Dubai Medical Journal

Published date: Sep 30 2025

Journal Title: Dubai Medical Journal

Issue title: Dubai Medical Journal (DMJ): Volume 8, Issue 3

Pages: 359 - 371

DOI: 10.18502/dmj.v8i3.19859

Safaa ImranAlDafter Medical Center, Manama

Qusay MohammedAl-Farqadein University College, Nursing College-Basra University, Basra

Huda Omranhudamossa.omran@gmail.comPulse Health Training Center, Al-Jenan Medical Center, Arabian Gulf University, Manama

Mohammed Al MalikiDepartment of Pediatrics, American Mission Hospital, Manama

Introduction: The survival rates of cardiac arrest patients significantly improve when medical professionals deliver high-quality cardiopulmonary resuscitation. A thorough understanding of resuscitation techniques is crucial for medical professionals to perform chest compressions effectively and confidently, thereby enhancing patient outcomes.

Aim: This study aimed to systematically evaluate the level of cardiopulmonary resuscitation knowledge among healthcare professionals across Gulf Cooperation Council (GCC) countries.

Methods: A comprehensive literature review was conducted, assessing resuscitation knowledge among healthcare professionals in GCC countries using studies published between 2008 and 2024. Relevant studies were identified through an extensive search of electronic databases including Google Scholar, Medline, Scopus, Web of Science, Cochrane, Embase, and PubMed.

Results: The study included data from 6485 healthcare workers representing diverse healthcare settings such as hospitals, clinics, pharmacies, and training institutions. Overall knowledge among professionals was found to be average, with a positive attitude towards cardiopulmonary resuscitation training widely reported. Studies assessing pre- and post-training knowledge revealed that educational interventions significantly enhanced knowledge levels and fostered positive attitudes towards resuscitation practices. However, compared to immediate post-course assessments, a notable decline of over 50% in knowledge retention was observed 6 months posttraining. Limitations of this study include variability in study consistency, potential bias from self-reported data, and the lack of standardized assessment tools across studies.

Conclusion: This review underscores the critical need for comprehensive and regular training programs, either annually or biannually, to ensure that healthcare professionals maintain the knowledge and confidence required to deliver high-quality care during cardiac arrest scenarios.

Keywords: cardiopulmonary resuscitation, knowledge, healthcare professionals, attitude

[1] Batt A, Lanos C, Delport S, Al-Hasan D, Knox S, Alhmoudi A, et al. Out-of-hospital cardiac arrest in countries of the Gulf Cooperation Council: A scoping review. East Mediterr Health J. 2021 Jul;27(7):707– 717. https://doi.org/10.26719/emhj.20.141 PMID:34369586

[2] Elmusharaf K, Grafton D, Jung JS, Roberts E, Al-Farsi Y, Al Nooh AA, et al. The case for investing in the prevention and control of non-communicable diseases in the six countries of the Gulf Cooperation Council: An economic evaluation. BMJ Glob Health. 2022 Jun;7(6):e008670. https://doi.org/10.1136/bmjgh-2022-008670 PMID:35649631

[3] World Health Organization. Cardiovascular diseases (CVDs). World Health Organ. 2021. https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

[4] Hasselqvist-Ax I, Riva G, Herlitz J, Rosenqvist M, Hollenberg J, Nordberg P, et al. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N Engl J Med. 2015 Jun;372(24):2307–2315. https://doi.org/10.1056/NEJMoa1405796 PMID:26061835

[5] Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-hospital cardiac arrest: A review. JAMA. 2019 Mar;321(12):1200–1210. https://doi.org/10.1001/jama.2019.1696PMID:30912843

[6] Thomas S, Zagade T. A study to assess the video assisted teaching on knowledge and skills regarding adult cardio pulmonary resuscitation (CPR) among final year pharmacy diploma students at KCT [IJSR]. Int J Sci Res. 2017 Jul;6(7):334–339. https://doi.org/10.21275/ART20175076.

[7] Abdulai KO, Batool S, Sarwar H, Abdulai KO. Knowledge and practice of cardiopulmonary resuscitation among nursing students in teaching hospital. Merit Res J Med Med Sci. 2022;10(2):64–69.

