title: A basic needs assessment of Kenyan health care practitioners' training and ability in providing resuscitation management for patients in Mbagathi Hospital, Nairobi.
abstract: OBJECTIVE
  To determine if health care providers at one district hospital in Nairobi, Kenya, possess the training and confidence necessary to attend to basic needs for patient resuscitation.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Mbagathi District Hospital, Nairobi, Kenya, a 300-bed, government district-level health care facility serving over one million Kenyans.
  
  
  METHODS
  21 medical officers, clinical officers, medical officer and clinical officer interns, and nurses.
  
  
  METHODS
  An investigator-designed survey, the Self Assessment of Clinical Skills, designed to assess training and level of confidence in addressing basic resuscitation, was administered.
  
  
  RESULTS
  80% of respondents have been taught how to maintain a patent airway, but 22% felt less than confident in their ability. Nearly two thirds (62%) of respondents had not been trained to use a pulse oximeter. 100% of respondents felt they would benefit from additional training in airway and pulse oximetry assessment. While 90% reported that they had been taught to treat hypotension and 76% had experience treating hypotension, only 62% felt confident in their ability to treat hypotension. 95% desired additional training in hypotension management. 85% wanted additional training in measuring blood pressure, and every respondent desired additional training in the other circulatory monitoring skills listed on the survey.
  
  
  CONCLUSIONS
  Providers of the Mbagathi District Hospital, Nairobi, report a lack of confidence in recognizing basic resuscitation needs, and they desire additional training.
authors: Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA 19104, USA.
authors: Adam
authors: A
authors: Thaler
authors: Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
authors: Hillary
authors: H
authors: Dunlevy
authors: Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
authors: Jennifer
authors: J
authors: Cohn
authors: Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA 19104, USA; Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA 19104, USA.
authors: Rebecca
authors: R
authors: Speck
authors: Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.
authors: Meghan
authors: M
authors: O'Brien
authors: Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA 19104, USA. Electronic address: maureen.mccunn@uphs.upenn.edu.
authors: Maureen
authors: M
authors: McCunn
mesh_terms: D002983:Clinical Competence; D015331:Cohort Studies; D003625:Data Collection; D006282:Health Personnel / Q000193:education / Q000523:psychology / Q000592:standards*; D006767:Hospitals, District; D006801:Humans; D007630:Kenya; D020380:Needs Assessment; D011446:Prospective Studies; D012151:Resuscitation / Q000193:education / Q000379:methods*; D012649:Self Concept; D012647:Self-Assessment
keywords: Basic airway breathing, and circulation life-saving skills (ABCs); Global health; Kenya; Medical care in Sub-Saharan countries; Resuscitation training