First response to cardiopulmonary arrest: Assessment of nursing personnel’s knowledge and the effect of demographics

Introduction: In-hospital cardiac arrest requires an immediate response, a high level of knowledge, and preparedness from all healthcare professionals, regardless of department. Nurses and nursing assistants are typically the first responders, and their effectiveness directly impacts patient survival. As resuscitation protocols are continuously evolving, ongoing education is essential for maintaining clinical competence.

Aim: The aim of the study was to investigate how the demographic characteristics of nursing personnel influenced their knowledge regarding the recognition and initial management of in-hospital cardiac arrest, in order to identify potential knowledge gaps and support the need for targeted educational interventions.

Material and Method: A quantitative, cross-sectional study was conducted with a sample of 87 nurses and 66 nursing assistants from various hospital departments. Data were collected through structured questionnaires evaluating theoretical knowledge, adherence to guidelines, and prior educational experience. Demographic variables—including age, education level, years of clinical experience, and exposure to emergency situations—were analyzed in relation to knowledge levels using appropriate inferential statistical methods.

Results: The findings indicated that demographic factors significantly influenced theoretical knowledge related to the management of in-hospital cardiac arrest. Participants with higher education levels and more frequent exposure to emergency situations demonstrated greater knowledge adequacy. Conversely, knowledge gaps were identified among staff with fewer years of clinical experience and limited participation in resuscitation training programs. These results highlighted disparities in preparedness and emphasized the need for continuous professional development.

Conclusions: The study underscored the importance of ongoing and specialized training in cardiac arrest management. Demographic characteristics were found to influence knowledge levels, highlighting the need for tailored educational interventions. Integrating updated guidelines and research evidence into educational curricula and professional development programs is crucial for enhancing the competence of nursing personnel in critical situations.

Keywords: nurse AND in-hospital cardiac arrest, in-hospital cardiac arrest, Advanced Life Support, demographic factors