ArticleInternational journal of emergency medicine2026
Knowledge and attitudes toward advanced cardiac life support among healthcare professionals in Addis Ababa, Ethiopia: a multicenter cross-sectional study.
Article in International journal of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAdvanced Cardiac Life Support (ACLS) supports the management of cardiac arrest and other life-threatening cardiovascular emergencies. Studies from resource-limited settings have identified persistent gaps in ACLS knowledge and attitudes among healthcare professionals.
methodsThis multicenter institution-based cross-sectional study was conducted from June to November 2024; data were collected from October to November 2024. Four referral hospitals were selected by convenience, and eligible healthcare professionals within those hospitals were selected by computer-generated simple random sampling. Data were collected using a structured, self-administered questionnaire. Good knowledge was defined as at least 7 correct answers among 14 questions. Attitude was measured with 12 five-point Likert items; participants with an aggregate score at or above the sample mean were classified as having a positive attitude. Data were analyzed using SPSS version 28. Multivariable logistic regression identified factors associated with knowledge and attitude, with adjusted odds ratios (AORs) and 95% confidence intervals (CIs) reported.
resultsOf 397 sampled healthcare professionals, 379 completed the survey (response rate, 95.5%). Overall, 178 (47.0%) had good ACLS knowledge and 164 (43.3%) had a positive attitude. Nurses had higher adjusted odds of good knowledge than physicians (AOR, 2.09; 95% CI, 1.26-3.42). Participants with MSc-level education had lower adjusted odds of good knowledge than degree holders (AOR, 0.38; 95% CI, 0.16-0.92). For positive attitude, lower adjusted odds were observed among participants with 0-23 months (AOR, 0.20; 95% CI, 0.049-0.84) or 60-120 months (AOR, 0.17; 95% CI, 0.04-0.71) of experience than among those with more than 120 months, and among diploma holders than among degree holders (AOR, 0.41; 95% CI, 0.21-0.78). Previous ACLS training was not significantly associated with either outcome.
conclusionFewer than half of participants had good ACLS knowledge or a positive attitude. These findings identify educational gaps and support consideration of accessible, competency-oriented ACLS education, accompanied by local evaluation of practical performance and patient outcomes.
trial registrationN/A CLINICAL TRIAL NUMBER: Not applicable.
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