Knowledge of Nurses Regarding Assessment of Life Threatening Arrhythmias (original) (raw)

Life threatening arrhythmias: Knowledge and skills among nurses working in critical care settings at Muhimbili National Hospital, Dar es Salaam, Tanzania

Tanzania Journal of Health Research

Introduction: A life threatening arrhythmia is a medical condition that requires immediate intervention, or it can cost a patient’s life. However, there is limited understanding of nurses’ knowledge and skills in identification and care provided to patients with life threatening arrhythmias in Tanzania. The objective of this study was to assess knowledge and skills of nurses in identifying life threatening arrhythmias and the required patient care.Methods: A descriptive cross-sectional study was conducted to assess the knowledge and skill level of nurses in identification of life threatening arrhythmias and the required patient care, as well as exploring the barriers in acquiring and implementing particular knowledge and skills. A convenient sample of 141 nurses working in critical care areas at Muhimbili National Hospital, were recruited.Results: The majority (44%) of the participants were 31-40 years old and more than three quarters were females. The majority (60%) scored highly ...

Nurses' Performance Regarding Life Threatening Ventricular Dysrhythmias among Critically Ill Patients

Egyptian Journal of Health Care, 2020

Background: Ventricular dysrhythmias (VD) are the important cause of cardiovascular morbidity and mortality, particularly in those with structural heart disease. It is fundamental importance for nurses to recognize normal and pathological electrocardiographic tracings and allowing the adoption of appropriate and immediate interventions. Aim of the study: was to assess nurses' performance regarding life threatening ventricular dysrhythmia among critically ill patients in intensive care units at Zagazig University Hospitals. Subjects and Methods: Research design: A descriptive design was utilized to achieve the aim of this study and to answer the research questions. Setting: The study was conducted at all cardiac Intensive Care Units at Zagazig University Hospitals. Subjects: A convenient sample of 50 nurses was included in this study. Tools of data collection: Two tools were used; Questionnaire and observational checklists regarding life threatening VD. Data were collected over a period of six months started from July 2018 to December 2018. Results: The results of the study revealed that the majority of the studied nurses their age ranged from 20-29 years old and was female, near to half of nurse's graduated from bachelor nursing, and two third of nurses had years of experience in ICU more than 2 years. The present study clarified that three quarter of the studied nurses had unsatisfactory knowledge and more than half of them had unsatisfactory practice regarding life threatening ventricular dysrhythmias. Conclusion: Based on the results can be concluded that the studied nurses had unsatisfactory level of knowledge and practice regarding life threatening VD and need to be improved. Also, there was no significant relation between total knowledge score and total practice score. Recommendations: the study is recommended to there is a need to In-service training programs for the purpose of updating the knowledge and skills of nurses working with intensive care units for early identification and management of life threatening dysrhythmias and Periodic evaluation of nurses' knowledge and practice.

Effect of an Educational Program Regarding Cardiac Arrhythmias on Nurses' Practices in Critical Care Units

Port Said Scientific Journal of Nursing

Background: Cardiac arrhythmia can cause more fatal forms of rhythm disturbance. Nurse in critical care units plays a necessary role in arrhythmias management specializes in symptomatic relief, promotion of comfort and taking crisis intervention in fatal forms of dysrhythmias. Aim: This study aimed to evaluate the effect of an educational program regarding cardiac arrhythmias on nurses' practice in critical care units. Subject and Methods: Design: A quasi-experimental design was utilized in this study. Setting: The study was conducted at Critical Care Units in Port-Said Governmental hospitals (Port Said general hospital, Port-Fouad general hospital and Al zhoor central hospital) recently comprehensive health insurance hospitals in Port Said (El Salam hospital, Al hayah hospital and Al zhoor hospital). Subjects: A convenient sample of available nurses (139 nurses in critical care units divided into 116 female and 23 male) was included in this study. Tools: Tool was used for data collection: Nurses' Practice observational Checklist, which includes part I: Demographic variables, part-II seven Nurses' Practice observational Checklist. Results: The results revealed that, (92.8%) of nurses had satisfactory total practice level immediately post educational program implementation and (69.8%) follow up educational program compared to (37.4 %) of studied nurses preeducational program implementation. Conclusion: Educational program for nurses had a significant positive effect on improving nurses' practice regarding the care of patients with cardiac arrhythmias. Recommendations: Continuous training and educational program for the purpose of upgrading, improving and updating the practice of the nurses assigned to provide care with cardiac arrhythmias patients.

