Impact of the implementation of the project “polish-kazakh regional center for training, safety and rescue” on competence in the field of medical care




project, «RITA – Region in Transition» programs, rescue, Basic Life Support, life



Purpose: evaluate the impact of the implementation of the project “Polish-Kazakh Regional Center for Training, Safety and Rescue” within the framework of the “RITA - Region in Transition” program on the level of knowledge, skills and abilities in the field of medical care.

Material and methods. The study involved 646 participants in the first aid training using the BLS algorithm based on the Non-Profit Joint Stock Company “K. Zhubanov Aktobe Regional University.” The study involved: determining the level of stress in the event of being in a situation where it is necessary to provide assistance to a person who has lost consciousness; assessment of the Basic Life Support (BLS) algorithm of actions; assessing the effectiveness of chest compressions on the Laerdal Little Anne QCPR manikin.

Results. It was revealed that after completing the BLS training, the project participants’ stress level, if they find themselves in a situation where it is necessary to provide assistance to a person who has lost consciousness, has decreased significantly. Based on the results of testing the assessment of the BLS action algorithm, it was found that the level of knowledge and skills in providing first aid improved by 75,9%. It was found that the efficiency of pressing on the chest of the manikin improved by 53,3% after training. Positive changes in all indicators indicate that BLS training using the KISS (keep it short and simple) methodology is accessible, understandable and effective for all project participants. It was found that indicators of stress level, BLS action algorithm and QCPR effectiveness both at the beginning and at the end of the study have a correlation dependence. Reduced stress levels occur due to increased preparedness among participants and contributes to more effective care delivery. The reliable nature of the connections confirms the assumptions made and gives grounds to assert that the goal of the project has been achieved.

Conclusions. The results obtained prove the effectiveness of the implementation of the project “Polish-Kazakh Regional Center for Training, Safety and Rescue”. Thanks to the events carried out, a large number of voters approved the formation of comprehensive competence to provide first aid in the case of Sudden Cardiac Arrest. As a result of the trainings, participants acquired practical skills in carrying out resuscitation measures, mastered the algorithm for providing assistance, and increased the level of confidence in their own theoretical knowledge and practical skills. This project proves that social activism and collaboration between scientists can be very effective and lead to systemic change. In Kazakhstan, where high rates of Sudden Cardiac Arrest are recorded, thanks to the implementation of international projects, a number of events and trainings have already been introduced, largely popularizing the ability to provide first aid, which will further influence the activities of governmental and non-governmental organizations. The results obtained allow us to recommend similar projects for implementation in other countries


Adamczyk, M., Giza, A., Kurylczyk, A., Terefenko, P., & Zalewski, T. (2020). Spatial Distribution Characteristics of Water Safety Services in Poland. Journal of Coastal Research.,95 (sp1), pp. 733-737. DOI: 10.2112/SI95-143.1

Barcala-Furelos, R., Abelairas-Gomez, C., Romo-Perez, V., & Palacios-Aguilar, J. (2013). Effect of physical fatigue on the quality CPR: a water rescue study of lifeguards: physical fatigue and quality CPR in a water rescue. The American journal of emergency medicine, 31(3), 473–477.

Borovnik Lesjak, V., Šorgo, A., & Strnad, M. (2022). Retention of Knowledge and Skills After a Basic Life Support Course for Schoolchildren: A Prospective Study. Inquiry : a journal of medical care organization, provision and financing, 59, 469580221098755.

Bylow, H., Karlsson, T., Claesson, A., Lepp, M., Lindqvist, J., & Herlitz, J. (2019). Self-learning training versus instructor-led training for basic life support: A cluster randomised trial. Resuscitation. 139, pp. 122-132. DOI: 10.1016/j.resuscitation.2019.03.026

Chaudhary, G.P., Sah, K., Malla, J., Das, N., Chaudhary, S., Chaudhary, I., & Pandey, J. (2023). Knowledge regarding Basic Life Support among Health Care Workers of the Hospital of Nepal. Journal of Healthcare Engineering. art. no. 9936114, DOI: 10.1155/2023/9936114

de Vries, W., & Bierens, J. J. (2010). Instructor retraining and poster retraining are equally effective for the retention of BLS and AED skills of lifeguards. European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 17(3), 150–157.

Formela, M., Skalski, D., Grygus, I.M., Nesterchuk, N.E., & Lizakowski, P. (2018). Bezpieczeństwo społeczności lokalnych w kontekście roli rodziny i szkoły w organizacji czasu wolnego dzieci i młodzieży. Medycyna i społeczeństwo. Wybrane problemy zdrowia i bezpieczeństwa. pp. 113-125.

Geerts, A., Herbelet, S., Borremans, G., Coppens, M., Christiaens-Leysen, E. & Van de Voorde, P. (2022). Five vs. two initial rescue breaths during infant basic life support: A manikin study using bag-mask-ventilation. Frontiers in Pediatrics. 10, art. no. 1067971. DOI: 10.3389/fped.2022.1067971

Isa, R., Rahmad, N., Mohd, S.N.S., Fauzi, R., & Isa, S.N.I. (2022). Knowledge and Practice of Basic Life Support (BLS) Among Registered Nurse at a Private Hospital in Seremban. Malaysian Journal of Nursing. 13 (3), pp. 58-64. DOI: 10.31674/mjn.2022.v13i03.009

