Knowledge, Attitudes, and Practices of Cardiopulmonary Resuscitation Among Anesthesia Providers in Public Hospitals: A Cross-Sectional Study in Sana'a City, Yemen.

Abstract

Background: Cardiopulmonary resuscitation (CPR) is a critical life-saving procedure in managing cardiac arrest, with its success largely dependent on the knowledge, attitudes, and practices (KAP) of healthcare providers. This study aimed to evaluate CPR-related KAP among anesthesia providers in public hospitals in Sana'a City, Yemen, and to explore the associations between demographic characteristics and KAP levels.

Methods: A cross-sectional study was conducted among 226 anesthesia providers using a standardized, structured questionnaire consisting of 12 knowledge items, 7 attitude items, and 12 practice items. Data were analyzed with descriptive statistics and correlation analysis to examine associations between demographic factors and KAP levels.

Results: Among participants, 60% demonstrated adequate knowledge, 30% had moderate knowledge, and 10% had inadequate knowledge of CPR. Positive attitudes toward CPR were reported by 85% of providers, while 15% exhibited negative attitudes. Good CPR practices were observed by 75% of respondents, with 25% showing poor practices. Significant positive correlations were found between knowledge and attitudes (r = 0.312, p < 0.01), knowledge and practices (r = 0.365, p < 0.01), and attitudes and practices (r = 0.289, p < 0.01). Better KAP scores were significantly associated with younger age, recent training, and higher educational attainment.

Conclusion: This study highlights the current levels of knowledge, attitudes, and practices (KAP) regarding CPR among anesthesia providers in public hospitals in Sana'a as one of the first studies. While most participants demonstrated adequate knowledge, positive attitudes, and good practices, notable gaps persist-particularly among older providers and those without recent training. The positive correlations among the KAP components emphasize the need for regular, targeted educational interventions to enhance CPR competence and improve patient outcomes. Ensuring that anesthesia providers and healthcare workers maintain up-to-date CPR knowledge and practical skills is critical for increasing survival rates during cardiac arrest. Implementing mandatory CPR certification or re-certification every 2-3 years could systematically sustain and improve knowledge, attitudes, and practices.