{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:12:17Z","timestamp":1781248337631,"version":"3.54.1"},"reference-count":22,"publisher":"Wiley","issue":"19-20","license":[{"start":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T00:00:00Z","timestamp":1619222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To examine the knowledge, attitude and practice of nurses in Lebanon regarding out\u2010of\u2010hospital resuscitation, compare hospital nurses to those who work in community settings on the variables of interest, determine the nurses\u2019 willingness to attempt resuscitation in the community and identify predictors of their willingness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Only 5.5% of victims survive out\u2010of\u2010hospital cardiac arrest in Lebanon. There is no national guideline for cardiopulmonary resuscitation nor a policy for nurses\u2019 training in resuscitation in Lebanon for neither in\u2010hospital nor out\u2010of\u2010hospital settings. However, some hospitals have their own policies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional descriptive design was used with a cluster sample of 692 working nurses. A 28\u2010item questionnaire developed for this study was mailed to the nurses. Data were analysed with correlational and multivariable regression analyses. The STROBE checklist for observational studies was used in reporting this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most nurses received cardiopulmonary resuscitation training, but 19.8% did not renew their certification in the past two years, because of limited training centres and lack of time. Only one third of the sample knew the first step to be taken in an arrest, yet 61% knew the compression\u2010to\u2010breath ratio. Nurses who work in community settings had significantly less frequent training in resuscitation than hospital nurses. Most nurses were willing to resuscitate in the community. In deciding to perform out\u2010of\u2010hospital cardiopulmonary resuscitation, the nurses were mostly influenced by their training, courage, recent practice, policy, fear of infection and hesitation to do mouth\u2010to\u2010mouth breathing. Receiving training, fear of being sued, religious beliefs, geographic location and believing in the importance of training laypeople in resuscitation predicted the nurses\u2019 willingness to perform resuscitation in the community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lebanon needs a national policy on cardiopulmonary resuscitation, regular training of all nurses and a Good Samaritan law.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This study informs policy related to nurses\u2019 training in out\u2010of\u2010hospital resuscitation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15813","type":"journal-article","created":{"date-parts":[[2021,4,25]],"date-time":"2021-04-25T05:01:21Z","timestamp":1619326881000},"page":"3036-3044","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Towards better out\u2010of\u2010hospital cardiopulmonary resuscitation: A survey of nurses"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5133-0913","authenticated-orcid":false,"given":"Samar","family":"Noureddine","sequence":"first","affiliation":[{"name":"Hariri School of Nursing American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Avedissian","sequence":"additional","affiliation":[{"name":"Hariri School of Nursing American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Khatib","sequence":"additional","affiliation":[{"name":"Life Support Center American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Irani","sequence":"additional","affiliation":[{"name":"Life Support Center American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000659"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-014-0617-x"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0000000000000088"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.12.042"},{"key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"183","DOI":"10.4103\/JETS.JETS_101_17","article-title":"Resuscitation of out\u2010of\u2010hospital cardiac arrest victims in Lebanon: The experience and views of prehospital providers","volume":"11","author":"Haidar M. 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O.","year":"2014","journal-title":"Journal of Community Medicine and Primary Health Care"},{"key":"e_1_2_13_15_1","unstructured":"Order of Nurses in Lebanon(2016).Statistics issued by the Order up to December 31 2016. Retrieved fromhttp:\/\/www.orderofnurses.org.lb\/PDF\/2016_%D8%A7%D9%95%D8%AD%D8%B5%D8%A7%D8%A1%D8%A7%D8%AA.pdf#zoom=120"},{"issue":"16","key":"e_1_2_13_16_1","first-page":"S366","article-title":"Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care","volume":"142","author":"Panchal A. 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