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The capacity and awareness of basic life support among nurses working in district hospitals within the Khayelitsha Eastern Substructure, Cape Town, South Africa
Thesis (MFamMed)--Stellenbosch University, 2024.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867614027180408832 |
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| access_status_str | Open Access |
| author | Mahembe, George Rutendo |
| author2 | Mash, Bob |
| author_browse | Mahembe, George Rutendo Mash, Bob |
| author_facet | Mash, Bob Mahembe, George Rutendo |
| author_sort | Mahembe, George Rutendo |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description |
Thesis (MFamMed)--Stellenbosch University, 2024. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/131813 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:45:30.338Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/131813 The capacity and awareness of basic life support among nurses working in district hospitals within the Khayelitsha Eastern Substructure, Cape Town, South Africa Mahembe, George Rutendo Mash, Bob Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Clinical competence -- Cape Town (South Africa) Performance -- Evaluation -- Nurses -- Cape Town (South Africa) Performance -- Management -- Nurses -- Cape Town (South Africa) Performance -- Nurses -- Cape Town (South Africa) UCTD Thesis (MFamMed)--Stellenbosch University, 2024. ENGLISH SUMMARY: Background: In-hospital cardiac arrest (IHCA) is a global concern that has seen an increase in IHCA rates during the COVID-19 pandemic. Despite this, IHCA remains a neglected entity receiving little attention from academics globally compared to other conditions. A substantial amount of IHCA is preventable, and nurses through clinical nursing surveillance (CNS) are a vital resource in the chain of survival. It is therefore pivotal that nurses are competent in Basic Life Support (BLS) due to the established benefits of cardiopulmonary resuscitation in cardiac arrest. However, there is a paucity of local literature that describes BLS competency among nurses in district hospitals. Aim: To evaluate the knowledge, attitude, and practice of nurses regarding BLS at district hospitals within the Khayelitsha Eastern Substructure (KESS). Setting: Helderberg, Eerste River and Khayelitsha district hospitals. Methods: A multi-centre, observational descriptive cross-sectional study was conducted. A pre-tested self-administered questionnaire was contextualised and validated for use in this study. Stratified quota sampling techniques were used to recruit 243 nurses over a 2-month period. Data was analysed using the Statistical Package for the Social Sciences (SPSS). Results: This study demonstrated that nurses lacked adequate knowledge and capability to perform BLS effectively. The mean BLS competency score was 47% and only two participants (1%) managed to achieve a score above the American Heart Association benchmark of 84%. Our analysis showed professional nurses, nurses with a Bachelor’s degree and those with some form of BLS training to be significantly more competent in BLS when compared to their counterparts (p<0.001). BLS certification rates were substantially low (50.8%), and in over half (52.5%) of the cases, the certification had already expired. Despite having positive attitudes towards BLS, nurses with such low BLS completion and accreditation rates had significantly lower BLS competency (p=0.001). Having more years of nursing experience did not confer any additional benefit in BLS competency (r = 0.025, p = 0.702) and neither did performing BLS more frequently (p=0.083). Conclusion: Our findings indicate that nurses working in district hospitals within KESS have insufficient knowledge and poor practices of BLS. Attention needs to be given to systems for quality improvement, training at scale, monitoring via the performance management systems and improved nurse staffing norms that increase the proportion of more qualified nurses in the district health services. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2025-03-31T06:36:14Z 2025-03-31T06:36:14Z 2024-12 Thesis https://scholar.sun.ac.za/handle/10019.1/131813 en_ZA Stellenbosch University 21 [unnumbered pages] application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Clinical competence -- Cape Town (South Africa) Performance -- Evaluation -- Nurses -- Cape Town (South Africa) Performance -- Management -- Nurses -- Cape Town (South Africa) Performance -- Nurses -- Cape Town (South Africa) UCTD Mahembe, George Rutendo The capacity and awareness of basic life support among nurses working in district hospitals within the Khayelitsha Eastern Substructure, Cape Town, South Africa |
| title | The capacity and awareness of basic life support among nurses working in district hospitals within the Khayelitsha Eastern Substructure, Cape Town, South Africa |
| title_full | The capacity and awareness of basic life support among nurses working in district hospitals within the Khayelitsha Eastern Substructure, Cape Town, South Africa |
| title_fullStr | The capacity and awareness of basic life support among nurses working in district hospitals within the Khayelitsha Eastern Substructure, Cape Town, South Africa |
| title_full_unstemmed | The capacity and awareness of basic life support among nurses working in district hospitals within the Khayelitsha Eastern Substructure, Cape Town, South Africa |
| title_short | The capacity and awareness of basic life support among nurses working in district hospitals within the Khayelitsha Eastern Substructure, Cape Town, South Africa |
| title_sort | capacity and awareness of basic life support among nurses working in district hospitals within the khayelitsha eastern substructure cape town south africa |
| topic | Clinical competence -- Cape Town (South Africa) Performance -- Evaluation -- Nurses -- Cape Town (South Africa) Performance -- Management -- Nurses -- Cape Town (South Africa) Performance -- Nurses -- Cape Town (South Africa) UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/131813 |
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