Document Type : Original Article
Authors
1 Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
2 School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
3 Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Abstract
INTRODUCTION: Cardiopulmonary resuscitation (CPR) is regarded as the most important skill of
the medical staff who is required to be aware of the latest changes to the CPR guidelines so that
they can take the most effective actions in the critical conditions of CPR. Therefore, the present
study aimed to determine the levels of CPR literacy among the personnel of universities of medical
sciences based in Kermanshah and Khuzestan provinces based on the latest 2015 CPR guidelines
in 2019.
MATERIALS AND METHODS: In this descriptive, analytical, cross‑sectional study, 525 subjects
were selected as the sample population using the two‑stage cluster sampling. For data
collection, a researcher‑made questionnaire was used, whose content validity and reliability were
confirmed (r = 0.71). The study screened the data received and analyzed valid data set through the
ttest and Spearman’s correlation coefficient by incorporating SPSS Statistics software version 23.0.
In addition, P < 0.05 was considered statistically significant.
RESULTS: The 2015 CPR literacy levels of the samples were as follows: excellent (85 subjects or
16.2%), good (404 subjects or 77%), and average (36 subjects or 6.9%). The results of Pearson’s
correlation coefficient revealed a weak and inverse relationship between the levels of CPR literacy
and the age of samples (r = −0.092) and work experience (−0.029), which were statistically significant.
In addition, the results of Mann–Whitney U‑test demonstrated that the level of CPR literacy among
the personnel of Ahwaz University of Medical Sciences exceeded that among the personnel of
Kermanshah University of Medical Sciences (P < 0.001).
CONCLUSION: It is suggested that in retraining the nursing and paramedical personnel, CPR be
carried out with more emphasis on the changes introduced in this guideline compared to that in 2010,
including esophageal tracheal airway, reasons for the cessation of CPR, intraosseous infusion, and
induced hypothermia.
Keywords
- Bekhradian N, Khalili A, Bargrizan S, Motlagh AH, Paymard A,
Vahdatnejad J. Comparison of knowledge of medical and
paramedical intern about of CPR, 2015. Int J Med Res Health Sci
2016;5:128‑31.
2. Reshadat S, Saeidi S, Zangeneh A, Ziapour A, Saeidi F,
Choobtashani M. A comparative study of spatial distribution
of gastrointestinal cancers in poverty and Affluent
Strata (Kermanshah Metropolis, Iran). J Gastrointest Cancer
2019; 50:838‑47.
3. Zangeneh A, LebniJY, Azar FE, SharmaM, Kianipour N, Azizi SA,
et al. A study of the communication skills in health care and the
role of demographic variables (a case study of the nurses at the
Educational, Therapeutic and Research Center of Imam Reza
Hospital, Kermanshah, Iran in 2018). J Public Health 2019:1‑7. In
Press.
4. Yoosefi Lebni J, Ebadi Azar F, Sharma M, Zangeneh A,
Kianipour N, Azizi S, et al. Factors affecting occupational hazards
among operating room personnel at hospitals affiliatedin in
Western Iran: A cross‑sectional study. J Public Health 2020:1‑8.
In Press.
5. Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW,
et al. Chest compression rates and survival following out‑of‑hospital cardiac arrest. Crit Care Med 2015; 43:840‑8.
6. Pourmirza Kalhori R, Ziapour A, Kianipour N, Foroughinia A.
A study of the relationship between lifestyle and happiness
of students at Kermanshah University of Medical Sciences
over 2015‑2016. Ann Trop Med Public Health 2017; 10:1004‑9.
7. Mohsenpour M, Imani Z, Abdolkarimi M. The effect of education
of cardiopulmonary resuscitation (CPR) on knowledge of nursing
staff and CPR team members in a hospital in Kerman province.
J Qual Res Health Sci 2010; 9:1‑11.
8. Montazeri N, Kianipour N, Nazari B, Ziapour A, Bakhshi S. Health
promoting behaviors among university students: A case‑sectional
study of Kermanshah University of Medical Sciences. Int J Pediatr
2017; 5:5091‑9.
9. Zaheer H, HaqueZ. Students’ Corner‑Awareness about BLS (CPR)
among medical students: Status and requirements. J Pakistan Med
Associa 2009; 59:57‑63.
10. Mohammadi M, Ziapoor A, Mahboubi M, Faroukhi A, Amani N,
Hydarpour F, Anbari SZ, Esfandnia A. Performance evaluation
of hospitals under supervision of kermanshah medical sciences
using pabonlasoty diagram of a five-year period (2008-2012). Life
Sci J 2014;11:77-81.
11. Ebadifard Azar F, Sarabi Asiabar A. Does leadership effectiveness
correlates with leadership styles in healthcare executives of
Iran University of Medical Sciences. Med J Islam Repub Iran
2015;29:166.
12. Ziapour A, Kianipour N. Health‑related quality of life among
University Students: The role of demographic variables. J Clin
Diagn Res 2018;12: JC1‑4.
13. Abbasi P, Kianipour N, Ziapour A. A Study of the status of
students’ social health at Kermanshah University of Medical
Sciences and the role of demographic Variables. J Clin Diagn Res
2018;12:VC10‑VC4.
