10. KNOWLEDGE AND ATTITUDES REGARDING PEDIATRIC CARDIOPULMONARY RESUSCITATION AMONG NURSES AT AMERICAN INTERNATIONAL HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the knowledge and attitudes of nurses at American International Hospital regarding pediatric cardiopulmonary resuscitation (CPR) and to identify associated factors.
Methods: A cross-sectional descriptive study was conducted from August 2024 to January 2025 on 105 nurses. Knowledge and attitudes were assessed using a standardized questionnaire.
Results: The rates of nurses with good knowledge and attitudes towards pediatric CPR were 38.1% and 40%, respectively. Good knowledge was associated with higher education levels (p=0.036). Knowledge gaps were identified in initial management of suspected cardiac arrest, chest compression techniques, artificial respiration, and compression/ventilation ratios. Negative attitudes were observed regarding the use of automated external defibrillators and mouth-to-mouth resuscitation.
Conclusion: Nurses' knowledge and attitudes regarding pediatric CPR are limited. Enhanced training and education, particularly in defibrillator use and practical skills, are needed to improve CPR outcomes in children.
Article Details
Keywords
Pediatric CPR, nurse knowledge, nurse attitudes, CPR training.
References
[2] Berg KM, Bray JE, Ng KC, et al. 2023 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces. Circulation. Dec 12 2023;148(24):e187-e280. doi:10.1161/cir.0000000000001179
[3] Holmberg MJ, Ross CE, Fitzmaurice GM, et al. Annual Incidence of Adult and Pediatric In-Hospital Cardiac Arrest in the United States. Circulation Cardiovascular quality and outcomes. Jul 9 2019;12(7):e005580.
[4] Yan S, Gan Y, Jiang N, et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis. Critical care (London, England). Feb 22 2020;24(1):61. doi:10.1186/s13054-020-2773-2
[5] Đinh Hoàng Hải. Kiến thức, thái độ, thực hành hồi sinh tim phổi của sinh viên điều dưỡng năm 4. 2022;
[6] Nhan NTY. Evaluation of Resuscitation Car aluation of Resuscitation Cardiopulmonar diopulmonary Training for the New aining for the New Nurse Master's These. 2019;
[7] Oh J-W. Knowledge of Infant Cardiopulmonary Resuscitation of Pediatric Ward Nurses. Indian Journal of Science and Technology. 2016;Vol 9(41)doi:10.17485/ijst/2016/v9i41/103853
[8] Abolfotouh MA, Alnasser MA, Berhanu AN, Al-Turaif DA, Alfayez AI. Impact of basic life-support training on the attitudes of health-care workers toward cardiopulmonary resuscitation and defibrillation. BMC health services research. Sep 22 2017;17(1):674. doi:10.1186/s12913-017-2621-5
[9] Association AH. BLS basic life support: provider manual. Dallas, Tex : American Heart Association. 2020;
[10] Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. Dec 15 2000;25(24):3186-91. doi:10.1097/00007632-200012150-00014
[11] Okwuikpo I. Knowledge, Attitude and Practice of Cardiopulmonary Resuscitation Among Nurses in Babcock University Teaching Hospital in Ilishan-Remo, Ogun State, Nigeria International Journal of Caring Science. 2020;13(3)
[12] Tomas N, Kachekele ZA. Nurses' Knowledge, Attitudes, and Practice of Cardiopulmonary Resuscitation at a Selected Training Hospital in Namibia: A Cross-Sectional Survey. SAGE open nursing. Jan-Dec 2023;9:23779608231216809. doi:10.1177/23779608231216809
[13] Gao H, Liu X, Jiang Z, et al. Knowledge, attitudes, practices, and self-efficacy of the Chinese public regarding cardiopulmonary resuscitation: an online cross-sectional survey. Original Research. 2024-February-29 2024;12doi:10.3389/fpubh.2024.1341851
[14] Al Nasri A, Al Bulushi A. Examining Nurses’ Theoretical Knowledge, Attitude, and Practice of Cardio-pulmonary Resuscitation in Hospitals and Primary Health Care Settings in South Sharqiyah, Sultanate of Oman. American Journal of Nursing Research. 2020/09/08 2024;8(5):577-587.
[15] Botes ML, Moepeng M. An investigation into specialist practice nurses' knowledge of cardiopulmonary resuscitation guidelines in a tertiary hospital in Gauteng Province, South Africa. The Southern African journal of critical care : the official journal of the Critical Care Society. 2020;36(2)doi:10.7196/SAJCC.2020.v36i2.397
[16] Guteta M. Factors Affecting Cardiopulmonary Resuscitation Practice Among Nurses in Mizan Tepi University Teaching Hospital, Tepi General Hospital, and Gebretsadik Shawo Hospital, Southwest Ethiopia. Open access emergency medicine : OAEM. 2022;14:165-175. doi:10.2147/oaem.S350244
[17] Tavakol M, Dennick R. Making sense of Cronbach's alpha. International journal of medical education. Jun 27 2011;2:53-55. doi:10.5116/ijme.4dfb.8dfd
[18] Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. Oct 20 2020;142(16_suppl_2):S366-s468. doi:10.1161/cir.0000000000000916
[19] Topjian AA, Raymond TT, Atkins D, et al. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. Oct 20 2020;142(16_suppl_2):S469-s523. doi:10.1161/cir.0000000000000901
[20] Jae-Woo Oh. Knowledge of Infant Cardiopulmonary Resuscitation of Pediatric Ward Nurses. 2016;9
[21] Hendy A, Hassani R, Ali Abouelela M, et al. Self-Assessed Capabilities, Attitudes, and Stress among Pediatric Nurses in Relation to Cardiopulmonary Resuscitation. Journal of multidisciplinary healthcare. 2023;16:603-611. doi:10.2147/jmdh.S401939
[22] Streiner DL. Starting at the beginning: an introduction to coefficient alpha and internal consistency. Journal of personality assessment. Feb 2003;80(1):99-103. doi:10.1207/s15327752jpa8001_18