Knowledge, attitude, practice, and associated factors of physicians towards cardiopulmonary resuscitation at a tertiary hospital in Ethiopia

doi:10.1016/j.afjem.2025.04.002

. 2025 Jun;15(2):607-612.

doi: 10.1016/j.afjem.2025.04.002. Epub 2025 May 1.

Knowledge, attitude, practice, and associated factors of physicians towards cardiopulmonary resuscitation at a tertiary hospital in Ethiopia

Natan Mulubrhan Alemseged¹, Gobena Tesfaye², Abera Admas³

Affiliations

¹ Department of Emergency and Critical Care Medicine, School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
² Department of Public health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
³ Department of Epidemiology, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

PMID: 40385104
PMCID: PMC12083998
DOI: 10.1016/j.afjem.2025.04.002

Knowledge, attitude, practice, and associated factors of physicians towards cardiopulmonary resuscitation at a tertiary hospital in Ethiopia

Natan Mulubrhan Alemseged et al. Afr J Emerg Med. 2025 Jun.

. 2025 Jun;15(2):607-612.

doi: 10.1016/j.afjem.2025.04.002. Epub 2025 May 1.

Authors

Natan Mulubrhan Alemseged¹, Gobena Tesfaye², Abera Admas³

Affiliations

¹ Department of Emergency and Critical Care Medicine, School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
² Department of Public health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
³ Department of Epidemiology, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

PMID: 40385104
PMCID: PMC12083998
DOI: 10.1016/j.afjem.2025.04.002

Abstract

Introduction: Cardiopulmonary resuscitation (CPR) is performed on victims of cardiac arrest. It is important for health professionals to successfully perform these lifesaving skills. This study aimed to assess the CPR knowledge, attitude, practice, and associated factors of physicians working at Hiwot Fana Comprehensive Specialized Hospital Eastern Ethiopia.

Methods: An institutional-based cross-sectional study was implemented. A stratified random sampling technique was used. A self-administered questionnaire and a manikin was used to assess CPR skills. The results are presented in the text, tables, and graphs. Multivariate logistic regression was used to identify factors associated with levels of competency. The adjusted odds ratio with the corresponding 95 % confidence interval was calculated to show the strength of the association.

Results: This study revealed that 63.7 % [95 % CI 57 % -71 %] of the physicians had good knowledge, and their overall competency in CPR was found to be 63 % [95 % CI 54 % - 72 %]. They have a positive attitude regarding the importance of CPR and a willingness to provide CPR. Physicians who took resuscitation training (adjusted odds ratio 11.8 [4.29-32.42]) and a specialist (adjusted odds ratio 7.99 [1.87-34.27]) were more competent than their counterparts.

Discussion: The results demonstrate suboptimal CPR competency among physicians' representatives at a tertiary hospital in Eastern Ethiopia. Taking CPR training and being a specialist were found to have an effect on being competent in CPR. Participants reported positive attitudes toward doing CPR. A system of regular, updated refresher training for physicians should be implemented to maintain CPR competencies. Hospitals should also be equipped with materials and drugs needed for CPR.

Keywords: CPR; Cardiac arrest; Hiwot Fana Hospital; Physician competency; Resuscitation training; emergency care.

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Conflict of interest statement

The authors declared no conflicts of interest.

Figures

Fig. 1: — **Fig. 1**
Proportion of physicians correctly identifying cardiac arrest rhythms. The number of cases represents the proportion of physicians who correctly identified the answer from four case-based scenarios. * None: refers to physicians who did not correctly identify any cases.

Fig. 2: — **Fig. 2**
CPR skill level of physicians categorized by type. GP: General practitioners.