Jadidi, H.A., & Jufaili, M.A. (2023). Effectiveness of a Short Refresher Course on the Retention of Cardiopulmonary Resuscitation-Related Psychomotor Skills (REF-CPR). Oman Medical Journal. 38 (3), art. no. e509. DOI: 10.5001/omj.2023.80

Li, F., Yang, C.-P., Chang, C.-H., Ho, C.-A., Wu, C.-Y., Yeh, H.-C., Hsu, C.-W., Chang, P.-J. & Ho, C.-S. (2023). Effect of the Brief Instructional Video Intervention on the Quality of Cardiopulmonary Resuscitation. International Journal of Medical Sciences., 20 (1), pp. 70-78. DOI: 10.7150/ijms.79433

Mulyk, K., Skaliy, A., Ruban, L., Duhina, L., Skaliy, T., Nowikiewicz, T. & Kowalski, W. (2022). Implementation of the polish-ukrainian project "Self-diagnosis of breast cancer in young ukrainian women" within the framework of the RITA program - Changes in the region at the Kharkiv state academy of physical culture. Wiadomosci lekarskie (Warsaw, Poland : 1960). 75 (2), pp. 366-371. DOI: 10.36740/wlek202202107

Nishiyama, C., Iwami, T., Kawamura, T., Ando, M., Kajino, K., Yonemoto, N., Fukuda, R., Yuasa, H., Yokoyama, H., & Nonogi, H. (2009). Effectiveness of simplified chest compression-only CPR training program with or without preparatory self-learning video: a randomized controlled trial. Resuscitation, 80(10), 1164–1168.

Olejniczak, R., Kowalewska-Kalkowska, H. & Zalewski, T. (2020). Analysis of the Effectiveness of the Rescue Operation with Use of Different Motorboat Units in the Baltic Coast Conditions. Journal of Coastal Research. 95 (sp1), pp. 905-909. DOI: 10.2112/SI95-176.1

Ostrowski, A., Juszkiewicz, M., Stanula, A., Strzała, M. & Ambroży, T. (2011) Bariery rozwoju ratownictwa wodnego w Polsce związane z systemem szkolenia. Securitologia, nr 1, s. 78–95.

Ostrowski, A., Strzała, M., Juszkiewicz, M., Stanula, A., & Skaliy, A. (2015). Szkolenie ratowników wodnych na tle zmieniających się uwarunkowań prawnych. Stan, perspektywy i rozwój ratownictwa, kultury fizycznej i sportu w XXI wieku: III edycja. T. 1, Ratownictwo / University of Economy in Bydgoszcz, Voluntary WaterRescue Service (WOPR Poland), International Life Saving Federation of Europe (ILSE) Bydgoszcz: University of Economy. s. 101–128.

Poudel, M., Bhandari, R., Giri, R., Chaudhary, S., Uprety, S., & Baral, D.D. (2019). Knowledge and attitude towards basic life support among health care professionals working in emergency of BPKIHS. Journal of BP Koirala Institute of Health Sciences. 2 (1), pp. 18-24. DOI: 10.3126/jbpkihs.v2i1.24962

QCPR App. – Retrieved from:

Rudenko VM. Matematichna statistika. Kyiv: Centr uchbovoi literaturi, 2012. 304 s. [in Ukrainian]

Skaliy, T., Skaliy, O., Adamczyk, M. & Zalewski T. (2017). Wiedza studentów uczelni wyższych krajów Europy Wschodniej i Kazachstanu z zakresu pierwszej pomocy. Edukacja dla bezpieczeństwa : współczesne wyzwania w procesach kształcenia kompetencji ratowniczych / redakcja Tomasz Zalewski, Magdalena Bulikowska. - Szczecin : Uniwersytet Szczeciński ; Wodne Ochotnicze Pogotowie Ratunkowe Województwa Zachodniopomorskiego. pp. 111-126

So, K. Y., Ko, H. F., Tsui, C. S. Y., Yeung, C. Y., Chu, Y. C., Lai, V. K. W., & Lee, A. (2020). Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study. BMJ open, 10(10), e040469.

Srinivasan, A.P., Albalawe, M.A., Issrani, R., Patil, S.R., Prabhu, N., & Siddanna, S. (2021). Awareness, knowledge, and attitude of saudi students towards basic life support: A cross-sectional study. Pesquisa Brasileira em Odontopediatria e Clinica Integrada. 21, art. no. e0043, DOI: 10.1590/pboci.2021.142

Topjian, A. A., Raymond, T. T., Atkins, D., Chan, M., Duff, J. P., Joyner, B. L., Jr, Lasa, J. J., Lavonas, E. J., Levy, A., Mahgoub, M., Meckler, G. D., Roberts, K. E., Sutton, R. M., Schexnayder, S. M., & Pediatric Basic and Advanced Life Support Collaborators (2020). Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 142(16_suppl_2), S469–S523.

Zalewski, T. & Bulikowska, M. (2017). Edukacja dla bezpieczeństwa. Współczesne wyzwania w procesach kształcenia kompetencji ratowniczych: Monograph. Szczecin. 189 p.

Zalewski, T. & Bulikowska, M. (2018) Increasing the level of safety standards using the unified certification norms as exemplified by the West Pomeranian marinas. Europa Regionum 4/2018, tom XXXVII, s. 123–135. DOI: 10.18276/er.2018.37-08.

Zalewski, T., Sikora, M., & Czapiewski, T. (2021). Drowning Rates as a Qualitative Aspect of Regional Development. European Research Studies Journal. Volume XXIV, Special Issue 1, pp.431-443. DOI: 10.35808/ersj/2053.