Knowledge and attitudes towards cardiopulmonary resuscitation: A cross sectional survey on health care providers in clinical practice
Abstract views: 463
/ 
PDF downloads: 508
DOI:
https://doi.org/10.26900/hsq.1.3.01Keywords:
Cardiopulmonary resuscitation, knowledge, attitude, chest compression, ventilation, health care providerAbstract
Cardiopulmonary resuscitation (CPR) is a critical, life-saving skill for healthcare professionals (HCPs) in emergency departments (EDs) and other health care settings and are expected to have a profound knowledge of the CPR guidelines. A cross-sectional study was carried out among 160 health care providers to assess the level of knowledge and attitude towards cardiopulmonary resuscitation. Data analysis were done by SPSS software version-20. Total respondents in the study were 160 health care providers (HCP) and among them 80 respondents were doctors and 80 respondents were nurses. Among the respondents, 69% were female and 31% were male. Regarding the CPR training, 51% doctors and 49% had trained in CPR. Regarding performing the CPR, 58% doctors performed CPR and 66.2% nurses had performed CPR in clinical practice. Regarding meaning of the CPR, majority (92%) respondents knew correctly as ventilation and chest compression. More than half 58% respondents correctly knew about cardiac massage as to apply strong compression to the chest wall in certain interval. Regarding component of the CPR, nearly two third (65%) respondents correctly knew as chest compression and ventilation. Regarding sequence of the CPR,71 % respondents incorrectly knew sequence of CPR as Airway-Breathing-Compression (A-B-C) and 29.38% correctly knew as Compression-Airway-Breathing (C-A-B) as the sequence of the CPR. Among the total respondents, 62.5 % respondents had average level of knowledge, 18.12% had good level and 19.38% had poor level of knowledge on CPR and CPR training were associated significantly with the CPR knowledge. Among the total respondents 70.62% had neutral attitude, 15.0% had positive and 14.38% had negative attitude to perform CPR. Doctors were more knowledgeable than nurses, and they also had more positive opinions on CPR than nurses. The study showed that CPR training was taken by both health care providers. The study also showed that nurses (53%) performed the CPR more than the doctors in clinical practice. The dissimilarity in knowledge and attitudes among the health care providers suggest that training courses on the CPR should be regularly provided to health care providers specially focusing on nurses in the country.
Downloads
References
Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphillet R, al. American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122:640-56. doi: 10.1161/CIRCULATIONAHA.110.970889.
Steen PA, Kramer-Johansen J. Improving cardiopulmonary resuscitation quality to ensure survival. Curr Opin Crit Care. 2008;14(3):299-304. doi: 10.1097/MCC.0b013e3282f827d3.
M Holmberg , S Holmberg, J Herlitz, Swedish. Factors modifying the effect of bystander cardiopulmonary resuscitation on survival in out-of-hospital cardiac arrest patients in Sweden. Eur Heart J. 2001;22(6):511-9. doi: 10.1053/euhj.2000.2421.
Gary B Smith. In-hospital cardiac arrest: Is it time for an inhospital‘chain of prevention’? Resuscitation. 2010;81(9):1209-11. doi: 10.1016/j.resuscitation.2010.04.017.
Skinner DV, Camm A, Miles S. Cardiopulmonary resuscitation skills of preregistration house officers. Br Med J (Clin Res Ed). 1985;290:1549.
Gillum RF. Geographic variation in sudden coronary death. Am Heart J 1990;119:380-9. doi: 10.1016/s0002-8703(05)80031-6.
Zheng ZJ, Croft JB, Giles WH, Mensah GA. Sudden cardiac death in the United States,1989 to 1998. Circulation. 2001;104(18):2158-63. doi: 10.1161/hc4301.098254.
Myerburg RJ, Junttila MJ. Sudden cardiac death caused by coronary heart disease. Circulation. 2012;125(8):1043-52. doi: 10.1161/CIRCULATIONAHA.111.023846.
Berdowski J, Berg RA, Tijssen JGP, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation. 2010;81(11): 1479-87. doi: 10.1016/j.resuscitation.2010.08.006.
Goldstein DH, Beckwith RK. A survey of resuscitation training in Canadian undergraduate medical programs. CMAJ. 1991;145(1):23-7.
Businger A, Rinderknecht S, Blank R, Merki L, Carrel T. Students’ knowledge of symptoms and risk factors of potential life-threatening medical conditions. Swiss Med Wkly. 2010;140:78-84
Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. 2015;132:414-35. doi: 10.1161/CIR.0000000000000259.
Sasson C, Roger MAM, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: A systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1):63-81. doi: 10.1161/CIRCOUTCOMES.109.889576.
Simmes FM, Schoonhoven L, Mintjes J, Fikkers BG, van der Hoeven JG. Incidence of cardiac arrests and unexpected deaths in surgical patients before and after implementation of a rapid response system. Ann Intensive Care. 2012;2(1):20. doi: 10.1186/2110-5820-2-20.