[8] Santos RP, Hofstatter LM, Carvalho ARS, Alves SR. Intervenç ao educativa sobre parada cardiorrespiratória intra-hospitalar: conhecimento dos profissionais de enfermagem de unidades médicocirúrgicas. Rev Eletr Enf. 2017;19:a25. https://doi.org/10.5216/ree.v19.39945

[9] Gronlund NE, Linn RL, Miller DM. Measurement and assessment in teaching. 11th ed. Pearson International; 2012.

[10] Norcini JJ. Current perspectives in assessment: The assessment of performance at work. Med Educ. 2005 Sep;39(9):880–889. https://doi.org/10.1111/j.1365-2929.2005.02182.x PMID:16150027

[11] Marzooq H, Lyneham J. Cardiopulmonary resuscitation knowledge among nurses working in Bahrain. Int J Nurs Pract. 2009 Aug;15(4):294–302. https://doi.org/10.1111/j.1440-172X.2009.01752.x PMID:19703046

[12] Alkandari SA, Alyahya L, Abdulwahab M. Cardiopulmonary resuscitation knowledge and attitude among general dentists in Kuwait. World J Emerg Med. 2017;8(1):19–24. https://doi.org/10.5847/wjem. j.1920-8642.2017.01.003 PMID:28123615

[13] Abolfotouh MA, Alnasser MA, Berhanu AN, Al-Turaif DA, Alfayez AI. Impact of basic life-support training on the attitudes of health-care workers toward cardiopulmonary resuscitation and defibrillation. BMC Health Serv Res. 2017 Sep;17(1):674. https://doi.org/10.1186/s12913-017-2621-5 PMID:28938914

[14] Mihmas Albaqami M, Abozaid H. Knowledge and attitude towards basic life support among primary health care physicians in Taif, Saudi Arabia, in 2018: A regression analysis. Electron Physician. 2019 Feb;11(1):7415–7422. https://doi.org/10.19082/7415.

[15] AlShoshan F, Zawawi AH, AlHarbi A. Evaluation of the effectiveness of basic life support courses among health care professionals at the Ministry of National Guard Health Affairs. Int J Med Res Health Sci. 2019;8:30–37.

[16] Stanley B, Burton T, Percival H, Beesley E, Coffin N, Hulme J, et al. Skill decay following basic life support training: A systematic review protocol. BMJ Open. 2021 Dec;11(12):e051959. https://doi.org/10.1136/bmjopen-2021-051959 PMID:34903542

[17] Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Cardiopulmonary resuscitation quality: Improving Cardiac resuscitation outcomes both inside and outside the hospital. Circulation. 2013 Jul;128(4):417–435. https://doi.org/10.1161/CIR.0b013e31829d8654 PMID:23801105

[18] Gaafar RM, Elmorsy SA, Khan AS, Al-harazi MK, Al-harazi SK, Al-harazi NK. Retention of skills with and without debriefing three-months after cardiopulmonary resuscitation training in Makkah, Saudi Arabia: A randomized controlled trial. Open J Prev Med. 2019;09(11):141–154. https://doi.org/10.4236/ojpm.2019.911013.

[19] Ali Z, Misbahudeen B, Mohtasham M, Mohammed Fasil K. Pre-test and post-test resuscitation assessment among healthcare workers at Dubai Health Authority. Hamdan Med J. 2019;12(4):208. https://doi.org/10.4103/HMJ.HMJ_34_19.

[20] Al Nasri A. Al Bulushi A, Examining nurses’ theoretical knowledge, attitude, and practice of cardiopulmonary resuscitation in hospitals and primary health care settings in South Sharqiyah, Sultanate of Oman. Amer J Nurs Res. 2020 Sep;8(5):577–587. https://doi.org/10.12691/ajnr-8-5-11.

[21] Alomi YA, Al Kenani R, Alzaid SM, Alshehre WH, Alshahrani KI. Knowledge of pharmacists about cardiopulmonary resuscitation medications in Saudi Arabia. Int J Pharmacol Clin Sci. 2023 Jan;11(3):82– 91. https://doi.org/10.5530/ijpcs.2022.11.15.

