Sains Malaysiana 50(9)(2021): 2847-2858

http://doi.org/10.17576/jsm-2021-5009-27

 

A Qualitative Study on Emergency Health Care Worker (EHCW) Perception towards COVID-ACLS Simulation Training in Resuscitating Suspected COVID-19 Patients

(Suatu Kajian Kualitatif terhadap Persepsi Pekerja Kesihatan Kecemasan (EHCW) terhadap Latihan Simulasi COVID-ACLS dalamResusitasi Pesakit Disyaki COVID-19)

 

JEBBY YII, ALIAS MAHMUD*, AZLAN HELMY ABD SAMAT, DAZLIN MASDIANA SABARDIN, MOHD HISHAM MOHD ISA, ISMAIL MOHD SAIBOON & MOHD JOHAR JAAFAR

 

Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Federal Territory, Malaysia

 

Diserahkan: 31 Januari 2021/Diterima: 20 Julai 2021

 

ABSTRACT

The emergence of COVID-19 pandemic has caused difficulty to emergency-HCW (EHCW) in resuscitating high-risk patients. We set out to explore EHCW’s perception after undergoing COVID-ACLS resuscitation training and address their anxiety of working in this pandemic. A qualitative case study using focused group discussion was conducted among EHCW who have undergone COVID-ACLS training. Five semi-structured questions exploring respondent’s confidence level, anxiety factors, areas of improvement for COVID-ACLS and if this COVID-ACLS training is sufficient. Inductive and deductive thematic analysis approach was done to analyse the result. 20 EHCW participated in this study. Out of 4 themes, 11 subthemes were identified based on the respondents. They were acquired new knowledge, self-precaution, method of delivery, concerns of self and family members, stigmatisation, insufficient protective methods, underappreciation, regular training sessions, other modalities for learning, course duration; and unsatisfactory reading material. New knowledge and self-precaution were noted to be an important aspect that boosts confidence among EHCW. The main factor that increased anxiety was safety issues and disease spreading to family members, colleagues, and society. In conclusion, COVID-ACLS training is able to boost EHCW confidence in resuscitating high-risk patients. Factors leading to anxiety among EHCW should also be addressed during this pandemic to ensure psychological welfare and mental health are not affected. Regular training and utilisation of other teaching modalities such as video are perceived as a helpful adjunct in boosting their confidence. The utilisation of new training approach should be explored in enhancing EHCW’s knowledge and confidence.

 

Keywords: Anxiety; COVID-19; emergency; health care worker; resuscitation

 

ABSTRAK

Pandemik COVID-19 telah menyebabkan kesusahan kepada anggota kecemasan-HCW (EHCW) dalam melaksanakan resusitasi pesakit berisiko tinggi. Tujuan kajian ini adalah untuk mengkaji pandangan EHCW yang telah menjalani latihan COVID-ACLS serta menangani kerisauan semasa bertugas dalam pandemik ini. Kajian kualitatif ini menggunakan sesi temu bual berfokus dengan lima soalan semi-struktur bagi melihat tahap keyakinan responden, faktor kegelisahan, cara penambahbaikan COVID-ACLS dan untuk mengetahui adakah latihan COVID-ACLS ini mencukupi. Sesi temu bual dianalisis dan ditafsir menggunakan tematik analisis secara induktif dan deduktif. 20 anggota EHCW telah menyertai kajian ini. Dalam keempat-empat tema ini, 11 subtema telah ditemui. Antaranya ialah pembelajaran ilmu baru, kaedah untuk melindungi diri, keselamatan diri dan keluarga, stigma, kekurangan sumber pelindungan, rasa kurang dihargai, sesi latihan yang lebih kerap, modaliti lain untuk pembelajaran, jangka masa latihan dan bahan bacaan yang kurang memuaskan. Pembelajaran ilmu baru dan kaedah melindungi diri merupakan aspek penting dalam menjana keyakinan ECHW. Faktor utama yang meningkatkan kerisauan adalah isu keselamatan dan penyakit boleh menjangkiti kepada ahli keluarga, rakan sekerja dan masyarakat. Kesimpulannya, COVID-ACLS berkemampuan untuk meningkatkan keyakinan EHCW untuk melaksanakan resusitasi pesakit berisiko tinggi. Faktor yang menyumbang kepada kerisauan EHCW perlu diberi perhatian semasa pendemik ini supaya kesejahteraan psikologi dan kesihatan mental mereka dapat dijaga. Latihan yang kerap dan penggunaan modaliti pengajaran seperti video juga boleh membantu untuk meningkatkan keyakinan ECHW. Penggunaan latihan kaedah lain perlu diterokai untuk menambah ilmu pengetahuan dan keyakinan ECHW.

