American Journal of Nursing Research
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American Journal of Nursing Research. 2021, 9(2), 64-70
DOI: 10.12691/ajnr-9-2-4
Open AccessArticle

Knowledge and Skills of Cardiopulmonary Resuscitation among Critical Care Nurses in Kuwaiti Hospitals

Norah Alnutaifi1,

1Alrazi Hospital, Kuwait

Pub. Date: January 26, 2021

Cite this paper:
Norah Alnutaifi. Knowledge and Skills of Cardiopulmonary Resuscitation among Critical Care Nurses in Kuwaiti Hospitals. American Journal of Nursing Research. 2021; 9(2):64-70. doi: 10.12691/ajnr-9-2-4


Background: The ability of nurses and the other health care professionals to deal with cardiac arrest effectively depends largely on their knowledge and skills regarding the cardiopulmonary resuscitation (CPR) procedure. Purpose: The purpose of this study was to identify the level of knowledge and skills about CPR and the factors influencing the level of CPR knowledge and skills among critical care nurses in Kuwait. Methods: To meet the purpose of this study, a descriptive, cross-sectional, and correlational design was used. A sample of 204 critical care nurses from two governmental hospitals completed the study. Three instruments were used to collect data, including the demographic questionnaire, the CPR certification exam quiz, and the Basic Life Support Skills Checklist. Results: About 56.4% of the study participants passed the skills exam about CPR. However, only 15.7% passed the knowledge test about CPR. Better CPR Knowledge was associated with working in Hospital 2, receiving formal training in CPR, and being AHA certified. Better CPR skills was related to working in Hospital 2, male gender, experience in nursing, experience in travelling with patients for seeking treatment outside Kuwait, being AHA certified, and receiving formal training in CPR (P<0.05). Conclusion: Frequent education and training in CPR in the hospital and having CPR accreditation from AHA are required for critical care nurses in order to increase their ability to save the life of critically ill patients who are at risk for cardiac arrest.

