (63.7%) had neutral attitude during pretest and three-fourths (73.6%) had positive attitude in posttest with mean and standard deviation of 57.38 ± 6.44 in pretest and 64.87 ± 5.10 in posttest. A poor level of self-efficacy was reported among 58.2% in pretest, whereas 59.3% had fair level of self-efficacy in posttest. Mean and standard deviation was found to be 33.48 ± 7.73 in pretest and 46.25 ± 4.35 in posttest. There was a significant difference in the pretest and posttest scores of knowledge, attitude, and self-efficacy toward BLS at p < 0.05, indicating that BLS training is effective. The Karl Pearson correlation coefficient test showed a significant correlation between knowledge–attitude (r = 0.628, p < 0.001), knowledge–self-efficacy (r = 0.820, p < 0.001), and attitude–self efficacy (r = 0.616, p < 0.001).

Conclusion This study concluded that the BLS training program is effective on knowledge, attitude, and self-efficacy in the management of drowning

Keywords

BLS and CPR - adult - training - first aid

Ethical Approval

Ethical clearance was obtained from Yenepoya ethics committee 2, Yenepoya Deemed to university. Protocol No.YEC2/863.


Supplementary Material



Publication History

Article published online:
08 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Sulovic LS, Pavlovic AP, Zivkovic JB, Zivkovic ZN, Filipovic-Danic SS, Trpkovic SV. Accidental drowning: the importance of early measures of resuscitation for a successful outcome. Case Rep Emerg Med 2018; 2018 (Jun): 7525313
    PubMedSearch in Google Scholar
  • 2 World Health Organization. Fact sheet on drowning with key facts and information on the scope of the problem, who is at risk, prevention and WHO response. July 25, 2023. Accessed October 27, 2024 at: https://www.who.int/news-room/fact-sheets/detail/drowning
  • 3 Veetil JN, Parambath VA, Rajanbabu B, Suresh S. An epidemiological study of drowning survivors among school children. J Family Med Prim Care 2017; 6 (04) 844-847
    CrossrefPubMedSearch in Google Scholar
  • 4 Phad LG, Dhawane SG. Epidemiological profile of drowning deaths: a cross sectional study. EJFS 2018; 8 (26) 1-6
    Search in Google Scholar
  • 5 Mallapura G. 83 People Died Every Day From Drowning In 2018, Yet No Prevention Plan. January 23, 2020. Accessed April 4, 2024 at: https://www.indiaspend.com/83-people-died-every-day-from-drowning-in-2018-yet-no-prevention-plan/#
  • 6 Richards DB, Richards DB, Knaut AL. Drowning. 7th ed.. Rosen's Emergency Medicine; African Journal of Emergency Medicine, 2011: 1929-1932
    Search in Google Scholar
  • 7 Rahman A, Alonge O, Bhuiyan AA. et al. Epidemiology of drowning in Bangladesh: an update. Int J Environ Res Public Health 2017; 14 (05) 488
    CrossrefPubMedSearch in Google Scholar
  • 8 Lippmann J, Taylor DM. Medical conditions in scuba diving fatality victims in Australia, 2001 to 2013. Diving Hyperb Med 2020; 50 (02) 98-104
    CrossrefPubMedSearch in Google Scholar
  • 9 Wallis BA, Watt K, Franklin RC, Nixon JW, Kimble RM. Drowning mortality and morbidity rates in children and adolescents 0-19 yrs: a population-based study in Queensland, Australia. PLoS One 2015; 10 (02) e0117948
    CrossrefPubMedSearch in Google Scholar
  • 10 WHO Guideline on the prevention of drowning through provision of day-care and basic swimming and water safety skills. Geneva: World Health Organization; ; July 23, 2021
  • 11 Peden AE, Franklin RC, Leggat PA. Fatal river drowning: the identification of research gaps through a systematic literature review. Inj Prev 2016; 22 (03) 202-209
    CrossrefPubMedSearch in Google Scholar
  • 12 Savary-Borioli G. Basic Life Support: Das primäre ABC(D) der kardiopulmonalen Reanimation. [Basic Life Support: the primary ABC(D) of cardiopulmonary resuscitation] Ther Umsch 1996; 53 (08) 624-629
    PubMedSearch in Google Scholar
  • 13 Aldhakhri A, Can G. Evaluation of public awareness, knowledge and attitudes towards basic life support among non-medical, adult population in Muscat City, Oman: cross-sectional study. J Non Invasive Vasc Invest 2020; 5 (02) 1-8