 

Kata kunci: COVID-19; kecemasan; kegelisahan; pekerja kesihatan; resusitasi

 

RUJUKAN

Abd Samat, S.A., Isa, M.H., Sabardin, D.M., Md Jamal, S., Jaafar, M.J., Hamzah, F.A., Mahmud, A., Sanip, A., Syed Ali, S.M. & Mohd Saiboon, I. 2020. Knowledge and confidence level among emergency healthcare workers in airway management and resuscitation of suspected COVID-19 patients: A cross sectional study in Malaysia. Ann. Acad. Med. Singap. 49: 643-651.

Bandyopadhyay, S., Baticulon, R.E., Kadhum, M., Alser, M., Ojuka, D.K., Badereddin, Y., Kamath, A., Parepalli, S.A., Brown, G., Iharchane, S., Gandino, S., Markovic-Obiago, Z., Scott, S., Manirambona, E., Machhada, A., Aggarwal, A., Benazaize, L., Ibrahim, M., Kim, D., Tol, I., Taylor, E.H., Knighton, A., Bbaale, D., Jasim, D., Alghoul, H., Reddy, H., Abuelgasim, H., Saini, K., Sigler, A., Abuelgasim, L., Moran-Romero, M., Kumarendran, M., Jamie, N.A., Ali, O., Sudarshan, R., Dean, R., Kissyova, R., Kelzang, S., Roche, S., Ahsan, T., Mohamed, Y., Dube, A.M., Gwini, G.P., Gwokyala, R., Brown, R., Papon, M.R.K.K., Li, Z., Ruzats, S.S., Charuvila, S., Peter, N., Khalidy, K., Moyo, N., Alser, O., Solano, A., Robles-Perez, E., Tariq, A., Gaddah, M., Kolovos, S., Muchemwa, F.C., Saleh, A., Gosman, A., Pinedo-Villanueva, R., Jani, A. & Khundkar, R. 2020. Infection and mortality of healthcare workers worldwide from COVID-19: A systematic review. BMJ Global Health 5(12): e003097.

Berg, B. 2007. An introduction to content analysis. In Qualitative Research Methods for the Social Sciences, edited by Berg, B.L. Boston: Allyn and Bacon. pp. 238-267.

Beskind, D.L., Stolz, U., Thiede, R., Hoyer, R., Robertson, W., Brown, J., Ludgate, M., Tiutan, T., Shane, R. & Mcmorrow, D. 2017. Viewing an ultra-brief chest compression only video improves some measures of bystander CPR performance and responsiveness at a mass gathering event. Resuscitation 118: 96-100.

Beskind, D.L., Stolz, U., Thiede, R., Hoyer, R., Burns, W., Brown, J., Ludgate, M., Tiutan, T., Shane, R. & Mcmorrow, D. 2016. Viewing a brief chest-compression-only CPR video improves bystander CPR performance and responsiveness in high school students: A cluster randomised trial. Resuscitation 104: 28-33.

Bhagavathula, A.S., Aldhaleei, W.A., Rahmani, J., Mahabadi, M.A. & Bandari, D.K. 2020. Novel Coronavirus (COVID-19) Knowledge and Perceptions: A Survey on Healthcare Workers. MedRxiv. doi.org/10.1101/2020.03.09.20033381.

Boonmak, P., Boonmak, S., Srichaipanha, S. & Poomsawat, S. 2004. Knowledge and skill after brief ACLS training. J. Med. Assoc. Thai 87(87): 1311-1314.

Caley, M., Sidhu, K. & Shukla, R. 2010. GPS’ Opinions on the NHS and HPA response to the first wave of the influenza a/H1n1v pandemic. Br. J. Gen. Pract. 60(573): 283-285.

Denzin, N.K. & Lincoln, Y.S. 2008. Strategies of Qualitative Inquiry. 3rd ed. Thousand Oaks, CA: Sage.

Domagała, A., Bała, M.M., Storman, D., Peña-Sánchez, J.N., Świerz, M.J., Kaczmarczyk, M. & Storman, M. 2018. Factors Associated with satisfaction of hospital physicians: A systematic review on European data. International Journal of Environmental Research and Public Health 15(11): 2546.

Du, J., Dong, L., Wang, T., Yuan, C., Fu, R., Zhang, L., Liu, B., Zhang, M., Yin, Y. & Qin, J. 2020. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. General Hospital Psychiatry 67: 144-145.

Elliott, P. 2009. Infection Control: A Psychosocial Approach to Changing Practice. London: Radcliffe Publishing.