[22] Abualfraj A, Halawani A, Alshehri A, Hakim R, Hamam A. An evidence-based assessment of CPR knowledge among healthcare providers in Saudi Arabia. Saudi J Er Med, 2022;3(1):063–074. https://doi.org/10.24911/SJEMed/72-1619377187.

[23] Veettil ST, Anodiyil MS, Khudadad H, Kalathingal MA, Hamza AH, Ummer FP, et al. Knowledge, attitude, and proficiency of healthcare providers in cardiopulmonary resuscitation in a public primary healthcare setting in Qatar. Front Cardiovasc Med. 2023 Jul;10:1207918. https://doi.org/10.3389/fcvm.2023.1207918 PMID:37534275

[24] Al Abdulaziz A, Ramadan A, Ramadan A. Knowledge and attitudes toward cardiopulmonary resuscitation and defibrillation among primary health-care physicians in Al-Ahsa, Saudi Arabia. Int J Sci Stud. 2018 Nov;6(8):41–51.

[25] Timerman S, Polatri TF. Retenç ao das Habilidades de Ressuscitaç ao Cardiopulmonar nos Estudantes de Medicina: O que Fazer para Melhorar? Arq Bras Cardiol. 2021 Nov;117(5):1036–1037. https://doi.org/10.36660/abc.20210856 PMID:34817014

[26] Laco RB, Stuart WP. Simulation-based training program to improve cardiopulmonary resuscitation and teamwork skills for the urgent care clinic staff. Mil Med. 2022 May;187(5-6):e764–e769. https://doi.org/10.1093/milmed/usab198 PMID:34050365

[27] Demirtas A, Guvenc G, Aslan Ö, Unver V, Basak T, Kaya C. Effectiveness of simulation-based cardiopulmonary resuscitation training programs on fourth-year nursing students. Australas Emerg Care. 2021 Mar;24(1):4–10. https://doi.org/10.1016/j.auec.2020.08.005 PMID:32933888

[28] World Health Organization. Delivered by women, led by men: A gender and equity analysis of the global health and social workforce. World Health Organization. 2019.

[29] Boniol M, McIsaac M, Xu L, Wuliji T, Diallo K, Campbell J. Gender equity in the health workforce: Analysis of 104 countries. Geneva: World Health Organization. 2019. WHO/HIS/HWF/Gender/WP1/2019.1

[30] International Labour Organization. (2024). ILOSTAT: ILO modelled estimates database [Database]. Retrieved August 9, 2024, from https://ilostat.ilo.org/data/

[31] Cheng A, Overly F, Kessler D, Nadkarni VM, Lin Y, Doan Q, et al. Perception of CPR quality: Influence of CPR feedback, just-in-time CPR training and provider role. Resuscitation. 2015 Feb;87:44–50. https://doi.org/10.1016/j.resuscitation.2014.11.015PMID:25433294

[32] Kane AD, Nolan JP. Changes to the European Resuscitation Council guidelines for adult resuscitation. BJA Educ. 2022 Jul;22(7):265–272. https://doi.org/10.1016/j.bjae.2022.02.004PMID:35754855

[33] Eaton G. Addressing the challenges facing the paramedic profession in the United Kingdom. Br Med Bull. 2023 Dec;148(1):70–78. https://doi.org/10.1093/bmb/ldad024 PMID:37681285

[34] Srivilaithon W, Amnuaypatanapon K, Limjindapron C, Diskumpon N, Dasanadeba I, Daorattanachai K. Retention of basic-life-support knowledge and skills in second-year medical students. Open Access Emerg Med. 2020;12:211–217. https://doi.org/10.2147/OAEM.S241598

[35] Elendu C, Amaechi DC, Okatta AU, Amaechi EC, Elendu TC, Ezeh CP, et al. The impact of simulationbased training in medical education: A review. Medicine (Baltimore). 2024 Jul;103(27):e38813. https://doi.org/10.1097/MD.0000000000038813 PMID:38968472