American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Nursing Research. 2020, 8(5), 577-587
DOI: 10.12691/ajnr-8-5-11
Open AccessArticle

Examining Nurses’ Theoretical Knowledge, Attitude, and Practice of Cardio-pulmonary Resuscitation in Hospitals and Primary Health Care Settings in South Sharqiyah, Sultanate of Oman

Amira AL Nasri1, and Ahmed AL Bulushi2

1Directorate of Nursing, Directorate General of Health Affairs, South Sharqyiah Gov, Oman

2Professionl Development and Career Guidance Dep, Directorate General of Health Affairs, South Sharqyiah Gov, Oman

Pub. Date: September 08, 2020

Cite this paper:
Amira AL Nasri and Ahmed AL Bulushi. Examining Nurses’ Theoretical Knowledge, Attitude, and Practice of Cardio-pulmonary Resuscitation in Hospitals and Primary Health Care Settings in South Sharqiyah, Sultanate of Oman. American Journal of Nursing Research. 2020; 8(5):577-587. doi: 10.12691/ajnr-8-5-11


Objectives: This study attempts to identify the level of knowledge, attitude and practice of CPR among nurses in South Sharqyiah governorate, Oman. Moreover, it evaluates the association between the knowledge score and the selected variables. This will help to review the effectiveness of current CPR training, thus set up recommendations for better CPR programs. Method: This descriptive cross-sectional study was conducted between April and July 2019 in governmental hospitals and Primary Health care (PHC) institutions in Southern Sharqyiah Oman. A questionnaire-based survey was used to collect data from 282 registered staff nurses, including the Cardiopulmonary resuscitation (CPR) knowledge in both Basic Life support (BLS) and Advanced Cardiac Life support (ACLS), and nurses' attitude and practice towards CPR. Results: An excellent response rate of a total of 267 nurses (94.6%) took part in the study. Overall, nurses demonstrated inadequate level of knowledge in BLS their mean±SD of the total knowledge scores was 9.05±3.228. Like BLS knowledge, the participants demonstrated inadequate level of knowledge in ACLS as the total mean ±SD was 3.47±.1. 784. The study noted a significant association between the total scores of BLS knowledge and nationality (p=0.028). Conclusions: The result of this study has confirmed that knowledge of the nurses in BLS and ACLS was found to be low. The study revealed high numbers of staff nurses need to renew BLS and ACLS certificates. Thus, there is a crucial need for innovative educational interventions related to CPR. There is also a need to evaluate the knowledge and performance of CPR in clinical area such as mock drill.

knowledge attitude cardiopulmonary resuscitation nursing basic life support advanced life support Oman