Imai, H. 2020. Trust is a key factor in the willingness of health professionals to work during the COVID‐19 outbreak: Experience from the H1N1 pandemic in Japan 2009. Psychiatry and Clinical Neurosciences 74(5): 329-330.

Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T. & Li, R. 2020. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open 3(3): e203976-e203976.

Lam, K.K. & Hung, S.Y.M. 2013. Perceptions of emergency nurses during the human swine influenza outbreak: A qualitative study. International Emergency Nursing 21(4): 240-246.

Langdorf, M.I., Strom, S.L., Yang, L., Canales, C., Anderson, C.L., Amin, A. & Lotfipour, S. 2014. High-fidelity simulation enhances ACLS training. Teaching and Learning in Medicine 26(3): 266-273.

Lee, C.C., Im, M., Kim, T.M., Stapleton, E.R., Kim, K., Suh, G.J., Singer, A.J. & Henry, M.C. 2010. Comparison of traditional advanced cardiac life support (ACLS) course instruction vs. a scenario-based, performance oriented team instruction (SPOTI) method for Korean paramedic students. The Journal of Emergency Medicine 38(1): 89-92.

Leiba, A., Goldberg, A., Hourvitz, A., Amsalem, Y., Aran, A., Weiss, G., Leiba, R., Yehezkelli, Y., Goldberg, A. & Levi, Y. 2006. Lessons learned from clinical anthrax drills: Evaluation of knowledge and preparedness for a bioterrorist threat in Israeli emergency departments. Annals of Emergency Medicine 48(2): 194-199.

Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., Bi, J., Zhan, G., Xu, X., Wang, L. & Zhou, Q. 2020. Vicarious traumatisation in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain, Behavior, and Immunity 88: 916-919.

Lincoln, Y.S. 2007. Naturalistic inquiry. In The Encyclopedia of Sociology, edited by Ritzer, G. Vols. 1-6. Oxford, England: Blackwell Publishing Co.

Lo, B.M., Devine, A.S., Evans, D.P., Byars, D.V., Lamm, O.Y., Lee, R.J., Lowe, S.M. & Walker, L.L. 2011. Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge. Resuscitation 82(11): 1440-1443.

Maunder, R.G. 2009. Was SARS a mental health catastrophe? General Hospital Psychiatry 31(4): 316.

Merriam, S.B. & Tisdell, E.J. 2015. Qualitative Research: A Guide to Design and Implementation. New York: John Wiley & Sons.

Nambiar, M., Nedungalaparambil, N.M. & Aslesh, O.P. 2016. Is current training in basic and advanced cardiac life support (BLS & ACLS) effective? A study of BLS & ACLS knowledge amongst healthcare professionals of North-Kerala. World Journal of Emergency Medicine 7(4): 263.

Patton, M.Q. 2002. Two decades of developments in qualitative inquiry: A personal, experiential perspective. Qualitative Social Work 1(3): 261-283.

Schwartz, J., King, C.C. & Yen, M.Y. 2020. Protecting health care workers during the COVID-19 coronavirus outbreak-lessons from Taiwan’s SARS response. Clin. Infect. Dis. 71(15): 858-860.

Shanafelt, T., Ripp, J. & Trockel, M. 2020. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA 323(21): 2133-2134.

Singer, T. & Klimecki, O.M. 2014. Empathy and compassion. Current Biology 24(18): R875-R878.

Tan, B.Y.Q., Chew, N.W.S., Lee, G.K.H., Jing, M., Goh, Y., Yeo, L.L.L., Zhang, K., Chin, H.K., Ahmad, A., Khan, F.A., Shanmugam, G.N., Chan, B.P.L., Sunny, S., Chandra, B., Ong, J.J.Y., Paliwal, P.R., Wong, L.Y.H., Sagayanathan, R., Chen, J.T., Ying Ng, A.Y., Teoh, H.L., Ho, C.S., Ho, R.C. & Sharma, V.K. 2020. Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Annals of Internal Medicine M20-1083.

Vinson, E. 2007. Managing Bioterrorism mass casualties in an emergency department: Lessons learned from a rural community hospital disaster drill. Disaster Management & Response 5(1): 18-21.

Wang, J., Zhou, M. & Liu, F. 2020. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. J. Hosp. Infect. 205: 100-101.

Wu, D., Wu, T., Liu, Q. & Yang, Z. 2020. The SARS-CoV-2 outbreak: What we know. International Journal of Infectious Diseases 94: 44-48.

Wu, Z. & Mcgoogan, J.M. 2020. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: Summary of a report of 72 314 cases from the Chinese center for disease control and prevention. JAMA 323(13): 1239-1242.

 

*Pengarang untuk surat-menyurat; email: alias6972@gmail.com

 

 

 

 

 

 

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