Impact of Maternal Cardiopulmonary Resuscitation Training Program on Healthcare Providers’ Knowledge, Performance and Confidence: A Systematic Review
نویسندگان
1 PhD in Nursing, Department of Basic Sciences, Ma'an University College, Al-Balqa Applied University, Al-Salt- Jordan
2 Assistant Professor, Adult Health Nursing, School of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
3 PhD in Nursing, Military Cancer Center, Royal Medical Services, Amman, Jordan
4 PhD in Nursing, Princess Aisha Bint Al Hussein College for Nursing and Health Sciences, Al-Hussein Bin Talal University, Ma'an, Jordan
5 PhD in Nursing, Adult Health Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
6 PhD in Nursing, Head of Training at Istiklal Hospital, Amman, Jordan
7 Professor, Adult Health Nursing; School of Nursing, the University of Jordan, Amman, Jordan
doi
10.22038/jmrh.2025.78344.2335چکیده
Background & aim: Cardiopulmonary resuscitation (CPR) is a critical intervention that can save both mother and fetus in cases of maternal cardiac arrest (MCA). This systematic review evaluated the impact of maternal CPR training on healthcare providers’ (HCPs) knowledge, performance, and confidence.Methods: This review followed PRISMA-2020 checklist and was registered in PROSPERO (CRD42023416968). A systematic search was conducted using Scopus, ProQuest, DynaMed, ScienceDirect, EBSCO, PubMed, and Google Scholar search engine. Eligible studies focused on maternal CPR training for HCPs, assessed knowledge, performance, or confidence, were published in English between 2015 and 2023, and employed quasi-experimental or prospective cohort designs. Exclusion criteria included irrelevant topics, lack of outcome evaluation, non-primary sources, and inaccessible full texts. Quality appraisal was performed independently by five reviewers using JBI tools. A narrative synthesis was conducted to compare findings, identify trends, and evaluate training effectiveness and evidence gaps.Results: Six studies met the inclusion criteria. Of these, five reported improved knowledge, three demonstrated enhanced performance, and two showed increased confidence post-training. Most interventions employed simulation-based methods. However, few studies directly addressed MCA-specific scenarios, and there was considerable variation in training protocols and outcome measures. Additionally, long-term effects on patient outcomes and the sustainability of providers’ competence were rarely examined.Conclusion: Maternal CPR training programs appear effective in enhancing HCPs’ knowledge, performance, and confidence. Although these improvements suggest increased preparedness for maternal emergencies, further rigorous and high-quality research is needed. Standardized, evidence-based training supported by continuous education and interdisciplinary collaboration is recommended for optimal implementation.
