Abstract:
Cardiopulmonary resuscitation is performed on victims of cardiac arrest. It is
important for physicians to successfully perform these lifesaving skills. This study aimed to assess
the cardiopulmonary resuscitation competence of physicians working at Hiwot Fana Comprehensive
Specialized Hospital.
Methods: An institutional-based cross-sectional study was implemented. A stratified random
sampling technique was used. A total of 140 physicians participated in the study. A self-administered
questionnaire and buddy manikin were used to assess cardiopulmonary resuscitation skills. The
results are presented in the text, tables, and graphs. Multivariate logistic regression was used to
identify factors associated with levels of competence. The adjusted odds ratio with the corresponding
95% confidence interval was calculated to indicate the strength of the association.
Results: This study revealed that 63.7% (57% -71%) of the physicians had good knowledge, and
their overall competence in cardiopulmonary resuscitation was found to be 63% (54% - 72%). They
have a positive attitude regarding the importance of cardiopulmonary resuscitation and a willingness
to provide cardiopulmonary resuscitation. Physicians who took resuscitation training (adjusted odds
ratio 11.804 (4.298–32.421)) and a specialist (adjusted odds ratio 7.997 (1.866–34.270)) were more
competent than their counterparts.
Conclusion: The overall competence in cardiopulmonary resuscitation among physicians is below
the expected standard. This is consistent with findings from other low- and middle-income countries,
where cardiopulmonary resuscitation competence is often suboptimal due to factors such as
insufficient training, lack of access to resources, and disparities in clinical exposure. Specialist
physicians demonstrated the highest competence levels, while general practitioners and residents
lagged behind, indicating a significant competence gap. The study identified prior cardiopulmonary
resuscitation training and specialization as key predictors of CPR competence, underscoring the
importance of structured and continuous training programs to enhance CPR skills across all levels
of medical practice
