Attitudes towards CPR among allied health students in Jordan: a cross-sectional study

Versions

pdf

Keywords

Cardiopulmonary resuscitation
attitude
allied health professions
students
emergency medical services
CPR

How to Cite

1.
Oteir A, Almhdawi K, Kanaan S, Alwidyan M, Williams B. Attitudes towards CPR among allied health students in Jordan: a cross-sectional study. Australasian Journal of Paramedicine [Internet]. 2021Jan.5 [cited 2021Mar.2];17. Available from: https://ajp.paramedics.org/index.php/ajp/article/view/860

Abstract

Introduction

Early cardiopulmonary resuscitation (CPR) is associated with increased survival rates from out-of-hospital cardiac arrest. This aim of this study was to explore the attitudes to CPR among allied health students in Jordan; and to compare the attitudes to performing chest compression-only (CC) CPR versus CPR with mouth-to-mouth ventilation (MMV).

Methods

A cross-sectional study using a 17-item attitude questionnaire that assessed the attitude to CPR in general, and to performing MMV and CC on different patient groups (the other gender, strangers, relatives, children), and despite infection concerns.

Results

A total of 856 participants completed the questionnaire (mean age 20.8 years, 74.0% female); 79.2% of participants were willing to learn and practise CPR encouraged by their cultural values and religious beliefs and had a positive attitude towards the benefits of CPR. Compared to MMV, a greater proportion of students had a positive attitude towards performing CC on strangers (71.7% vs 29.6%, p<0.001), relatives (77.9% vs 40.4, p<0.001), patients of the other gender (62.3% vs 29.8%, p<0.001), and despite infection concerns (67.9% vs 24.1%, p<0.001). Compared to males, a higher proportion of females had a positive attitude about delivering CC to relatives (80.7% vs 70.0%, p=0.004) and despite the infection concerns (71.1% vs 58.7%, p=0.007). Females were more reluctant to perform MMV on males (26.1% vs 40.4%, p=0.02), strangers (25.3% vs 41.7%, p=0.01) and relatives (36.5% vs 51.6%, p=0.01).

Conclusion

A large proportion of participants were willing to learn CPR and had positive attitudes towards its benefits. Females were more inclined to perform CC compared to males, whereas males were more likely than females to deliver MMV. More training is recommended, and clear legislation regarding the legal liabilities of rescuers is needed in Jordan.

https://doi.org/10.33151/ajp.17.860
pdf

References

Bray JE, Smith K, Case R, C, et al. Public cardiopulmonary resuscitation training rates and awareness of hands‐only cardiopulmonary resuscitation: a cross‐sectional survey of Victorians. Emerg Med Australas 2017;29:158-64.

Kanstad BK, Nilsen SA, Fredriksen K. CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway. Resuscitation 2011;82:1053-9.

Hasselqvist-Ax I, Riva G, Herlitz J, et al. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N Engl J Med 2015;372:2307-15.

Raffee LA, Samrah SM, Al Yousef HN, Abeeleh MA, Alawneh KZ. Incidence, characteristics, and survival trend of cardiopulmonary resuscitation following in-hospital compared to out-of-hospital cardiac arrest in northern Jordan. Indian J Crit Care Med 2017;21:436.

Oteir AO, Almhdawi KA, Kanaan SF, Alwidyan MT, Williams B. Cardiopulmonary resuscitation level of knowledge among allied health university students in Jordan: a cross-sectional study. BMJ Open 2019;9.

Urban J, Thode H, Stapleton E, Singer AJ. Current knowledge of and willingness to perform Hands-Only™ CPR in laypersons. Resuscitation 2013;84:1574-8.

Berdowski J, Berg RA, Tijssen JG, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies. ibid. 2010;81:1479-87.

Bobrow BJ, Vadeboncoeur TF, Spaite DW, et al. The effectiveness of ultrabrief and brief educational videos for training lay responders in hands-only cardiopulmonary resuscitation: implications for the future of citizen cardiopulmonary resuscitation training. Circ Cardiovasc Qual Outcomes 2011;4:220-6.

Yang C-W, Yen Z-S, McGowan JE, et al. A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation 2012;83:1055-60.

Hopstock LA. Cardiopulmonary resuscitation; use, training and self-confidence in skills. A self-report study among hospital personnel. Scand J Trauma Resusc Emerg Med 2008;16:18.

Van de Velde S, Roex A, Vangronsveld K, et al. Can training improve laypersons helping behaviour in first aid? A randomised controlled deception trial. Emerg Med J 2013;30:292-7.

Sayre MR, Berg RA, Cave DM, et al. Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee. Circulation 2008;117:2162-7.

Wissenberg M, Lippert FK, Folke F, et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA 2013;310:1377-84.

Vaillancourt C, Kasaboski A, Charette M, et al. Barriers and facilitators to CPR training and performing CPR in an older population most likely to witness cardiac arrest: a national survey. Resuscitation 2013;84:1747-52.

Soar J, Maconochie I, Wyckoff MH, et al. 2019 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 2019;140:e826-80.

Lu C, Jin Y, Meng F, et al. An exploration of attitudes toward bystander cardiopulmonary resuscitation in university students in Tianjin, China: a survey. Int Emerg Nurs 2016;24:28-34.

Chew KS, Yazid MNA. The willingness of final year medical and dental students to perform bystander cardiopulmonary resuscitation in an Asian community. Int J Emerg Med 2008;1:301.

Lu C, Jin YH, Shi XT, et al. Factors influencing Chinese university students' willingness to performing bystander cardiopulmonary resuscitation. Int Emerg Nurs 2017;32:3-8.

Coons SJ, Guy MC. Performing bystander CPR for sudden cardiac arrest: behavioral intentions among the general adult population in Arizona. Resuscitation 2009;80:334-40.

Kleinman ME, Brennan EE, Goldberger ZD, 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. Circulation 2015;132(18 Suppl 2):S414-35.

Savastano S, Vanni V. Cardiopulmonary resuscitation in real life: the most frequent fears of lay rescuers. Resuscitation 2011;82:568-71.

Malta Hansen C, Rosenkranz SM, Folke F, et al. Lay bystanders' perspectives on what facilitates cardiopulmonary resuscitation and use of automated external defibrillators in real cardiac arrests. J Am Heart Assoc 2017;6:e004572.

Boyle MJ, Williams B, Brown T, et al. Attitudes of undergraduate health science students towards patients with intellectual disability, substance abuse, and acute mental illness: a cross-sectional study. BMC Med Educ 2010;10:71.

Blewer AL, Ibrahim SA, Leary M, et al. Cardiopulmonary resuscitation training disparities in the United States. J Am Heart Assoc 2017;6:e006124.

MacCallum RC, Widaman KF, Zhang S, Hong S. Sample size in factor analysis. Psychol Methods 1999;4:84.