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EFFECT OF PHYSICAL AND VIDEO - ASSISTED TRAINING ON SKILLS OF CARDIOPULMONARY RESUSCITATION AMONG PRIMARY HEALTH CARE WORKERS IN OSUN STATE, NIGERIA

OLUWASANMI, Gladys Obiageli, ANOKWURU, Rafiat Ajoke, OLUWASANMI, Favour Oreoluwa, ABIOYE, Abigail Adebisi, OLOFIN-SAMUEL, Mary Ayodeji,

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Abstract

The study assessed the effect of Physical Training (PT) and Video-Assisted Training (VAT) interventions on the skills of cardiopulmonary resuscitation (CPR) among primary healthcare (PHC) workers in Osun State, Nigeria. Specifically, the study assessed their pre-intervention skills, and measured immediate and 12th-week post-intervention outcomes. The study compared four groups: PT, VAT, PT & VAT, and a control group that received no intervention. A quasi-experimental, four-group pretest-post-test design was employed, involving 133 PHC workers selected from 12 primary health centers through multistage sampling. Participants included nurses, midwives, pharmacists, and laboratory scientists. Data were collected using a structured CPR skills checklist, validated and tested for reliability (0.919 for skills). The intervention was conducted in three phases: pre-intervention, training, and post-intervention assessments. Data were analyzed using SPSS, employing descriptive statistics, and Univariate Analysis of Variance (ANOVA) to test the hypotheses. Pre-intervention, CPR skills were poor across all groups. Post-intervention, significant improvements were observed, especially in the PT & VAT group, which outperformed others. At 12 weeks, the combined PT & VAT approach remained the most effective in sustaining CPR competency. The results indicated no significant difference in pre-intervention CPR skills (F = 0.639, p = 0.591) across the groups, confirming baseline homogeneity. However, significant improvements were observed post-intervention, with immediate post-intervention skill (F = 476.719, p = 0.000, η2 = 0.870) showing substantial enhancement. At the 12th-week post-intervention, skill levels remained significantly higher in the intervention groups compared to the control. PHC workers exposed to the combination of PT and VAT demonstrated the highest improvement in skills, followed by the VAT group, while the control group exhibited the least improvement. It is recommended that PHC facilities institutionalize blended training approaches for CPR, ensuring periodic refresher sessions to sustain skill retention.

Keywords: Cardiopulmonary resuscitation (CPR), Physical training (PT), Primary healthcare workers, Skills, Video-Assisted training (VAT)