{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:04:55Z","timestamp":1790661895363,"version":"4.1.0"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>High-quality cardiopulmonary resuscitation (CPR) requires not only technical competence but also confidence, effective teamwork, and psychological readiness among healthcare providers. Evidence regarding the impact of simulation-based CPR training on healthcare providers\u2019 confidence, satisfaction, and perceived preparedness remains limited in conflict-affected and resource-constrained settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess healthcare providers\u2019 self-confidence, satisfaction, and perceived preparedness following an intensive, multicomponent simulation-based CPR training program implemented among physicians and nurses working in governmental critical care facilities in Gaza.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a single-group evaluation of an intensive, 8-h multicomponent simulation-based CPR training program delivered to 100 healthcare providers (50 physicians, 50 nurses) working in emergency rooms, intensive care units, and coronary care units at Al-Shifa Medical Complex, Gaza, between August and December 2022, aligned with the 2020 American Heart Association Guidelines. Participants were recruited using purposive, non-probability sampling of all eligible clinical staff in these units. Self-reported confidence in CPR-related competencies was assessed before and after the intervention using identical questionnaire items; satisfaction and perceived preparedness were assessed only after the intervention. Outcomes were measured on a structured, five-point Likert-scale questionnaire (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u202f=\u202f0.87), content-validated by an expert panel and refined through a pilot study, analyzed descriptively using SPSS version 26.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants reported very high satisfaction across all training domains, with instructor feedback usefulness rated highest (4.75\u202f\u00b1\u202f0.39). Self-reported confidence increased markedly from pre- to post-training across all assessed domains: confidence in performing CPR rose from 2.91\u202f\u00b1\u202f0.82 to 4.63\u202f\u00b1\u202f0.51, airway management confidence from 2.85\u202f\u00b1\u202f0.79 to 4.58\u202f\u00b1\u202f0.54, and CPR team leadership confidence from 2.73\u202f\u00b1\u202f0.88 to 4.49\u202f\u00b1\u202f0.57. Most participants (92%) preferred simulation-based training over traditional lecture-based methods, and post-training perceived preparedness for real cardiac arrest situations was high (rapid response ability, 4.71\u202f\u00b1\u202f0.40).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Multicomponent simulation-based CPR training was associated with marked improvement in healthcare providers\u2019 self-reported confidence, and was accompanied by high levels of post-training satisfaction and perceived emergency preparedness in a conflict-affected healthcare environment. Integrating structured simulation-based education into continuing professional development programs may strengthen emergency response capacity and workforce readiness in resource-limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1950292","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:46:19Z","timestamp":1790660779000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare providers\u2019 confidence, satisfaction, and perceived preparedness following a multicomponent simulation-based cardiopulmonary resuscitation training program in Gaza"],"prefix":"10.3389","volume":"14","author":[{"given":"Madleen Jawad Sobhe Abu","family":"Aser","sequence":"first","affiliation":[{"name":"Islamic University of Gaza","place":["Gaza, Palestine"]},{"name":"Al-Esraa University","place":["Gaza, Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharif Jamal","family":"Salha","sequence":"additional","affiliation":[{"name":"Al-Quds University","place":["Jerusalem, Palestine"]},{"name":"Medical Aid for Palestinians (MAP-UK)","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan Husam Ibrahim","family":"Al-Balawi","sequence":"additional","affiliation":[{"name":"Islamic University of Gaza","place":["Gaza, Palestine"]},{"name":"Medical Aid for Palestinians (MAP-UK)","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"S337","DOI":"10.1161\/CIR.0000000000000916","article-title":"2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular 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review","volume":"103","author":"Elendu","year":"2024","journal-title":"Medicine"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1080\/20786204.2014.10855362","article-title":"Retention of knowledge and skills after basic life support training","volume":"56","author":"Govender","year":"2014","journal-title":"S Afr Fam Pract"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"226","DOI":"10.4103\/0972-5229.180042","article-title":"Assessment of long-term impact of formal certified CPR training among nurses","volume":"20","author":"Saramma","year":"2016","journal-title":"Indian J Crit Care Med"}],"container-title":["Frontiers in Public 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