Knowledge, attitude, practice and associated factors of health care professionals towards cardiopulmonary resuscitation at St. Paul’s hospital MMC

Abstract

Background: Cardiopulmonary resuscitation is a lifesaving procedure, performed to preserve patients’ life until further management is going to follow. Having basic knowledge of CPR is a crucial task of medical care providers. Health care professionals should have positive attitude towards CPR and, practice of high quality CPR to decrease avoidable mortality and morbidity. Objective: To assess Knowledge, attitude, practice and associated factors of health care professionals towards cardiopulmonary resuscitation at St. Paul’s hospital MMC Methodology: Institutional based cross-sectional study was conducted from September 1 to October 1 2021. Stratified sampling followed by simple random sampling was used to recruit the 350 study participants. A Structured self-administered written questionnaire was used to collect the data. The data was filled, cleared for completeness, analyzed using SPSS version-26. The result of the study was presented using tables, graphs and figures. Both bivariate and multivariate logistic regression analysis were used to identify factors associated with KAP level of CPR. Variables which have p-value less than 0.25 in bivariate analysis were considered as candidate for multivariable analysis while variables which have p-value less than 0.05 in multivariable logistic regression model were considered as statistically significant. Both crude OR and adjusted (AOR) with the corresponding 95% CI calculated to show the strength of association. Results: This study was conducted on a total of 350 health professionals, with response rate of 100%. The mean ± SD of age of the study participants were 28.48 (±3.59). Among the study participants, 29.4 % had good knowledge level, 75.7% had good attitude level and 31.0 % good practice level towards CPR. Good knowledge level of CPR positively associated with age (AOR=2.74, 95% CI (1.00, 7.53), reading the CPR guideline (AOR=3.31, 95% CI (1.52, 7.19), training on CPR (AOR=2.81, 95% CI (1.56, 5.06)) and educational status. Additionally attitude levels towards CPR improved by reading CPR guideline (AOR=3.28, 95% CI (1.81, 5.93). Similarly practice level of CPR among participants positively associated with reading CPR guideline (AOR=1.84, 95% CI (1.417, 5.691)), work setting areas like working at ICU (AOR=3.46, 95% CI (1.46, 8.17)), working at EOPD (AOR=3.52, 95% CI (1.63, 7.62) and training on CPR. Conclusion and Recommendation: The level of knowledge and practice among heath care professionals in our institution is suboptimal according to AHA BLS certification reference. They have good and positive attitude towards CPR. CPR training, reading CPR guideline, age and educational level significantly associated with Knowledge level of CPR similarly attitude level of health professionals affected by reading and their age. Moreover, Practice level of CPR associated with level of CPR training, work setting and reading guideline. Therefore continuous training, reading CPR guideline and work setting rotations is highly recommended to improve KAP level of CPR. Key words: Basic life support, Attitude, Knowledge, Practice, Cardiopulmonary resuscitation.