Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Apr 24;10(9):e29803.
doi: 10.1016/j.heliyon.2024.e29803. eCollection 2024 May 15.

Factors influencing civil servants' willingness to implement cardiopulmonary resuscitation in Chongqing, China: Based on the theory of planned behavior

Ying Chen  1 , Huixian Zhou  1 , Chuan Pu  1 , Feng Chen  2 , Dianguo Xing  3 , Jiani Mao  1 , Ling Jia  1 , Yan Zhang  1
Affiliations

Factors influencing civil servants' willingness to implement cardiopulmonary resuscitation in Chongqing, China: Based on the theory of planned behavior

Ying Chen et al. Heliyon. .

Abstract

Background: Timely bystander cardiopulmonary resuscitation is the key to improving the survival rate of out-of-hospital cardiac arrest. Civil servants are potential bystander CPR providers. This study aimed to explore civil servants' willingness to implement CPR in Chongqing, identify the influencing factors and mechanisms affecting civil servants' willingness to perform CPR, and then seek countermeasures to improve civil servants' willingness to implement CPR.

Methods: We introduced the theory of perceived risk into the theory of planned behavior, developed a 7-point Likert scale based on the extended theory of planned behavior, and conducted a questionnaire survey on civil servants in Chongqing, China. Descriptive statistical analysis and one-way ANOVA were employed to explore respondents' willingness and differences. Structural equation modeling was used to analyze the relationship between attitude, subjective norm, perceived behavioral control and perceived risk and respondents' willingness to implement CPR.

Results: A total of 1235 valid questionnaires were included for analysis. 50.1 % of respondents were willing to implement CPR. Male, over 40 years old, living with the elderly, having previous experience performing CPR on another person, and having higher CPR knowledge scores were associated with a more positive willingness to perform CPR. Attitude, subjective norm and perceived behavioral control had significant positive effects on willingness, and the standardized regression coefficients were 0.164, 0.326 and 0.313, respectively. The perceived risk has a significant negative effect on willingness, and the standardized regression coefficient was -0.109. The four latent variables accounted for 44.2 % of the variance in the willingness of civil servants to implement CPR.

Conclusions: The willingness of civil servants in Chongqing to implement CPR needs to be improved, and the countermeasures to enhance the subjective norm and perceived behavioral control of civil servants should be emphasized, such as developing a social support network for rescuing conduct, establishing regular training mechanisms and improving the practical applicability and popularization of the Chinese-style "Good Samaritan Law" etc., to improve the willingness of civil servants in Chongqing to implement CPR.

Keywords: CPR; Civil servants; Perceived risk theory; Theory of planned behavior; Willingness to perform.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Fig. 1
Fig. 1
The theoretical framework of study.
Fig. 2
Fig. 2
Standardization results of structural equation modeling.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Myat A., Song K.J., Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet. 2018;391(10124):970–979. doi: 10.1016/S0140-6736(18)30472-0. - DOI - PubMed
    1. Xie X., Zheng J., Zheng W., et al. Efforts to improve survival outcomes of out-of-hospital cardiac arrest in China: basic-OHCA. Circ Cardiovasc Qual Outcomes. 2023;16(2) doi: 10.1161/CIRCOUTCOMES.121.008856. - DOI - PubMed
    1. Wang L.X., Meng Q.Y., Yu T. National consensus on cardiopulmonary resuscitation in China. Chin. Crit. Care Med. 2016;28(12):1059–1079. doi: 10.3760/cma.j.issn.2095-4352.2016.12.002. - DOI
    1. Yamaguchi T., Nakai M., Kodama T., et al. Impact of a national initiative to provide civilian cardiopulmonary resuscitation training courses on the rates of bystander intervention by citizens and survival after out-of-hospital cardiac arrest. Resuscitation. 2024;195 doi: 10.1016/j.resuscitation.2024.110116. - DOI - PubMed
    1. Birkun A., Kosova Y. Social attitude and willingness to attend cardiopulmonary resuscitation training and perform resuscitation in the Crimea. World J Emerg Med. 2018;9(4):237–248. doi: 10.5847/wjem.j.1920-8642.2018.04.001. - DOI - PMC - PubMed

LinkOut - more resources