14. Ziapour A, Zokaei A, Kahrizy F. A theoretical study of the
standing of social investment in the health sector. Soc Sci
2016;11(15):3682-87.
15. Abbasi P, Kianipour N, Ziapour A. Correlation of the components
of student’s lifestyles and their health promotion. J Clin Diagn
Res 2018;12:LC01‑LC4.
16. ShahrakivahedA, MasinaienezhadN, ShahdadiH, ArbabisarjouA,
Asadibidmeshki E, Heydari M. The effect of CPR workshop on the
nurses’ level of knowledge and skill. Int Arch Med 2015; 8:1‑10.
17. Mohammadi M, Ziapoor A, Mahboubi M, Faroukhi A, Amani N,
Hydarpour F, et al. Performance evaluation of hospitals under
supervision of kermanshah medical sciences using pabonlasoty
diagram of a five‑year period (2008‑2012). Life Sci J 2014; 11:77‑81.
18. Kaboudi M, Dehghan F, Ziapour A. The effect of acceptance and
commitment therapy on the mental health of women patients with
type II diabetes. Ann Trop Med Public Health 2017; 10:1709‑13.
19. Azar FE, Aghdash AS, Azar PF, Mazdaki A, Rezapour A, Ebrahimi
P, et al. Cost-effectiveness of lung cancer screening and treatment
methods: A systematic review of systematic reviews. BMC Health
Serv Res 2017;17:413.
20. Mansourian M, Ziapour A, Kazemian M, Damanabad ZH,
Rastegarimehr B, Mirzaei A, et al. Assessment of educational
performance of nurses in neonatal intensive care unit from
parents’ perspective. J Educ Health Promot 2020; 9:8.
21. Nazari B, Bakhshi S, Kaboudi M, Dehghan F, Ziapour A, Montazeri
N. A comparison of quality of life, anxiety and depression in
children with cancer and healthy children, Kermanshah-Iran. Int
J Pediatr 2017;5(7):5305-14.
22. Mokhtari NJ, Khadem AS, Karimi ZA, Naem AT, Saghafinia M.
Survey of nurses ‘acquire and retain cpr cognitive knowledge and
psychomotor skills following cpr training. Kowsar Med J 2007;
12:263‑71.
23. Abbasi P, Ziapour A, Özdenk G, Kianipour N. Study on the role
of social capital in students’ health at Kermanshah University of
Medical Sciences: The role of demographic variables. J Clin Diagn
Res 2018;12: JC1‑4.
24. Ahangarzadeh S, Saghizadeh M, Rahmani A. Evaluation of
Knowledge and Skills in CCU Nurses about cardiopulmonary
Resuscitation in Oromieh Medical Hospitals. Oromieh J Nurs
Mid 2006;4:15‑22.
25. Kalhori RP, Jalali A, Naderipour A, Almasi A, Khavasi M,
Rezaei M, et al. Assessment of Iranian nurses and emergency
medical personnel in terms of cardiopulmonary resuscitation
knowledge based on the 2010 guideline. Iran J Nurs Midwifery
Res 2017; 22:184‑9.
26. Pour Anaraki M, Nemati Pour A, Shahrezaii M. Evaluation of
knowledge in medical staff about cardiopulmonary resuscitation
in Tehran University Hospitals. Tehran Univ J Med 1998; 56:1‑9.
27. Preusch MR, Bea F, Roggenbach J, Katus HA, Jünger J, Nikendei C.
Resuscitation Guidelines 2005: Does experienced nursing
staff need training and how effective is it? Am J Emerg Med
2010;28:477‑84.
28. Nagashima K, Takahata O, Fujimoto K, Suzuki A, Iwasaki H.
Investigation on nurses’ knowledge of and experience in
cardiopulmonary resuscitation and on nurses’ knowledge of the
guidelines for cardiopulmonary resuscitation and emergency
cardiovascular care established in 2000‑‑results of a survey at
Asahikawa Medical College Hospital (second report). Masui 2003;
52:427‑30.
29. Brown TB, Dias JA, Saini D, Shah RC, Cofield SS, Terndrup TE,
et al. Relationship between knowledge of cardiopulmonary
resuscitation guidelines and performance. Resuscitation 2006;
69:253‑61.
30. Guyette FX, Rittenberger JC, Platt T, Suffoletto B, Hostler D,
Wang HE. Feasibility of basic emergency medical technicians to
perform selected advanced life support interventions. Prehosp
Emerg Care 2006; 10:518‑21.
31. Rittenberger JC, Bost JE, Menegazzi JJ. Time to give the first
medication during resuscitation in out‑of‑hospital cardiac arrest.
Resuscitation 2006; 70:201‑6.
32. Passali C, Pantazopoulos I, Dontas I, Patsaki A, Barouxis D,
Troupis G, Xanthos T. Evaluation of nurses’ and doctors’
knowledge of basic & advanced life support resuscitation
guidelines. Nurs Educ Pract 2011;11(6):365‑9.
33. Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar,
Shabbir PM, Chandrasekaran V. Awareness of basic life support
among medical, dental, nursing students and doctors. Indian J
Anaesth 2010; 54:121‑6.
34. Tsegaye W, Tesfaye M, Alemu M. Knowledge, attitude and
practice of cardiopulmonary resuscitation and associated factors
in Ethiopian university medical students. J General Pract 2015;
3:1‑5.
35. Abbasi P, Kianipour N, Demir Özdenk G, Ziapour A. Dataset
of leisure time among students at Kermanshah University of
Medical Sciences and its relationship with health‑related quality
of life (HRQOL). Data Brief 2018; 21:122‑7.
36. BorimnejadL, Nikbakht NasrabadiA, Mohammadi MohammadiH.
The effect of cardiopulmonary resuscitation workshop on nurses’
sustained learning. Iran J Med Educ 2008; 7:209‑15.
37. Abbasi P, Timareh M, Ziapour A, Kianipour N. A study of the
components of happiness and the role of demographic variables
among the students at Kermanshah University of Medical
Sciences. J Postgrad Med Instit 2018; 32:173‑8.
38. Pourmirza Kalhori R, Sabour B, Naderripour A, Almasi A,
Barna A, Azadi A, et al. Survey of awareness level of emergency
technicians about last guidelines 2010 of cardiopulmonary
resuscitation (CPR) in Kermanshah in 2012. Q Sci Rescue Relief
2014; 5:55‑67.
39. Puormirza‑Kalhori R, Saboor B, Naderipoor A, Almasi A,
Goodarzi A, Mirzaii M. Survey of the awareness level of nurses
about last guidelines of cardiopulmonary resuscitation (CPR) in
educational hospitals. Iran J Crit Care Nurs 2012; 5:77‑86. - 40. Kaboudi M, Kianipour N, Ziapour A, Dehghan F. A study
of health literacy components and their relationships with
health‑promoting behaviors in students at Kermanshah
University of Medical Sciences. Int J Pediatr 2017; 5:6721‑9.
41. Chen XZ, Zhang RL, Fu YM, Wang T. Survey of knowledge of
cardiopulmonary resuscitation in nurses of community‑based
health services in Hainan province. Al Ameen J Med Sci 2008;
1:93‑8.
42. Dal U, Sarpkaya D. Knowledge and psychomotor skills of
nursing students in North Cyprus in the area of cardiopulmonary
resuscitation. Pak J Med Sci 2013; 29:966‑71.
43. Preston JL, Currey J, Eastwood GM. Assessing advanced life
support (ALS) competence: Victorian practices. Aust Crit Care
2009; 22:164‑71.
44. Jensen ML, Hesselfeldt R, Rasmussen MB, Mogensen SS, Frost T,
Jensen MK, et al. Newly graduated doctors’ competence in
managing cardiopulmonary arrests assessed using a standardized
Advanced Life Support (ALS) assessment. Resuscitation 2008;
77:63‑8.
45. Perkins GD, Boyle W, Bridgestock H, Davies S, Oliver Z,
Bradburn S, et al. Q CPR during advan resuscitat train.
Resuscitation 2008; 77:69‑74.
46. Ghasemi SR, Zangeneh A, Rajabi‑Gilan N, Reshadat S, Saeidi S,
Ziapour A. Health‑related quality of life in informal settlements
in Kermanshah, Islamic Republic of Iran: Role of poverty and
perception of family socioeconomic status. East Mediterr Health
J 2019; 25:775‑83.
47. Hamilton R. Nurses’ knowledge and skill retention following
cardiopulmonary resuscitation training: A review of the literature.
J Adv Nurs 2005; 51:288‑97.
48. Baksha F. Assessing the need and effect of updating the
knowledge about cardio pulmonary resuscitation in experts.
J Clin Diagn Res 2010; 4:2512‑4.
49. Nabilou B, Yusefzadeh H, Rezapour A, Azar FE, Safi PS, Asiabar
AS, et al. The productivity and its barriers in public hospitals: Case
study of Iran. Med J Islamic Republic Iran 2016;30:316.
50. Wiese CH, Bartels U, Schultens A, Steffen T, Torney A, Bahr J,
et al. Influence of airway management strategy on “no‑flow‑time”
during an “advanced life support course” for intensive care
nurses‑a single rescuer resuscitation manikin study. BMC Emerg
Med 2008; 8:4.
51. Khanghahi ME, Azar FE. Direct observation of procedural skills
(DOPS) evaluation method: Systematic review of evidence. Med
J Islamic Repub Iran 2018;32:45.
52. Sánchez García AB, Fernández Alemán JL, Alonso Pérez N,
Hernandez Hernández I, Navarro Valverde R, Rosillo Castro D.
Assessment of the knowledge level and its relevance in terms
of CPR in medical personnel of the hospital emergency medical
system of the Autonomous Community of the Region of Murcia.
Enferm Glob 2015; 14:230‑43.
53. Lima SG, Macedo LA, Vidal Mde L, Sá MP. Permanent education
in BLS and ACLS: Impact on the knowledge of nursing
professionals. Arq Bras Cardiol 2009; 93:582‑8, 630‑6.