Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan

Background: A low bystander cardiopulmonary resuscitation (CPR) rate is one of the factors associated with low cardiac arrest survival. This study aimed to assess knowledge, attitudes, and willingness towards performing CPR and the barriers for implementation of bystander-initiated CPR. Methods: Tel...

Full description

Bibliographic Details
Main Authors: Edward Pei-Chuan Huang, Wen-Chu Chiang, Ming-Ju Hsieh, Hui-Chih Wang, Chih-Wei Yang, Tsung-Chien Lu, Chih-Hung Wang, Kah-Meng Chong, Chih-Hao Lin, Chan-Wei Kuo, Jen-Tang Sun, Jr-Jiun Lin, Ming-Chin Yang, Matthew Huei-Ming Ma
Format: Article
Language:English
Published: Elsevier 2019-02-01
Series:Journal of the Formosan Medical Association
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664618301931
_version_ 1818201717458599936
author Edward Pei-Chuan Huang
Wen-Chu Chiang
Ming-Ju Hsieh
Hui-Chih Wang
Chih-Wei Yang
Tsung-Chien Lu
Chih-Hung Wang
Kah-Meng Chong
Chih-Hao Lin
Chan-Wei Kuo
Jen-Tang Sun
Jr-Jiun Lin
Ming-Chin Yang
Matthew Huei-Ming Ma
author_facet Edward Pei-Chuan Huang
Wen-Chu Chiang
Ming-Ju Hsieh
Hui-Chih Wang
Chih-Wei Yang
Tsung-Chien Lu
Chih-Hung Wang
Kah-Meng Chong
Chih-Hao Lin
Chan-Wei Kuo
Jen-Tang Sun
Jr-Jiun Lin
Ming-Chin Yang
Matthew Huei-Ming Ma
author_sort Edward Pei-Chuan Huang
collection DOAJ
description Background: A low bystander cardiopulmonary resuscitation (CPR) rate is one of the factors associated with low cardiac arrest survival. This study aimed to assess knowledge, attitudes, and willingness towards performing CPR and the barriers for implementation of bystander-initiated CPR. Methods: Telephone interviews were conducted using an author-designed and validated structured questionnaire in Taiwan. After obtaining a stratified random sample from the census, the results were weighted to match population data. The factors affecting bystander-initiated CPR were analysed using logistic regression. Results: Of the 1073 respondents, half of them stated that they knew how to perform CPR correctly, although 86.7% indicated a willingness to perform CPR on strangers. The barriers to CPR performance reported by the respondents included fear of legal consequences (44%) and concern about harming patients (36.5%). Most participants expressed a willingness to attend only an hour-long CPR course. Respondents who were less likely to indicate a willingness to perform CPR were female, healthcare providers, those who had no cohabiting family members older than 65 years, those who had a history of a stroke, and those who expressed a negative attitude toward CPR. Conclusion: The expressed willingness to perform bystander CPR was high if the respondents possessed the required skills. Attempts should be made to recruit potential bystanders for CPR courses or education, targeting those respondent subgroups less likely to express willingness to perform CPR. The reason for lower bystander CPR willingness among healthcare providers deserves further investigation. Keywords: Cardiac arrest, Cardiopulmonary resuscitation (CPR), Willingness, Bystander CPR, Survey
first_indexed 2024-12-12T02:57:59Z
format Article
id doaj.art-a5b628bdcf644ecab6c07c5be91cb443
institution Directory Open Access Journal
issn 0929-6646
language English
last_indexed 2024-12-12T02:57:59Z
publishDate 2019-02-01
publisher Elsevier
record_format Article
series Journal of the Formosan Medical Association
spelling doaj.art-a5b628bdcf644ecab6c07c5be91cb4432022-12-22T00:40:41ZengElsevierJournal of the Formosan Medical Association0929-66462019-02-011182572581Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in TaiwanEdward Pei-Chuan Huang0Wen-Chu Chiang1Ming-Ju Hsieh2Hui-Chih Wang3Chih-Wei Yang4Tsung-Chien Lu5Chih-Hung Wang6Kah-Meng Chong7Chih-Hao Lin8Chan-Wei Kuo9Jen-Tang Sun10Jr-Jiun Lin11Ming-Chin Yang12Matthew Huei-Ming Ma13Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin County, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; Department of Medical Education, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Cheng-Kung University Hospital, Tainan, TaiwanDepartment of Emergency Medicine, Chang-Gung Memorial Hospital, Linkou, Taoyuan, TaiwanDepartment of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanInstitute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan; Corresponding author.Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin County, Taiwan; Corresponding author. Department of Emergency Medicine, National Taiwan University Hospital, No.7, Chung-Shan S. Road, 100, Taipei, Taiwan. Fax: +886 2 23223150.Background: A low bystander cardiopulmonary resuscitation (CPR) rate is one of the factors associated with low cardiac arrest survival. This study aimed to assess knowledge, attitudes, and willingness towards performing CPR and the barriers for implementation of bystander-initiated CPR. Methods: Telephone interviews were conducted using an author-designed and validated structured questionnaire in Taiwan. After obtaining a stratified random sample from the census, the results were weighted to match population data. The factors affecting bystander-initiated CPR were analysed using logistic regression. Results: Of the 1073 respondents, half of them stated that they knew how to perform CPR correctly, although 86.7% indicated a willingness to perform CPR on strangers. The barriers to CPR performance reported by the respondents included fear of legal consequences (44%) and concern about harming patients (36.5%). Most participants expressed a willingness to attend only an hour-long CPR course. Respondents who were less likely to indicate a willingness to perform CPR were female, healthcare providers, those who had no cohabiting family members older than 65 years, those who had a history of a stroke, and those who expressed a negative attitude toward CPR. Conclusion: The expressed willingness to perform bystander CPR was high if the respondents possessed the required skills. Attempts should be made to recruit potential bystanders for CPR courses or education, targeting those respondent subgroups less likely to express willingness to perform CPR. The reason for lower bystander CPR willingness among healthcare providers deserves further investigation. Keywords: Cardiac arrest, Cardiopulmonary resuscitation (CPR), Willingness, Bystander CPR, Surveyhttp://www.sciencedirect.com/science/article/pii/S0929664618301931
spellingShingle Edward Pei-Chuan Huang
Wen-Chu Chiang
Ming-Ju Hsieh
Hui-Chih Wang
Chih-Wei Yang
Tsung-Chien Lu
Chih-Hung Wang
Kah-Meng Chong
Chih-Hao Lin
Chan-Wei Kuo
Jen-Tang Sun
Jr-Jiun Lin
Ming-Chin Yang
Matthew Huei-Ming Ma
Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan
Journal of the Formosan Medical Association
title Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan
title_full Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan
title_fullStr Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan
title_full_unstemmed Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan
title_short Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan
title_sort public knowledge attitudes and willingness regarding bystander cardiopulmonary resuscitation a nationwide survey in taiwan
url http://www.sciencedirect.com/science/article/pii/S0929664618301931
work_keys_str_mv AT edwardpeichuanhuang publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT wenchuchiang publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT mingjuhsieh publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT huichihwang publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT chihweiyang publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT tsungchienlu publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT chihhungwang publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT kahmengchong publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT chihhaolin publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT chanweikuo publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT jentangsun publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT jrjiunlin publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT mingchinyang publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan
AT matthewhueimingma publicknowledgeattitudesandwillingnessregardingbystandercardiopulmonaryresuscitationanationwidesurveyintaiwan