Arrhythmia knowledge: A qualitative study (original) (raw)
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Knowledge of Nurses Regarding Assessment of Life Threatening Arrhythmias
Journal of Farkhanda Institute of Nursing And Public Health (JFINPH)
OBJECTIVES: The objectives of this study were to assess the knowledge of nursing staff those who are working in critical care unit in Hayatabad Medical Complex, Peshawar. METHODOLOGY: A cross sectional study design was used. The participants were recruited through convenient sampling technique that was working in Intensive Care Unit (ICU) and Critical Care Unit (CCU) from last 6 months. Data were collected through life-threatening arrhythmias questionnaire and analyzed on SPSS version 22. RESULTS: Majority of participants were diploma holder and graduated staff. 46% participants received Basic Life Skill (BLS), 14% Advanced Cardiovascular Life Support (ACLS) and 32% didn’t get any training. Most of the participants didn’t have knowledge related to the life threating arrhythmias i.e., 86%. CONCLUSION: We observe in our study that majority of nursing staffs were unable to identify life-threatening rhythm of patients. Nursing staff needs to improve academic and ECG training in critica...
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 ...
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.
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.
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 ...
Recognizing and management of arrhythmia: Overview of nurses' role
International Journal of Nursing and Health Sciences, 2022
Arrhythmia leads to decreased quality of life, a high risk of developing thromboembolism, and an increased mortality rate. Cardiac arrhythmia may be non-symptomatic or cause several symptoms, including heart attacks, dizziness, chest pain, and loss of consciousness. Management of patients with cardiac arrhythmias is increasingly complex because of continuous technological advances and multifaceted clinical conditions associated with the ageing of the population, co-morbidities, and the need for polypharmacy. Nurses can significantly contribute to detecting and managing these increasingly common diseases. Nurses should consider any patient with an irregular pulse with arrhythmias and direct suspected cases to electrocardiograms. Management of arrhythmias aims to reduce symptoms and prevent complications with anti-thrombosis, cardiovascular stimulation, and antiarrhythmic therapy.
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...
2017
Objective: to evaluate the ability of nurses to recognize electrocardiographic changes requiring immediate intervention and to compare their performance in case of arrhythmias, according the type of unit where they work. Method: this is a cross-sectional study with 100 nurses from a cardiopneumology hospital. Data collection took place between March and November 2015. An instrument with data characterizing the participants and 10 clinical cases with electrocardiographic tracing was used. Results: 89% of the nurses identified pulseless ventricular tachycardia, 77%, ventricular fibrillation, and 81%, pulseless electrical activity, although less than half were able to identify ischemic changes. Nurses working in critical areas analyze more traces in their routine than those in non-critical areas (p = 0.019) and they feel more confident to do this work. Conclusion: Nurses have sufficient ability to identify changes in cardiac rhythm. No differences were found in performance when the typ...
Comparison of two teaching methods for cardiac arrhythmia interpretation among nursing students
Resuscitation, 2014
Aim: The aim of this study was to compare the six-stage method (SSM) for instructing primary cardiac arrhythmias interpretation to students without basic electrocardiogram (ECG) knowledge with a descriptive teaching method in a single educational intervention. Methods: This is a randomized trial. Following a brief instructional session, undergraduate nursing students, assigned to group A (SSM) and group B (descriptive teaching method), undertook a written test in cardiac rhythm recognition, immediately after the educational intervention (initial exam). Participants were also examined with an unannounced retention test (final exam), one month after instruction. Altogether 134 students completed the study. Interpretation accuracy for each cardiac arrhythmia was assessed. Results: Mean score at the initial exam was 8.71 ± 1.285 for group A and 8.74 ± 1.303 for group B. Mean score at the final exam was 8.25 ± 1.46 for group A vs 7.84 ± 1.44 for group B. Overall results showed that the SSM was equally effective with the descriptive teaching method. The study showed that in each group bradyarrhythmias were identified correctly by more students than tachyarrhythmias. No significant difference between the two teaching methods was seen for any specific cardiac arrhythmia. Conclusions: The SSM effectively develops staff competency for interpreting common cardiac arrhythmias in students without ECG knowledge. More research is needed to support this conclusion and the method's effectiveness must be evaluated if being implemented to trainee groups with preexisting basic ECG interpretation knowledge.