EVEL OF COMPETENCE IN CARDIOPULMONARY RESUSCITATION AND ASSOCIATED FACTORS AMONG PHYSICIANS WORKING AT HIWOT FANA COMPREHENSIVE SPECIALIZED HOSPITAL, HARAR TOWN

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