Cave DM, Aufderheide TP, Beeson J, Ellison A, Gregory A, Hazinski MF, et al. Importance and implementation of training in cardiopulmonary resuscitation and automated external defibrillation in schools: A science advisory from the American Heart Association. Circulation. 2011;123(6):691-706. doi: 10.1161/CIR.0b013e31820b5328.
Almesned A, Almeman A, Alakhtar AM, AlAboudi AA, Alotaibi AZ, Al-Ghasham YA, et al. Basic life support knowledge of healthcare students and professionals in the Qassim University. Int J Health Sci. 2014;8(2):141-50.
Wang J, Zhuo CN, Zhang L, Gong YS, Yin CL, Li YQ. Performance of cardiopulmonary resuscitation during prolonged basic life support in military medical university students: A manikin study. World J Emerg Med. 2015;6(3):179-85. doi: 10.5847/wjem.j.1920-8642.2015.03.003.
Kumari KM, babu Amberkar M, Alur SS, Bhat PM, Bansal S. Clinical awareness of do’s and don’ts of cardiopulmonary resuscitation (CPR) among university medical students - a questionnaire study. J Clin Diagn Res. 2014;8(7):8-11 doi: 10.7860/JCDR/2014/8541.4567.
Howell P, Tennant I, Augier R, Gordon-Strachan G, Harding- Goldson H. Physicians’ knowledge of cardiopulmonary resuscitation guidelines and current certification status at the University Hospital of the West Indies, Jamaica. West Indian Med J. 2014;63(7):739-43. doi: 10.7727/wimj.2013.267.
Ralapanawa DMPUK, Jayawickreme KP, Ekanayake EMM, Kumarasiri PVR. A study on the knowledge and attitudes on advanced life support among medical students and medical officers in a tertiary care hospital in Sri Lanka. BMC Res Notes. 2016;9(1):462. doi: 10.1186/s13104-016-2270-5.
Taniguchi T, Omi W, Inaba H. Attitudes toward the performance of bystander cardiopulmonary resuscitation in Japan. Resuscitation. 2007;75(1):82-7. doi: 10.1016/j.resuscitation.2007.02.019.
Weisfeldt ML. Public access defibrillation: good or great? BMJ. 2004;28:328(7438):271-2. doi: 10.1136/bmj.328.7438.E271.
Alshaqsi S, Alwahaibi K, Alrisi A. Wasted potential: Awareness of basic cardiopulmonary resuscitation in the Sultanate of Oman - A cross-sectional national survey. J Eme Med Int Care. 2015;1(1):1-5. doi: 10.19104/jemi.2015.105.
Donohoe RT, Haefeli K, MooreDonohoe F. Public perceptions and experiences of myocardial infarction, cardiac arrest and CPR in London. Resuscitation. 2006;71(1):70-9. doi: 10.1016/j. resuscitation.2006.03.003.
Ozbilgin S, Akan M, Hanci V, Aygun C, Kuvaki B. Evaluation of public awareness, knowledge and attitudes about cardiopulmonary resuscitation: Report of Izmir. Turk J Anaesthesiol Reanim. 2015;43(6):396-405. doi: 10.5152/TJAR.2015.61587.
Abbas A, Bukhari SI, Ahmad F. Knowledge of first aid and basic life support amongst medical students: A comparison between trained and un-trained students. J Pak Med Assoc. 2011;61(6):613.
Weji BG, Goshu EM, Melese KG. Assessment of knowledge, attitude and associated factors of cardiopulmonary resuscitation among anesthetists working in governmental and private hospitals in Addis Ababa, Ethiopia: Institutional based crosssectional study. Int. J Med Sci. 2017;9(3):17-21. doi: 10.5897/IJMMS2017.1291.
Roshana S, Batajoo KH, Piryani RM,Sharma MW. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med. 2012;3:141-5. doi:10.5847/wjem.j.issn.1920-8642.2012.02.011.
Pantazopoulos I, Aggelina A, Barouxis D, Papapanagiotou P, Troupis G, Kotsiomitis E. Cardiologists’ knowledge of the 2005 American Heart Association resuscitation guidelines: The Athens study. Heart Lung. 2011;40:278-84. doi: 10.1016/j.hrtlng.2011.01.009.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Holistence Publications
This work is licensed under a Creative Commons Attribution 4.0 International License.
When the article is accepted for publication in the HSQ authors transfer all copyright in the article to the Holistence Academy Ar-Ge Yazılım Yayıncılık Eğitim Danışmanlık ve Organizasyon Ticaret Ltd. Şti.The authors reserve all proprietary right other than copyright, such as patent rights.
Everyone who is listed as an author in this article should have made a substantial, direct, intellectual contribution to the work and should take public responsibility for it.
This paper contains works that have not previously published or not under consideration for publication in other journals.
