The Effect of Cardiopulmonary Resuscitation (CPR) Education on the CPR Knowledge, Attitudes, Self-Efficacy, and Confidence in Performing CPR among Elementary School Students in Korea

Abstract

Cardiopulmonary resuscitation (CPR) education for schoolchildren is emphasized, as bystander CPR is a vital key to increasing the survival rate of out-of-hospital cardiac arrest (OHCA) victims. This study was conducted to verify the effect of CPR education on knowledge, attitudes, self-efficacy, and confidence of Korean elementary school students in performing CPR. Data were collected through structured questionnaires before and after CPR education and analyzed using descriptive statistics, T-tests, and hierarchical regression. Significant improvements in CPR knowledge, attitudes, self-efficacy, and confidence in performing CPR were found after CPR education, with the greatest increase observed in confidence (p = 0.000). The influencing factors on confidence in performing CPR were school grade, attitude, and self-efficacy. Although a significant increase in schoolchildren’s CPR knowledge after education was shown, knowledge did not affect confidence in performing CPR. Therefore, early CPR education which focuses on improving confidence in performing CPR is recommended. CPR education might raise attitude and self-efficacy leading to increased confidence in performing bystander CPR. In conclusion, early and regular CPR education for elementary school students is crucial and should be conducted repeatedly.

Emergency Scenario-Based Training Curriculum Development: Enhancement of Caregivers for the Elderly’ Emergency Assistance Competency in a Rural Thai Community

“…This deficiency directly impacts their ability to make effective decisions when providing assistance during critical health crises. A recent study confirmed that self-confidence in CPR is the primary factor in enhancing the quality of emergency assistance ( Ko et al, 2023 ). These findings align with those of other studies that found that self-confidence can be a barrier to performing CPR ( Daud et al, 2023 ; Shams et al, 2016 ).…”

Attitudes of Asian and Polish Adolescents towards the Use of Ecological Innovations in CPR Training

“…The rate was 81.3% in the AS group vs. 80% in the PL group, respectively, and the difference was not statistically significant. When compared to the percentage of people who have ever attended a CPR training course, based on reports from other researchers, which vary significantly from country to country: 82.9% in Korea [3], 34.8-37.6% in China [31,32], 45.7% in Taiwan [33], 53% in Crimea [34], 76% in Sweden [35], 89% in Germany [36], and 90% in Norway [37], such a high rate of willingness to attend CPR training may bode well for the future. Especially since the present study was conducted after the SARS-CoV-2 pandemic, which, as reported by many researchers, may influence a change in attitudes and behavior toward bystander cardiopulmonary resuscitation in OHCA [38][39][40][41][42][43].…”

“…Despite the progress made, mortality in out-of-hospital cardiac arrest (OHCA) remains very high [1,2]. While earlier studies mainly focused on the clinical aspect of sudden cardiac arrest (SCA) and cardiopulmonary resuscitation (CPR), growing research has focused in recent years on the implementation of guidelines and effective CPR training [3][4][5][6][7][8][9]. Recent guidelines from the European Resuscitation Council (ERC) and the American Heart Association (AHA) have also devoted considerable attention to the issue of human factors in SCA rescue training [9,10].…”

“…Therefore, some of the ERC guidelines that focus on education emphasize not only the role of effective, highquality CPR training, but also measures to improve CPR readiness and confidence in SCA bystanders [13,14]. Numerous studies indicate that these elements are positively influenced by hands-on training [3][4][5][6][7][8]15]. From this point of view, all efforts to increase the availability of practical CPR training are extremely important [16].…”

Readiness of Scout Members in Lubuklinggau City to Perform Cardio Pulmonary Resuscitation (CPR) after CPR Training

“…CPR is successful when there is active community CPR training and public knowledge, attitude, and confidence. Additionally, readiness to perform CPR can be influenced by factors such as previous training history, self-efficacy, and attitude (7). The willingness of bystanders to do CPR is also influenced by psychological variables, such as panic attacks, general anxiety, incorrect CPR procedures, legal consequences, and the risk of injuring the patients (6).…”