Association of Cardiopulmonary Resuscitation Performance with Knowledge and Self-efficacy of Students of Nursing and Midwifery Faculty in Tabriz University of Medical Sciences – 2017

Abstract

Abstract: Introduction and purpose: Cardiopulmonary arrest is one of the most severe incidents that need to take immediate medical management to save the person’s life and prevent irreparable damages to vital body systems. Knowledge, skill and self-confidence are among the key factors in successful CPR. The present study aims to determine the association of performance with knowledge and self-efficacy of students of Tabriz Nursing and Midwifery School. Materials and methods: This was a descriptive- correlational survey the research sample included students of Tabriz Nursing and Midwifery School selected by using random sampling method. 96 out of 199 students agreed to participants in the survey. The data collection tool was composed of 4 parts. The first part: socio-demographic characteristics (14 questions), second part: a student questionnaire on CPR knowledge in four domains (4 questions), third part: observing students’ performance in CPR on mannequins using an observational checklist (18 items), fourth part: using resuscitation self-efficacy scale for students (5 skills). The assessment of reliability and validity of the survey were performed using (respectively) content and face validity, and Test –retest methodology. Data was analyzed using descriptive and inferential statistics, SPSS/ 21. Results: Regarding the results, the levels of CPR knowledge and performance of the participants were moderate (respectively, 23.46± 2.95, 17.53± 4.17) while most of the students achieved a moderate level of perceived self-efficacy scores in CPR (46.9%). There was significant statistic relationship between total performance score and total score of CPR knowledge and CPR self-efficacy score (P<0.05). We also demonstrated a significant statistical relationship between CPR knowledge, performance and self-efficacy of the students and their gender, time since last CPR training, real resuscitation experience during internship training, and the frequency of involvement in CPR (P<0.05). The relation between the students’ major and self-efficacy (P=0.01) and, also, observing real CPR with her/ his performance (P=0.00) was significant.

Conclusions: Given the findings most of the students have moderate level of knowledge, performance and self-efficacy about cardiopulmonary resuscitation. Thus development of knowledge, performance and fostering their self-efficacy are necessary to ensure successful CPR.