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Oh, J., Kim, YS., “Knowledge of Infant Cardiopulmonary Resuscitation of Pediatric Ward Nurses”, Indian Journal of Science and Technology, (9): 1-7, 2016.
[2]  Aranzábal-Alegría, G., Verastegui-Díaza, A., Nones-Laveriano, D., Quintana-Mendoza, B., Jennifer Vilchez-Cornejo, L.Y., Espejo, C., Arroyo, L., ''Factors influencing the level of knowledge of cardiopulmonary resuscitation in hospitals in Peru'', Coloumbian Journal of Anesthesiology; 45: 114-121. 2017.
[3]  World Health Organization WHO. World Health Statistics: 2013. from 5/en/Accessed: Jan2019.
[4]  Annual Health Report Ministry of Health, Sultanate of Oman 2016: Accessed: Feb2019.
[5]  Almeida, A. O., Araujo, I. E., Darli, M. C., Araujo, S., ''Theoretical Knowledge of Nurses Working in Non-Hospital Urgent and Emergency Care Units Concerning Cardiopulmonary Arrest and Resuscitation'', Latino-Am. Enfermagem, 19: 261-8. 2011.
[6]  American Heart Association. Basic Life Support Provider manual. Texas, USA; Integracolor, LTD2016.
[7]  American Heart Association. Advanced Life Support Provider manual. Texas, USA; Integracolor, LTD2016.
[8]  Clarke, S., Apesoa-Varano, E.C., Barton, j., ''Code Blue: methodology for a qualitative study of teamwork during simulated cardiac arrest'', BMJ, 6: 1-6. 2015.
[9]  Botha, L., Geyser, M.M., Engelbrecht, A., ''Knowledge of cardiopulmonary resuscitation of clinicians at a South African tertiary hospital'', South Afriaca Family practice; 55: 337-454. 2015.
[10]  Siriphuwanunb,. V, Punjasawadwong, Y., Lapisatepun, W., S., Uerpairojkit, K., Patumanond, J.,'' The initial success rate of cardiopulmonary resuscitation and its associated factors in patients with cardiac arrest within 24 hours after anesthesia for an emergency surgery'', Risk Management and Healthcare Policy; 65-76. 2014.
[11]  Burkhardt, J.N., Glick, J.E., Terndrup, TE. ,''Effect of Prior Cardiopulmonary Resuscitation Knowledge on Compression Performance by Hospital Providers'', Western Journal of Emergency Medicine; 4: 404-8. 2014.
[12]  Abraham, J., Mary, D. C., ''Assessment of Level of knowledge on cardiopulmonary resuscitation among nurses'', Int J Pharm Bio Science. 7: 885-888. 2016.
[13]  Filho, C. M., Santos, E.S., Silv,a R.C., Nogueira, L.S.,'' Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of , Journal of School of Nursing; 49: 907-91. 2015.
[14]  Garcia, S., Belén, A., Aleman, F., Luis, J. , Perez, A., Hernandez, H., ''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'', Enfermia Global ; 39: 246-26. 2015.
[15]  Plagisou1, L., Tsironi, M., Zyga, S., Moisoglou, I., Maniadakism, N., Prezerakos, P., ''Assessment of Nursing Staff’s Theoretical Knowledge of Cardiovascular Resuscitation in an NHS Public Hospital'', Hellenic J of Cardiology; 56: 149-153. 2015.
[16]  Marzooq, H., LyenhamM J., ''Cardiopulmonary resuscitation knowledge among nurses working in Bahrain'', International Journal of nursing practice; 15: 294-302. 2009.
[17]  Passali, C., Pantazopolus, I., Dontas, I., Patsaki, A., Baouxis, D., Troupis, G., Xanthos, T., ''Evaluation of Nurses' and Doctors' Knowledge of Basic & Advanced Life Support Resuscitation Guidelines''. Nursing Education Practice; 6: 365-9. 2011.
[18]  Kelkay ,M. M., Kassa, H., Birhanu, Z ., Amsalu, S., ''A cross sectional study on knowledge, practice and associated factors towards basic life support among nurses working in amhara region referral hospitals, northwest Ethiopia'', Hospice & Palliative Medicine International Journal ; 2: 123-130. 2018.
[19]  Parajulee, S., Selvaraj, V., ''Knowledge of Nurses Towards Cardio-pulmonary Resuscitation in a Tertiary Care Teaching Hospital in Nepal'', Journal of Clinical and Diagnostic Research; 5: 1585-1588. December 2011.
[20]  Tsegaye, W., Tesfay,e M. , Alemu, M., ''Knowledge, Attitude and Practice of Cardiopulmonary Resuscitation and Associated Factors in Ethiopian University Medical Students'', J Gen Pract; 3, 1-5. 2015.
[21]  Majid, A., Jamali, M., Ashrafi, M. M., Haq, Z., Irfan, R., Rehan, A., ''Knowledge and Attitude Towards Cardiopulmonary Resuscitation Among Doctors of a Tertiary Care Hospital in Karachi''. Cureus; 11: 1-9. 2019.
[22]  Boonmak, P., Worphang, N., Boonmak, S., Nithipanich, P., Maneepong, P., ''Nurse’s Advanced Cardiac Life Support (ACLS) Knowledgein Srinagarind Hospital'', Med Journal; 25: 42-46. 2010.
[23]  Tíscar-González, V., Blanco-Blanco J., Gea-Sánchez, M., Rodriguez Molinuevo, A., Moreno-Casbas, T., ''Nursing knowledge of and attitude in cardiopulmonary arrest: cross-sectional survey analysis''. Peer J 2019; 7:e6410.