Pressure perception and coping strategies in cardiopulmonary resuscitation implementation by healthcare personnel：a scoping review

Objective: To systematically review healthcare workers' perceived stress, assessment tools, and coping strategies during cardiopulmonary resuscitation (CPR) implementation, providing references for optimizing coping approaches. Methods: Databases including PubMed, Web of Science, Embase, ProQuest, PsycINFO, CINAHL, CNKI, Wanfang, VIP, and the Chinese Biomedical Literature Database were searched from their inception to July 9, 2025. Included studies underwent meta-analysis. Results: Nine studies were included. Healthcare workers' perceived stress during CPR encompasses complex psychological experiences involving emotional distress, ethical dilemmas, and crises of professional identity. Measurement primarily relies on non-specific scales, with only one specific scale identified. Coping strategies mainly fall into problem-focused and emotion-focused categories. Conclusion: Healthcare workers' perceived stress during CPR not only impacts their physical and mental health but also affects job satisfaction and retention intentions. Therefore, future efforts should focus on developing localized, specific assessment tools, actively exploring relevant influencing factors, and establishing a systematic support system to safeguard the occupational health of healthcare personnel.