See this image and copyright information in PMC

References

1. Perkins G.D., Olasveengen T.M., Maconochie I., Soar J., Wyllie J., Greif R., et al. European Resuscitation Council Guidelines for Resuscitation: 2017 update. Resuscitation. 2018;123:43–50. doi: 10.1016/j.resuscitation.2017.12.007. [Internet]Available from: - DOI - PubMed
1. Ibrahim W.H. Recent advances and controversies in adult cardiopulmonary resuscitation. Postgrad Med J. 2007;83(984):649–654. doi: 10.1136/pgmj.2007.057133. [Internet]Available from: - DOI - PMC - PubMed
1. Holmberg M.J., Ross C.E., Fitzmaurice G.M., Chan P.S., Duval-Arnould J., Grossestreuer A.V., et al. Annual incidence of adult and pediatric in-hospital cardiac arrest in the United States. Circ Cardiovasc Qual Outcomes. 2019;12(7) - PMC - PubMed
1. Benjamin E.J., Blaha M.J., Chiuve S.E., Cushman M., Das S.R., Deo R., et al. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation. 2017;135(10):e146–e603. doi: 10.1161/CIR.0000000000000485. [Internet]Available from: - DOI - PMC - PubMed
1. Nolan J.P., Soar J., Smith G.B., Gwinnutt C., Parrott F., Power S., et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014;85(8):987–992. doi: 10.1016/j.resuscitation.2014.04.002. [Internet]Available from: - DOI - PubMed

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[1] Perkins G.D., Olasveengen T.M., Maconochie I., Soar J., Wyllie J., Greif R., et al. European Resuscitation Council Guidelines for Resuscitation: 2017 update. Resuscitation. 2018;123:43–50. doi: 10.1016/j.resuscitation.2017.12.007. [Internet]Available from: - DOI - PubMed

[2] Perkins G.D., Olasveengen T.M., Maconochie I., Soar J., Wyllie J., Greif R., et al. European Resuscitation Council Guidelines for Resuscitation: 2017 update. Resuscitation. 2018;123:43–50. doi: 10.1016/j.resuscitation.2017.12.007. [Internet]Available from: - DOI - PubMed

[3] Ibrahim W.H. Recent advances and controversies in adult cardiopulmonary resuscitation. Postgrad Med J. 2007;83(984):649–654. doi: 10.1136/pgmj.2007.057133. [Internet]Available from: - DOI - PMC - PubMed

[4] Ibrahim W.H. Recent advances and controversies in adult cardiopulmonary resuscitation. Postgrad Med J. 2007;83(984):649–654. doi: 10.1136/pgmj.2007.057133. [Internet]Available from: - DOI - PMC - PubMed

[5] Holmberg M.J., Ross C.E., Fitzmaurice G.M., Chan P.S., Duval-Arnould J., Grossestreuer A.V., et al. Annual incidence of adult and pediatric in-hospital cardiac arrest in the United States. Circ Cardiovasc Qual Outcomes. 2019;12(7) - PMC - PubMed

[6] Holmberg M.J., Ross C.E., Fitzmaurice G.M., Chan P.S., Duval-Arnould J., Grossestreuer A.V., et al. Annual incidence of adult and pediatric in-hospital cardiac arrest in the United States. Circ Cardiovasc Qual Outcomes. 2019;12(7) - PMC - PubMed

[7] Benjamin E.J., Blaha M.J., Chiuve S.E., Cushman M., Das S.R., Deo R., et al. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation. 2017;135(10):e146–e603. doi: 10.1161/CIR.0000000000000485. [Internet]Available from: - DOI - PMC - PubMed

[8] Benjamin E.J., Blaha M.J., Chiuve S.E., Cushman M., Das S.R., Deo R., et al. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation. 2017;135(10):e146–e603. doi: 10.1161/CIR.0000000000000485. [Internet]Available from: - DOI - PMC - PubMed

[9] Nolan J.P., Soar J., Smith G.B., Gwinnutt C., Parrott F., Power S., et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014;85(8):987–992. doi: 10.1016/j.resuscitation.2014.04.002. [Internet]Available from: - DOI - PubMed

[10] Nolan J.P., Soar J., Smith G.B., Gwinnutt C., Parrott F., Power S., et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014;85(8):987–992. doi: 10.1016/j.resuscitation.2014.04.002. [Internet]Available from: - DOI - PubMed

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Knowledge, attitude, practice, and associated factors of physicians towards cardiopulmonary resuscitation at a tertiary hospital in Ethiopia

Affiliations

Knowledge, attitude, practice, and associated factors of physicians towards cardiopulmonary resuscitation at a tertiary hospital in Ethiopia

Authors

Affiliations

Abstract

Conflict of interest statement

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References

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