knowledge skills cardiopulmonary resuscitation critical care nurses Kuwait

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[1]  Rajeswaran, L., & Ehlers, V. J. (2014). Cardiopulmonary resuscitation knowledge and skills of registered nurses in Botswana. curationis, 37(1), 1-7.‏
[2]  Alkandari, S. A., Alyahya, L., & Abdulwahab, M. (2017). Cardiopulmonary resuscitation knowledge and attitude among general dentists in Kuwait. World journal of emergency medicine, 8(1), 19.
[3]  Sasson, C., Rogers, M. A., Dahl, J., & Kellermann, A. L. (2010). Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circulation: Cardiovascular Quality and Outcomes, 3(1), 63-81.
[4]  Taniguchi, D., A. Baernstein, G., & Nichol. (2012). Cardiac arrest: A public health perspective. Emergency Medicine Clinics of North America 30(1), 1-12.
[5]  Daya, M., R. Schmicker, S. May, and L. Morrison. (2015). Current burden of cardiac arrest in the United States: Report from the Resuscitation Outcomes Consortium. Paper commissioned by the Committee on the Treatment of Cardiac Arrest: Current Status and Future Directions.
[6]  Merchant, R. M., Yang, L., Becker, L. B., Berg, R. A., Nadkarni, V., Nichol, G., ... & Groeneveld, P. W. (2011). Incidence of treated cardiac arrest in hospitalized patients in the United States. Critical care medicine, 39(11), 2401.
[7]  Sanghavi, P., Jena, A. B., Newhouse, J. P., & Zaslavsky, A. M. (2015). Outcomes after out-of-hospital cardiac arrest treated by basic vs advanced life support. JAMA internal medicine, 175(2), 196-204.‏
[8]  MedlinePlus. (2018). Cardiopulmonary resuscitation definition. Retrieved from
[9]  Yang, Z., Li, H., Yu, T., Chen, C., Xu, J., Chu, Y., ... & Huang, Z. (2014). Quality of chest compressions during compression-only CPR: a comparative analysis following the 2005 and 2010 American Heart Association guidelines. The American journal of emergency medicine, 32(1), 50-54.
[10]  Onyeaso, A. O., & Achalu, E. I. (2014). Knowledge of cardiopulmonary resuscitation among some secondary school students in Nigeria. Methodology, 5(15), 180-184.
[11]  Oak, J. W., & Bae, J. H. (2014). Development of Smart Multiplatform Game App Using Unity 3D Engine for CPR Education'. International Journal of Multimedia and Ubiquitous Engineering, 9(7), 263-268.‏
[12]  Sarfo, L. A. (2016). The knowledge and practice of cardio pulmonary resuscitation among nurses at Agogo Presbyterian hospital, Ghana West Africa. Applied Research Journal, 1(3), 1-8.‏
[13]  Roberts, B. W., Kilgannon, J. H., Chansky, M. E., Mittal, N., Wooden, J., Parrillo, J. E., & Trzeciak, S. (2013). Multiple organ dysfunction after return of spontaneous circulation in postcardiac arrest syndrome. Critical care medicine, 41(6), 1492-1501.
[14]  Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., ... & Fullerton, H. J. (2014). Heart disease and stroke statistics—2014 update: a report from the American Heart Association. Circulation, 129(3), e28-e292.
[15]  Stecker, E. C., Reinier, K., Marijon, E., Narayanan, K., Teodorescu, C., Uy-Evanado, A., ... & Chugh, S. S. (2014). Public health burden of sudden cardiac death in the United States. Circulation: Arrhythmia and Electrophysiology, 7(2), 212-217.
[16]  Boyce, L. W., Vlieland, T. V., Bosch, J., Wolterbeek, R., Volker, G., van Exel, H. J., ... & Goossens, P. H. (2015). High survival rate of 43% in out-of-hospital cardiac arrest patients in an optimised chain of survival. Netherlands Heart Journal, 23(1), 20-25. ‏
[17]  Graham, R., McCoy, M. A., & Schultz, A. M. (Eds.). (2015). Strategies to improve cardiac arrest survival: a time to act. Washington (DC): National Academies Press.‏
[18]  Song, Y., Oh, J., & Chee, Y. (2015). A new chest compression depth feedback algorithm for high-quality CPR based on smartphone. Telemedicine and e-Health, 21(1), 36-41.‏
[19]  Mendhe, H. G., Burra, L., Singh, D., & Narni, H. (2017). Knowledge, attitude and practice study on cardiopulmonary resuscitation among medical and nursing interns. International Journal Of Community Medicine And Public Health, 4(8), 3026-3030.‏
[20]  Arabi, A. R., Patel, A., Al Suwaidi, J., Gehani, A. A., Singh, R., & Albinali, H. A. (2017). Clinical Profile, Management, and Outcome in Patients With Out-of-Hospital Cardiac Arrest and ST Segment Elevation Myocardial Infarction: Insights From a 20-Year Registry. Angiology, 69(3) 249-255.‏
[21]  Hasler, R. M., Stucky, S., Bähler, H., Exadaktylos, A. K., & Neff, F. (2018). The dead and the dying-a difficult part of EMS transport: A Swiss cross-sectional study. PloS one, 13(2), 13(2), 1-11.
[22]  Cheskes, S., Byers, A., Zhan, C., Verbeek, P. R., Ko, D., Drennan, I. R., ... & Morrison, L. J. (2017). CPR quality during out-of-hospital cardiac arrest transport. Resuscitation, 114, 34-39.
[23]  Lyon, R. M., Crawford, A., Crookston, C., Short, S., & Clegg, G. R. (2015). The combined use of mechanical CPR and a carry sheet to maintain quality resuscitation in out-of-hospital cardiac arrest patients during extrication and transport. Resuscitation, 93, 102-106.
[24]  Poormirza, K. R., Saboor, B., Naderipoor, A., Almasi, A., Goodarzi, A., & Mirzaii, M. (2012). Survey of the awarenesslevel of nurses about last guidelines of cardiopulmonary resuscitation (CPR) in educational hospitals. Iran Journal of Critical Care Nursing, 5(2), 77-86.
[25]  Gempeler, F. E. (2015). Cardiopulmonary resuscitation. Beyond the technique. Revista Colombiana de Anestesiología, 43(2), 142-146.‏
[26]  Aranzábal-Alegría, G., Verastegui-Díaz, A., Quiñones-Laveriano, D. M., Quintana-Mendoza, L. Y., Vilchez-Cornejo, J., Espejo, C. B., ... & Mejia, C. R. (2017). Factors associated to the level of knowledge in cardiopulmonary resucitation in hospitals of Peru, 45(2), 114-121
[27]  Asif, M., & Muneer, T. (2007). Energy supply, its demand and security issues for developed and emerging economies. Renewable and sustainable energy reviews, 11(7), 1388-1413.‏
[28]  Ahmed, S. (2014). Hospital 2 gets new ICU. Kuwait times, retrieved from 2-hospital-gets-new-icu/
[29]  Marzooq, H., & Lyneham, J. (2009). Cardiopulmonary resuscitation knowledge among nurses working in Bahrain. International journal of nursing practice, 15(4), 294-302.‏‏
[30]  Vural, M., Koşar, M. F., Kerimoğlu, O., Kızkapan, F., Kahyaoğlu, S., Tuğrul, S., & İşleyen, H. B. (2017). Cardiopulmonary resuscitation knowledge among nursing students: a questionnaire study. Anatolian journal of cardiology, 17(2), 140.
[31]  Hazinski, M. F., Nolan, J. P., Billi, J. E., Böttiger, B. W., Bossaert, L., de Caen, A. R., ... & Jacobs, I. (2010). Part 1: executive summary: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation, 122(16), 250-275.‏
[32]  Roshana, S., Batajoo, K. H., Piryani, R. M., & Sharma, M. W. (2012). Basic life support: knowledge and attitude of medical/paramedical professionals. World journal of emergency medicine, 3(2), 141.‏
[33]  Krammel, M., Schnaubelt, S., Weidenauer, D., Winnisch, M., Steininger, M., Eichelter, J., ... & Sulzgruber, P. (2018). Gender and age-specific aspects of awareness and knowledge in basic life support. PloS one, 13(6), e0198918.‏
[34]  Munezero, J. B. T., Atuhaire, C., Groves, S., & Cumber, S. N. (2018). Assessment of nurses knowledge and skills following cardiopulmonary resuscitation training at Mbarara Regional Referral Hospital, Uganda. The Pan African medical journal, 30.‏