A Study to Assess the Knowledge Regarding Ecg Interpretation During Cardiac Emergencies Among the Staff Nurses of Selected Cardiac Hospitals of Bathinda in Punjab

THE RESEARCH RESERVOIR, 2020

Electrocardiogram (ECG) interpretation by nurses is a valuable tool for the initial evaluation of patients with cardiac problems which may lead to potentially life threatening complications. Nurses usually being the first ones to handle the ECG made them to be more creative to take appropriate decisions to save a life especially in critical units of hospital. Hence there is a need to increase the knowledge of the nurses on ECG interpretation to provide right intervention and to avoid complications. The aim of the study is to determine the knowledge in ECG interpretation during cardiac emergencies among the staff nurses. This descriptive study was conducted on the registered nurses who worked at selected cardiac hospitals at Bathinda. A total of 70 staff nurses were selected who voluntarily consented to be the sample of the study. A structured questionnaire that was developed by the researcher on the basis of the literature was used as data collection tool. Data were collected using a questionnaire after obtaining the ethical approval. Descriptive statistics and Pearson Chi-Square tests were used in analysing the data. Results of the study showed a good level of knowledge among nurses, regarding the ECG interpretation during cardiac emergencies. Working unit in hospital and previous ECG training courses play an important role in defining the professionalism of nurses to have a good experience in ECG interpretation. Training courses for nurses under the supervision of qualified staff especially for nurses who work in critical care area in hospital, with continuing self learning programmes and staying up to date to any changes and development of new protocols or technology help increase patient outcomes.

Critical Care Nurses' Knowledge and Confidence in Arrhythmia Interpretation

2019

Background: Previous studies have revealed a knowledge gap in arrhythmia identification amongst critical care nurses. This deficit may affect their propensity to recognise early signs of patients’ deterioration and have adverse impact on survival. No Australian studies have described critical care nurses’ level of arrhythmia knowledge or how that knowledge affected their confidence. Aim: To describe the level of arrhythmia knowledge and confidence demonstrated by critical care nurses. Design and Methods: A descriptive quantitative study design was conducted using a two- part self-reporting survey. Part one collected participant demographic data and overall confidence while part two used the Keller Assessment Rating Tool to collect data on participant rhythm interpretation and confidence levels. Non-probability sampling resulted in 32 participants from a single site. Non parametric statistics were used to analyse the data and Spearman’s rho was utilized to examine correlations ...

Arrhythmia knowledge: A qualitative study

Heart & Lung: The Journal of Acute and Critical Care, 2005

The objective is to identify and describe critical care nurses' perception of arrhythmia knowledge. In addition, this study is the first step in developing levels of arrhythmia competency.

Critical Care Nurses’ Competency in Electrocardiogram Interpretation: A Cross-Sectional Study

HEALTH AND WELLNESS II

Introduction: The electrocardiogram is used to assess the heart’s condition. Patients who come with symptoms of acute coronary syndrome must have the ECG immediately and the readings interpreted within 10 minutes, since any delays in giving treatment could result in significant tissue damage to the heart muscle. The objective was to determine the level of knowledge and practices regarding electrocardiogram (ECG) interpretation on cardiac arrhythmia among registered nurses working in critical care units. Method: A cross-sectional study was conducted among nurses at the critical care unit of Hospital Raja Permaisuri Bainun Ipoh, Perak. 105 respondents were recruited by convenience sampling. Respondents were given questionnaire on Knowledge and Practice on ECG interpretation. Results: this study found that 97.1% of the respondents have a good level of knowledge, while 76.2% have a good practice level regarding electrocardiogram interpretation on cardiac dysrhythmia. There were statisti...

A study to assess the effectiveness of structured teaching programme on knowledge regarding cardiac arrhythmia and its management among student nurses of Adesh University Bathinda, Punjab India

International Journal of Advance Research in Medical Surgical Nursing , 2021

Background: The word Cardiac Arrhythmia was derived from Latin word "Cardiac'' means heart, "A'' means disturbance, distortion, or without and ``Rhythmia'' means to measure continuous normal rhythm. WHO, estimates about 60% of the total worlds cardiac patient will be Indians. Objectives 1. To assess the knowledge regarding Cardiac Arrhythmia and its management among experimental and control group by pre-test. 2. To assess and the effectiveness of STP on knowledge regarding Cardiac Arrhythmia and its management among experimental and control group by post-test. 3. To find out the association between the post-test scores level of knowledge regarding Cardiac Arrhythmia and its management among experimental group with their selected sociodemographic variables. Methods: A quasi experimental one group pre-test and post-test design. Questionnaire was used to collect the data from 50 student nurses, Pre-test was conducted and after the STP was given to the same group and post-test was conducted after 7days of teaching. Result: The results shows a significant difference, calculated p<0.002. STP was highly effective Conclusion: There was no association between knowledge scores with their selected sociodemographic variables.

Effectiveness of Learning Cardiac Arrhythmias in Clinical Skills Department

EXPERIMENTAL & CLINICAL MEDICINE GEORGIA, 2021

Early and proper diagnosis of arrhythmias is important. However, there is a limited knowledge and skills in identifying and caring for patients with life-threatening arrhythmias among medical students. The aim of this study was to compare 6th year MD program students' pre-post-training knowledge and the ability to detect life-threatening arrhythmias. 140 6th year MD program students took part in this study. Evaluations were performed before and after training in cardiac arrhythmias. Results: The majority of the participants received a high level of knowledge in identifying life-threatening arrhythmias on the ECG strip. Modern teaching methods improve the learning achievements among students.