    CrossrefSearch in Google Scholar
  • 14 Saquib SA, Al-Harthi HM, Khoshhal AA. et al. Knowledge and attitude about basic life support and emergency medical services amongst healthcare interns in university hospitals: a cross-sectional study. Emerg Med Int 2019; 2019: 9342892
    CrossrefPubMedSearch in Google Scholar
  • 15 Joseph N, Kumar G, Babu Y, Nelliyanil M, Bhaskaran U. Knowledge of first aid skills among students of a medical college in Mangalore city of South India. Ann Med Health Sci Res 2014; 4 (02) 162-166
    CrossrefPubMedSearch in Google Scholar
  • 16 Moon H, Hyun HS. Nursing students' knowledge, attitude, self-efficacy in blended learning of cardiopulmonary resuscitation: a randomized controlled trial. BMC Med Educ 2019; 19 (01) 414
    CrossrefPubMedSearch in Google Scholar
  • 17 Jensen TW, Folke F, Andersen MP. et al. Socio-demographic characteristics of basic life support course participants in Denmark. Resuscitation 2022; 170: 167-177
    CrossrefPubMedSearch in Google Scholar
  • 18 Goduhan AK, Kshirsagar AY, Zagade TB. A study to determine the effectiveness of basic life support training on knowledge of life saving skills among college students in selected colleges at Jaipur for degree students. IJSR 2017; 6 (06) 2712-2723
    Search in Google Scholar
  • 19 Kose S, Akin S, Mendi O, Goktas S. The effectiveness of basic life support training on nursing students' knowledge and basic life support practices: a non-randomized quasi-experimental study. Afr Health Sci 2019; 19 (02) 2252-2262
    CrossrefPubMedSearch in Google Scholar
  • 20 Chandran KV, Abraham SV. Basic life support: need of the hour-a study on the knowledge of basic life support among young doctors in India. Indian J Crit Care Med 2020; 24 (05) 332-335
    CrossrefPubMedSearch in Google Scholar
  • 21 Källestedt MLS, Berglund A, Herlitz J, Leppert J, Enlund M. The impact of CPR and AED training on healthcare professionals' self-perceived attitudes to performing resuscitation. Scand J Trauma Resusc Emerg Med 2012; 20 (26) 26
    CrossrefPubMedSearch in Google Scholar
  • 22 Kozamani A, Kapadochos T, Kadda O. Factors that influence nursing staff attitudes towards initiating CPR and in using an automatic external defibrillator when outside of a hospital. Health Sci J 2012; 6: 87-101
    Search in Google Scholar
  • 23 Denny SA, Quan L, Gilchrist J. et al; Council on Injury, Violence, and Poison Prevention. Prevention of drowning. Pediatrics 2019; 143 (05) e20190850
    CrossrefPubMedSearch in Google Scholar
  • 24 Monteiro MLRBP, Ferraz AIB, Rodrigues FMP. Assessment of knowledge and self efficacy before and after teaching basic life support to schoolchildren. Rev Paul Pediatr 2021; 39: e2019143
    CrossrefPubMedSearch in Google Scholar
  • 25 Park G. The Effect of basic cardiopulmonary resuscitation training on cardiopulmonary resuscitation knowledge, attitude, and self-efficacy of nursing students. Adv Sci Technol Letters (Healthcare and Nursing) 2015; 116: 56-60
    CrossrefSearch in Google Scholar
  • 26 Hernández-Padilla JM, Suthers F, Granero-Molina J, Fernández-Sola C. Effects of two retraining strategies on nursing students' acquisition and retention of BLS/AED skills: a cluster randomised trial. Resuscitation 2015; 93: 27-34
    CrossrefPubMedSearch in Google Scholar
  • 27 Chaudhary GP, Sah K, Malla J. et al. Knowledge regarding basic life support among health care workers of the hospital of Nepal. J Healthc Eng 2023; 2023: 9936114
    CrossrefPubMedSearch in Google Scholar
  • 28 Al-Mohaissen MA. Knowledge and attitudes towards basic life support among health students at a Saudi Women's University. Sultan Qaboos Univ Med J 2017; 17 (01) e59-e65
    CrossrefPubMedSearch in Google Scholar
  • 29 Tadesse M, Assen Seid S, Getachew H, Ali SA. Knowledge, attitude, and practice towards basic life support among graduating class health science and medical students at Dilla University; a cross sectional study. Ann Med Surg (Lond) 2022; 82: 104588
    PubMedSearch in Google Scholar