Abstract
Purpose: The purpose of this study was to assess knowledge and attitudes of doctors, nurses and nursing technicians regarding cardiopulmonary resuscitation (CPR) before and after simulation-based learning (SBL).
Background: The Cardiopulmonary Resuscitation (CPR) is a vital component of the chain of survival for people who undergo cardiac arrest. The global incidences of cardiac arrest have increased over the past years (Lim et al., 2020). Subsequently, the incidences of cardiac arrest in the lower middle-income countries are higher with alarmingly poorer survival rates (Ahmed et al., 2021). This imposes greater responsibility on the healthcare system to respond to the cardiac arrest situations with utmost preparedness. Most of the cardiac arrests happening within-hospital are first encountered by doctors, nurses or paramedical staffs most of the time. The efficiency, skill and timeliness to begin CPR for these frontliners is directly associated with the positive health outcomes for the patients (Dedeilia et al., 2020). To inform the healthcare delivery system and identify areas that require further development, it is crucial to assess the knowledge and attitudes of healthcare providers regarding CPR.
Methodology: The study used the quasi-experimental pre-test and post-test design. The doctors, nurses and nursing technicians from the medicine ward of a tertiary care hospital in Karachi, Pakistan, were recruited based on total sampling method whereby 99 frontline healthcare providers took part. The data was collected using two previously validated tools: Basic Resuscitation Skills Self-Efficacy Scale (BRS-SES) for attitude assessment (Hernández-Padilla et al., 2014) and a 15-item knowledge-based questionnaire (Iqbal et al., 2021).
Results: The study affirmed that baseline knowledge and attitudes of healthcare providers were poor. The preset knowledge of healthcare providers was insufficient (6.44 ± 3.22) and increased significantly (13.82 ± 2.03) post-simulation. Similarly, the attitude pretest scores were suggestive of unsatisfactory results (43.94 ± 20.2), which surpassed with (91.95 ± 8.2) significantly improved scores on the post-test.
Notes
References:
Lim, Z. J., Reddy, M. P., Afroz, A., Billah, B., Shekar, K., & Subramaniam, A. (2020). Incidence and outcome of out-of-hospital cardiac arrests in the COVID-19 era: A systematic review and meta-analysis. Resuscitation, 157, 248-258.
Ahmed, F., Abbasi, L., Ghouri, N., & Patel, M. J. (2021). Epidemiology of in-hospital cardiac arrest in a Pakistani tertiary care hospital pre- and during COVID-19 pandemic. Pakistan Journal of Medical Sciences, 38(ICON-2022). https://doi.org/10.12669/pjms.38.icon-2022.5776
Dedeilia, A., Sotiropoulos, M. G., Hanrahan, J., Janga, D., Dedeilias, P., & Sideris, M. (2020b). Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic review. In Vivo, 34(3 suppl), 1603–1611. https://doi.org/10.21873/invivo.11950
Hernández-Padilla, J., Suthers, F., Fernández-Sola, C., & Granero-Molina, J. (2016). Development and psychometric assessment of the Basic Resuscitation Skills Self-Efficacy Scale. European journal of cardiovascular nursing, 15(3), e10–e18. https://doi.org/10.1177/1474515114562130
Iqbal, A., Nisar, I., Arshad, I., Butt, U. I., Umar, M., Ayyaz, M., & Farooka, M. W. (2021). Cardiopulmonary resuscitation: Knowledge and Attitude of doctors from Lahore. Annals of Medicine and Surgery, 69. https://doi.org/10.1016/j.amsu.2021.102600
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Quasi-Experimental Study, Other
Research Approach
Quantitative Research
Keywords:
Simulation, Cardiopulmonary Resuscitation, CPR, Cardiac Arrests
Recommended Citation
Noorani, Nausheen Barkat Ali, "Using Simulation to Assess Knowledge and Attitudes of Healthcare Providers Regarding CPR" (2025). International Nursing Research Congress (INRC). 229.
https://www.sigmarepository.org/inrc/2025/presentations_2025/229
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Using Simulation to Assess Knowledge and Attitudes of Healthcare Providers Regarding CPR
Seattle, Washington, USA
Purpose: The purpose of this study was to assess knowledge and attitudes of doctors, nurses and nursing technicians regarding cardiopulmonary resuscitation (CPR) before and after simulation-based learning (SBL).
Background: The Cardiopulmonary Resuscitation (CPR) is a vital component of the chain of survival for people who undergo cardiac arrest. The global incidences of cardiac arrest have increased over the past years (Lim et al., 2020). Subsequently, the incidences of cardiac arrest in the lower middle-income countries are higher with alarmingly poorer survival rates (Ahmed et al., 2021). This imposes greater responsibility on the healthcare system to respond to the cardiac arrest situations with utmost preparedness. Most of the cardiac arrests happening within-hospital are first encountered by doctors, nurses or paramedical staffs most of the time. The efficiency, skill and timeliness to begin CPR for these frontliners is directly associated with the positive health outcomes for the patients (Dedeilia et al., 2020). To inform the healthcare delivery system and identify areas that require further development, it is crucial to assess the knowledge and attitudes of healthcare providers regarding CPR.
Methodology: The study used the quasi-experimental pre-test and post-test design. The doctors, nurses and nursing technicians from the medicine ward of a tertiary care hospital in Karachi, Pakistan, were recruited based on total sampling method whereby 99 frontline healthcare providers took part. The data was collected using two previously validated tools: Basic Resuscitation Skills Self-Efficacy Scale (BRS-SES) for attitude assessment (Hernández-Padilla et al., 2014) and a 15-item knowledge-based questionnaire (Iqbal et al., 2021).
Results: The study affirmed that baseline knowledge and attitudes of healthcare providers were poor. The preset knowledge of healthcare providers was insufficient (6.44 ± 3.22) and increased significantly (13.82 ± 2.03) post-simulation. Similarly, the attitude pretest scores were suggestive of unsatisfactory results (43.94 ± 20.2), which surpassed with (91.95 ± 8.2) significantly improved scores on the post-test.
Description
The study has explicitly shown that educational interventions such as simulation-based learning can improve knowledge and attitudes of healthcare providers regarding CPR skills. However, further studies are required to determine the retention of core medical concepts and their application into real clinical settings.