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All Journal Narra J International Journal of Advanced Health Science and Technology
Nikmatul Fadilah
Department of Nursing, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Electrical & Electronics Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Bystander alertness, responsiveness, and barriers to providing first aid for sudden cardiac arrest in Indonesia: A preliminary community-based study Yohanes K. Windi; Loetfia D. Rahariyani; Nikmatul Fadilah; Eko R. Wiyatno
Narra J Vol. 6 No. 2 (2026): August 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i2.3105

Abstract

Bystanders can play a critical role in improving survival after sudden cardiac arrest (SCA), yet hesitation and inaction remain common. The aim of this study was to assess bystander alertness, responsiveness, and barriers to providing first aid for SCA in an Indonesian community setting. A cross-sectional survey was conducted among 500 residents attending four Community Health Centers in Sidoarjo District, East Java, Indonesia. A structured, self-administered questionnaire assessed recognition of heart disease, perceptions of life-threatening cardiac conditions, intended responses to SCA, types of medical aid sought, reasons for not providing first aid, and specific first-aid actions. Data were analyzed using descriptive statistics and Chi-squared tests. Overall, respondents showed limited recognition of SCA as a distinct cardiac emergency and were more familiar with heart attack and coronary disease. Although SCA is highly time-critical, it was not commonly perceived as the most life-threatening heart condition. Most respondents preferred to seek medical help rather than provide immediate first aid, while direct bystander intervention was uncommon. Among those who would not intervene, fear of being blamed, lack of knowledge, and perceived incompetence were the main barriers. Among respondents willing to help, intended actions were more commonly directed toward waking the victim or using culturally familiar practices, whereas cardiopulmonary resuscitation (CPR) was rarely reported. Significant differences were observed across all assessed response domains (p<0.001). These findings indicate low community alertness and responsiveness to SCA in this Indonesian setting. Community-based SCA education, hands-only CPR training, clearer emergency response guidance, and culturally sensitive public messaging are needed to improve bystander readiness and reduce delays in first aid.
Effectiveness of Video and Lecture Methods on Basic Life Support Knowledge and Skills among Students of Poltekkes Kemenkes Surabaya: A Quasi-Experimental Study Titani Anggarnis; Sari Luthfiyah; Nikmatul Fadilah; Endah Suprihatin
International Journal of Advanced Health Science and Technology Vol. 6 No. 3 (2026): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i3.609

Abstract

Variations in Basic Life Support (BLS) knowledge and practical competence among students at Poltekkes Kemenkes Surabaya may influence their readiness to respond effectively in emergency situations. Differences in educational background and departmental focus contribute to disparities in students’ understanding and performance of BLS procedures, highlighting the importance of implementing appropriate educational strategies. This study aimed to evaluate and compare the effectiveness of lecture-based learning and educational video methods in improving BLS knowledge and practical skills among students. This study employed a quantitative quasi-experimental approach using a two-group pretest–posttest design. A total of 28 members of the Scout Student Activity Unit were selected through simple random sampling and randomly assigned into two intervention groups: lecture-based education and educational video-based learning. Data were collected using validated knowledge questionnaires and skill observation checklists administered before and after the interventions. Statistical analysis was conducted using the Wilcoxon Signed Rank Test to assess within-group differences and the Mann–Whitney U Test to compare outcomes between groups, with a significance level of p < 0.05. The findings demonstrated a statistically significant improvement in both BLS knowledge and practical skills following the interventions in each group (p = 0.001). However, no significant differences were identified between the lecture and educational video methods in improving knowledge (p = 0.378) or practical skills (p = 0.617), indicating that both approaches were equally effective. Lecture-based learning appeared to enhance conceptual understanding, whereas educational videos provided greater support for procedural and skill-based learning. In conclusion, both lecture and educational video methods are effective educational strategies for improving BLS knowledge and skills among students. The integration of these complementary approaches may optimize learning outcomes and strengthen students’ preparedness in emergency response situations.
Co-Authors Eko R. Wiyatno Endah Suprihatin Loetfia D. Rahariyani Sari Luthfiyah Titani Anggarnis Yohanes K. Windi