BMC nursing · 2026
Association of knowledge and observed skills with self-reported readiness of nurses and midwives to perform cardiopulmonary resuscitation in a tertiary hospital in Ghana: a cross-sectional study.
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Opoku-Danso Rita, Bockor Mercy Aseye, Quayson Ebenezer, Boahemaa Joyce, Odoom Edward, Owusu Gifty
Аннотация
BACKGROUND: Cardiopulmonary resuscitation (CPR) is a critical emergency intervention, yet evidence on CPR competence and readiness among nurses and midwives in Ghana is limited. This study assessed CPR knowledge, observed skills, self-reported readiness, and factors associated with readiness in a tertiary hospital.
METHODS: An analytical cross-sectional study was conducted among nurses and midwives in critical and emergency care units. Of 331 eligible staff, 271 participated (81.9% response rate). Knowledge was assessed using a structured test, skills were observed on a manikin using a 12-item checklist and self-reported readiness using an 11-item Likert scale. Data were analysed using descriptive statistics, chi-square tests and binomial logistic regression.
RESULTS: Most respondents had low CPR knowledge (94.8%), while 65.7% demonstrated adequate observed skills and 90.0% reported moderate readiness. In the binomial logistic regression, adequate CPR skills were associated with moderate readiness (AOR = 12.84, 95% CI [4.09, 40.36], p < .001). Moderate knowledge was associated with lower odds of moderate readiness compared with low knowledge (AOR = 0.11, 95% CI [0.03, 0.46], p = .003), although this finding should be interpreted cautiously. Other demographic and training variables were not significant predictors.
CONCLUSION: CPR preparedness was characterised by low theoretical knowledge, comparatively better but incomplete observed skills and moderate self-reported readiness among the nurses and midwives. Observed CPR skills were strongly associated with readiness. Therefore, regular simulation-based training and competency assessment combining knowledge testing with observed practical performance are recommended.
CLINICAL TRIAL NUMBER: Not applicable.
METHODS: An analytical cross-sectional study was conducted among nurses and midwives in critical and emergency care units. Of 331 eligible staff, 271 participated (81.9% response rate). Knowledge was assessed using a structured test, skills were observed on a manikin using a 12-item checklist and self-reported readiness using an 11-item Likert scale. Data were analysed using descriptive statistics, chi-square tests and binomial logistic regression.
RESULTS: Most respondents had low CPR knowledge (94.8%), while 65.7% demonstrated adequate observed skills and 90.0% reported moderate readiness. In the binomial logistic regression, adequate CPR skills were associated with moderate readiness (AOR = 12.84, 95% CI [4.09, 40.36], p < .001). Moderate knowledge was associated with lower odds of moderate readiness compared with low knowledge (AOR = 0.11, 95% CI [0.03, 0.46], p = .003), although this finding should be interpreted cautiously. Other demographic and training variables were not significant predictors.
CONCLUSION: CPR preparedness was characterised by low theoretical knowledge, comparatively better but incomplete observed skills and moderate self-reported readiness among the nurses and midwives. Observed CPR skills were strongly associated with readiness. Therefore, regular simulation-based training and competency assessment combining knowledge testing with observed practical performance are recommended.
CLINICAL TRIAL NUMBER: Not applicable.