Document Type : Original Article


Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran


Objective: Awareness of the changes concerning the clinical guidelines for cardiopulmonary resuscitation (CPR) is essential for nurses. This study aimed at assessing the nurses’ knowledge of the 2015 American Heart Association basic life support guideline algorithm.
Methods: In a cross-sectional study, the knowledge of 183 nurses working in emergency departments, intensive care unit (ICU) and coronary care unit (CCU) regarding the 2015 American Heart Association basic life support guideline algorithm was investigated. Data were collected by a 20-item questionnaire regarding the knowledge needed for resuscitation operations as well as the identification of the early stages of cardiac arrest. Nurses with a score of 10 and less were put in the poor group, 11-15 in the fair group, and score of more than 15 in the good group
. Results: Results showed that the highest percentage of the right answer was observed in questions 20 (98.4%), 11 (93.4%), and 1 (88%), while the lowest percentage of the correct answer was found in questions 13 (30.6%), 2 (31.1%), and 3 (32.8%). Mean ± SD of knowledge score was 12.3±2.2. A statistically significant difference was observed between knowledge of ICU nurses with an experience of basic life support educational course and those with no experience of such education. The knowledge score of educated and noneducated nurses was 11.5±2.2 and 13.2±2.5, respectively.
Conclusion: This study indicated that ICU nurses do not have enough knowledge about basic life support of the 2015 American Heart Association guideline. Development of knowledge is one of the important components of professional expansion in nursing education programs.


Main Subjects

1. Travers AH, Rea TD, Bobrow BJ, Edelson DP, Berg RA, Sayre MR, et al. Part 4: CPR overview: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2010; 122(18 Suppl 3): S676-84. doi: 10.1161/ circulationaha.110.970913.
2. Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes 2010; 3(1): 63-81. doi: 10.1161/circoutcomes.109.889576.
3. Huikuri HV, Castellanos A, Myerburg RJ. Sudden death due to cardiac arrhythmias. N Engl J Med 2001; 345(20): 1473- 82. doi: 10.1056/NEJMra000650.
4. Abella BS, Sandbo N, Vassilatos P, Alvarado JP, O’Hearn N, Wigder HN, et al. Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation 2005; 111(4): 428-34. doi: 10.1161/01.cir.0000153811.84257.59.
5. Goswami R, Kanika, Sembian N. Effectiveness of the training program on knowledge and practices regarding Basic Life Support (BLS) among nursing students. Int J Clin Anesthesiol 2015; 3(2): 1046.
6. Terzi B, Polat Ş, Düzkaya DS. Evaluation of basic life support training program provided for nurses in a university hospital. Int J Med Res Health Sci 2017; 6(6): 70-6.
7. Kol E, İlaslan E, Turkay M. Training needs of clinical nurses at an university hospital in Turkey. Nurse Educ Pract 2017; 22: 15-20. doi: 10.1016/j.nepr.2016.11.004.
8. 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(4): 966-71. doi: 10.12669/pjms.294.3450.
9. Travers AH, Perkins GD, Berg RA, Castren M, Considine J, Escalante R, et al. Part 3: adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation 2015; 132(16 Suppl 1): S51- 83. doi: 10.1161/cir.0000000000000272.
10. Hazinski MF, Markenson D, Neish S, Gerardi M, Hootman J, Nichol G, et al. Response to cardiac arrest and selected life-threatening medical emergencies: the medical emergency response plan for schools: a statement forhealthcare providers, policymakers, school administrators, and community leaders. Circulation 2004; 109(2): 278-91. doi: 10.1161/
11. Alsayil SN, Alzahran SM, Alhawiti WM. Awareness of basic life support among medical and nursing students at Tabuk University. Basic Res J Med Clin Sci 2016; 5(3): 53-7.
12. Rajeswaran L, Cox M, Moeng S, Tsima BM. Assessment of nurses’ cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana. Afr J Prim Health Care Fam Med 2018; 10(1): e1-e6. doi: 10.4102/ phcfm.v10i1.1633.
13. 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(2): 121-6. doi: 10.4103/0019-5049.63650.
14. Mohan M, Sharma SM, Shetty T, Gupta P. Awareness of basic life support (BLS) among dental interns and dental practitioners. Journal of Health and Allied Sciences NU 2015; 5(3): 14-8. doi: 10.1055/s-0040-1703905.
15. Zamir Q, Nadeem A, Rizvi AH. Awareness of cardiopulmonary resuscitation in medical-students and doctors in Rawalpindi-Islamabad, Pakistan. J Pak Med Assoc 2012; 62(12): 1361-4.
16. Almesned A, Almeman A, Alakhtar AM, AlAboudi AA, Alotaibi AZ, Al-Ghasham YA, et al. Basic life support knowledge of healthcare students and professionals in the Qassim University. Int J Health Sci (Qassim) 2014; 8(2): 141-50. doi: 10.12816/0006080.
17. Aroor AR, Saya RP, Attar NR, Saya GK, Ravinanthanan M. Awareness about basic life support and emergency medical services and its associated factors among students in a tertiary care hospital in South India. J Emerg Trauma Shock 2014; 7(3): 166-9. doi: 10.4103/0974-2700.136857.
18. Baduni N, Prakash P, Srivastava D, Sanwal MK, Singh BP. Awareness of basic life support among dental practitioners. Natl J Maxillofac Surg 2014; 5(1): 19-22. doi: 10.4103/0975- 5950.140159.
19. Alotaibi O, Alamri F, Almufleh L, Alsougi W. Basic life support: knowledge and attitude among dental students and Staff in the College of Dentistry, King Saud University. Saudi J Dent Res 2016; 7(1): 51-6. doi: 10.1016/j.sjdr.2015.06.001.
20. Narayan DP, Biradar SV, Reddy MT, Bk S. Assessment of knowledge and attitude about basic life support among dental interns and postgraduate students in Bangalore city, India. World J Emerg Med 2015; 6(2): 118-22. doi: 10.5847/ wjem.j.1920-8642.2015.02.006.
21. Yunus M, Mishra A, Karim HM, Raphael V, Ahmed G, Myrthong CE. Knowledge, attitude and practice of basic life support among junior doctors and students in a tertiary care medical institute. Int J Res Med Sci 2015; 3(12): 3644- 50. doi: 10.18203/2320-6012.ijrms20151416.
22. Fernandes JM, Leite AL, Auto Bde S, Lima JE, Rivera IR, Mendonça MA. Teaching basic life support to students of public and private high schools. Arq Bras Cardiol 2014; 102(6): 593-601. doi: 10.5935/abc.20140071.
23. da Costa DB, Vannuchi MT, Haddad MC, Cardoso MGP, da Silva LG, Garcia SD. Custo de educação continuada para equipe de enfermagem de um hospital universitário público. Rev Eletrônica Enferm. 2012;14(2):257-66.