Evaluation of a Cardiopulmonary Resuscitation Curriculum in Liberia: An Assessment of Knowledge, Comfort, and Confidence

Background: Liberia is experiencing a shift from communicable to non-communicable diseases and an increase in ischemic heart disease burden. In response, cardiopulmonary (CPR) programs have surfaced to bolster CPR competency in healthcare providers. Despite structural deficiencies, improved health outcomes for cardiac arrest victims may be achieved through improved medical education. Objectives: Evaluate the effects of CPR training in improving knowledge, comfort, and self-efficacy among students at the University of Liberia’s School of Midwifery. Methods: In June 2024, a quasi-experimental (pre-post) study design was conducted at the University of Liberia in Monrovia. A basic CPR program for midwifery students based on the guidelines of the American Heart Association was developed and implemented. Each class included lectures and hands-on training with low-fidelity mannequins. Participants were evaluated on their self-efficacy teaching others CPR, comfort performing CPR themselves, confidence in their CPR knowledge, and objective knowledge of CPR before and after the intervention. Results: Fifty-four students completed the pre- and post-intervention test. All classes showed an increase in confidence, comfort, and objective knowledge post-intervention, with statistically significant results (p<.05). Conclusion: CPR classes at UL were successful in significantly increasing the knowledge, comfort, and confidence of participants. Skill demonstrations, mannequin usage, and instantaneous correction all contributed to students’ success. Recommendations: Recommendations include scaling program up to other facilities with sufficient health-capacity, instilling this course within the Midwifery curriculum, and encouraging refresher courses at predetermined intervals. Limitations include small sample size, inconsistent explanation of exam answers prior to post-intervention test, and limited time availability.