Effects of a Hybrid Basic Life Support Program in Improving Nurses’ Cardiopulmonary Resuscitation (CPR) Knowledge, Attitude, and Self-Efficacy

Nik Hasmumthaj Nik Hassan; Siti Khuzaimah Ahmad Sharoni; Septa Katmawanti

doi:10.21834/e-bpj.v11i38.8095

Authors

Nik Hasmumthaj Nik Hassan Nursing Department, Universiti Malaya Medical Centre, Lembah Pantai, 59100 Kuala Lumpur, Malaysia
Siti Khuzaimah Ahmad Sharoni Centre for Nursing Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Cawangan Selangor, Puncak Alam Campus, 42300, Selangor, Malaysia https://orcid.org/0000-0002-6352-929X
Septa Katmawanti Public Health Department, Faculty of Sport Science, Universitas Negeri Malang, Malang, East Java, Indonesia https://orcid.org/0000-0002-5115-0311

DOI:

https://doi.org/10.21834/e-bpj.v11i38.8095

Keywords:

Cardiopulmonary Resuscitation, Basic Life Support Program, Quality of Life

Abstract

Cardiac arrest management heavily relies on Cardiopulmonary Resuscitation to improve survival outcomes and enhance patients’ quality of life. This study evaluated the effectiveness of a Basic Life Support Program between a hybrid program and a face-to-face program. Conducted at Universiti Malaya Medical Centre, the quasi-experimental time series study involved 70 nurses. A 58-item questionnaire was used to measure knowledge, attitudes, and self-efficacy. Results indicated moderate knowledge (M = 11.86, SD = 2.63), positive attitudes (M = 76.09, SD = 9.16), and high self-efficacy (M = 84.54, SD = 15.51). The Hybrid program effectively combines flexibility with traditional training and emphasizing the importance of refresher sessions to sustain CPR competency among nursing professionals.

Keywords: Cardiopulmonary Resuscitation; Basic Life Support Program; Quality of Life

References

Abbasi, M., Taghadosi, M., Atoof, F., & Hosseiniara, R. (2025). A quasi-experimental comparison of Kolb and Peyton educational approaches on CPR knowledge and performance among nurses. BMC Medical Education, 25(1), 530. https://doi.org/10.1186/s12909-025-06996-0

Ahmad, N., Wider, W., Kadir, F., Hidrus, A., & Hassan, H. (2023). The effectiveness of modified conventional CPR training among North Borneo University Hospital healthcare providers. Jurnal Ners, 18(2), 124–130. https://doi.org/10.20473/jn.v18i2.44667

Alamri, A. A., & Baker, O. G. (2022). Nurses’ Self-Efficacy Regarding CPR: A. Global Journal of Health Science, 14(6). https://doi:10.5539/gjhs.v14n6p1

Alaryani, Z. D., Alhofaian, A., & Elhady, M. (2021). The relationship between knowledge and self-efficacy of nurses regarding early initiation of CPR and automated defibrillation in Saudi Arabia. Belitung Nursing Journal, 7(5), 387–394. https://doi.org/10.33546/bnj.1670

Angute, A., Gachathi, D. M., & Ramani, R. (2023). Association between nurses’ perceived self-confidence in performing family witnessed resuscitation and implementation of the practice at Siaya County Referral Hospital in Kenya. International Journal of Nursing Sciences, 10(1), 117–120. https://doi.org/10.1016/j.ijnss.2022.12.016

Chaudhary, G. P., Sah, K., Malla, J., Das, N., Chaudhary, S., Chaudhary, I., & Pandey, J. (2023). Knowledge regarding BLS among Health Care Workers of the Hospital of Nepal. Journal of Healthcare Engineering, 2023. https://doi.org/10.1155/2023/9936114

Chik, M., Ahmad, A., Kunjukunju, A., Omar, M., Fariza, N., & Yusof, P. (2023). Knowledge and Practice of CPR (CPR) among Registered Nurses. Open Access Journal of Nursing, 6(2), 30–36. https://doi.org/10.22259/2639-1783.0602005

Hsieh, P. Y., Lin, H. Y., Chang, C. H., Chang, Y. C., Cheng, H. P., Wang, C. Y., Wang, M. L., Wang, H. J., Liu, H. T., Chen, J. S., & Hsiao, F. H. (2021). Effects of situational simulation and online first-aid training programs for nurses in general medical wards: A prospective study. Nurse Education Today, 96. https://doi.org/10.1016/j.nedt.2020.104621

Khaledi, A., Ghafouri, R., Anboohi, S. Z., Nasiri, M., & Ta’atizadeh, M. (2024). Comparison of gamification and role-playing education on nursing students’ CPR self-efficacy. BMC Medical Education, 24(1), 231. https://doi.org/10.1186/s12909-024-05230-7

Koyuncu, A., Pehlivan, K., Yava, A., Çetindaş, K., Karacan, H. I., & Ulaşli, Z. (2024). New method for autonomous learning of BLS psychomotor skills: Pillow mannequin: Randomized controlled study. Nurse Education Today, 140, 106273.

Malureanu, A.; Panisoara, G.; Lazar, I. The Relationship between Self-Conﬁdence, Self-Efﬁcacy, Grit, Usefulness, and Ease of Use of eLearning Platforms in Corporate Training during the COVID-19 Pandemic. Sustainability 2021, 13, 6633. https://doi.org/10.3390/su13126633

Mersha, A. T., Gebre Egzi, A. H. K., Tawuye, H. Y., & Endalew, N. S. (2020). Factors associated with knowledge and attitude towards adult CPR among healthcare professionals at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: An institutional-based cross-sectional study. BMJ Open, 10(9). https://doi.org/10.1136/bmjopen-2020-037416

Ming, C. J., Lam, S. K., & Jia, T. Y. (2025). Knowledge and Attitude towards Adult CPR among Nurses in Serdang Hospital: A Cross-sectional Study. Malaysian Journal of Medicine & Health Sciences, 21.

Mohebi, S., Parham, M., Sharifirad, G., & Gharlipour, Z. (2023). Nurses’ perception and self confidence of family presence during CPR in Saudi Arabia. January, 1–6. https://doi.org/10.4103/jehp.jehp

Montoro-Pérez, N., Montejano-Lozoya, R., Rocamora-Rodríguez, C., & Perpiñá-Galvañ, J. (2025). Simulation-Based Educational Practices and Their Relationship with Emotional Intelligence and Stress Coping Skills: An Exploratory Case Study in First Aid Training for Physical Activity and Sports Sciences Students. Trends in Higher Education, 4(3), 50.

Moon, H., & Hyun, H. S. (2019). Nursing students’ knowledge, attitude, self-efficacy in blended learning of CPR: A randomized controlled trial. BMC Medical Education, 19(1). https://doi.org/10.1186/s12909-019-1848-8

Oteir, A., Alqudah, Z., Almhdawi, K., Hourani, Z., Alqudah, A., & Williams, B. (2025). Assessment of CPR knowledge and attitudes among allied health professionals: a correlational study. Disaster and Emergency Medicine Journal.

Saidu, A., Lee, K., Ismail, I., Arulogun, O., & Lim, P. Y. (2023). Effectiveness of video self-instruction training on CPR retention of knowledge and skills among nurses in north-western Nigeria. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1124270

Sasmito, P., Purnamasari, E., Sumartini, S., & Purwanti, N. S. (2024). Determinants factors on Public Health Centre nurses ’ confidence in performing CPR. 06(7), 581–590.