Ability of Nurses Interpret a 12-LEAD Electrocardiography Habilidade Dos Enfermeiros Na Interpretação Do Eletrocardiograma De 12 Derivações Habilidad De Los Enfermeros Para La Interpretación Del Electrocardiograma De 12 Derivaciones (original) (raw)
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Background and aim of the work: Cardiovascular diseases represent the main cause of death in Italy. Early recognition of pathological electrocardiographic (ECG) trace is an important skill for nurses. The theoretical knowledge and the practical skills on the recognition of pathological ECG trace of trained nursing students were compared with those of emergency nurses. Methods: The study involved 35 nursing students and 41 nurses from the emergency room, emergency medicine and ambulance service. Students were previously trained through a theoretical and practical ECG course. The data were collected using two questionnaires aimed at evaluating in the two groups the ability to recognize electrocardiographic signs. The tools were uploaded to an online platform and remotely administered. Results: Both the students and the nurses showed a satisfactory theoretical knowledge of the ECG trace, with a statistically significant difference in favor of the nurses. Regarding practical skills, both groups showed difficulty in recognizing pathological electrocardiographic signs, particularly blockages and acute coronary syndromes. Conclusions: Nursing students' knowledge of ECG did not differ much from that of nurses. Training through simulation probably played a key role in improving the skill of ECG evaluation among students. More theoretical and practical courses on ECG should be recommended in Nursing Programme.
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...
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.
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...
A STUDY TO ASSESS THE COMPETENCY REGARDING ECG INTERPRETATION AMONG STAFF NURSES Author's Name
A descriptive study was conducted to assess the competency regarding ECG Interpretation among staff nurses working in a selected Hospital, Ludhiana, Punjab. The objectives of the study were to assess staff nurses' level of competencies regarding ECG Interpretation. To assess staff nurses' level of competencies in terms of knowledge and skill regarding ECG Interpretation. To assess the co-relation of staff nurses' competences in terms of knowledge and skills regarding ECG Interpretation. To find out the relationship of staff nurses' competencies regarding ECG interpretation with personal & professional variables. To find out the relationship of staff nurses' competencies in terms of knowledge and skill regarding ECG interpretation with personal & professional factors. And to identify deficits and plan in-service education program to improve staff nurses' competencies regarding ECG interpretation. Conceptual framework of the study was based on " Three Phase Theory" described by Fitts and Posner (1967)". A quantitative approach and non-experimental exploratory design was adopted for the research study. Data was collected by using ECG Interpretation Competency Assessment Performa which was developed after extensive literature review, experts' validation and reliability and tested for reliability (r =0.78). The collected data from 200 staff nurses drawn by purposive sampling technique was organized, tabulated, analyzed and interpreted using descriptive and inferential statistics. Major findings of the study were majority (81,41%) of staff nurses were found to had low level of competency regarding ECG Interpretation. Majority of staff nurses had below average level of knowledge regarding ECG Interpretation (109,54.5%). Majority of staff nurses had low level of skill regarding ECG Interpretation (120,60%). Relation between knowledge and skill are strong positive correlation. Findings related to the relationship of competencies regarding ECG Interpretation with selected personal and professional factors were Staff Nurses competency and gender, Source of Learning were statistically significant at p<0.05 level. Staff Nurses competency and present posting, experience in cardiology statistically significant at p<0.01 level. Investigator prepared a validated and structured lesson plan and conducted an In
Electrocardiograms: a guide to rhythm recognition for emergency nurses
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association, 2018
Electrocardiogram (ECG) is one of the most commonly performed investigations in emergency departments (EDs), and is an extremely useful adjunct that guides diagnosis, prognosis and treatment. In most cases nurses are the first healthcare professional to assess patients and record an ECG, yet anecdotal evidence suggests that few emergency nurses review, interpret and act on ECG findings. Research suggests this may be due to lack of confidence in, or knowledge about, interpretation of results, often because of inadequate training. This article aims to help emergency nurses understand and interpret the cardiac rhythms commonly encountered on ECGs in EDs, to enable them to support earlier diagnosis and treatment. It describes a simple, five-step method for evaluating the main components of cardiac rhythm.
Background: Electrocardiography is a graphic representation of the electrical activity of the heart. According to previous literature, nurses have poor knowledge and skills about basic electrocardiography interpretation. For instance, a previous survey conducted in Turkey showed that only 38.1 percent of nurses were able to recognize ventricular fibrillation, 54.3% myocardial infarction, and 33.3% third-degree atrioventricular block. Objective: This study was aimed at assessing Nurses’ competency in electrocardiography interpretation in adult emergency rooms in Addis Ababa, Ethiopia, in 2021. Method: An institutional-based descriptive, cross-sectional study design was used to conduct the study. A total of 175 nurses in five randomly selected hospitals with adult emergency rooms were included in this study. Semi-structured, self-administered questionnaires were used to collect the data. Data were entered into Epi data and analyzed using SPSS version 26. A Fisher’s exact test was used...
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.
Heart, 1977
The efficiency of nurses in detecting arrhythmias was studied in a coronary care unit (CCU) with 6 beds, equipped with a system for decentralised electrocardiographic display and with well-defined routines for arrhythmia documentation. Arrhythmias were classified and reported at half-hour intervals. Fifty patients were included in the study. A continuous electrocardiographic recording was subsequently analysed beat by beat and used as reference. The arrhythmias were classified into: (i) 'benign' arrhythmias, (ii) 'warning' arrhythmias, (iii) 'malignant' arrhythmias, and (iv) ventricular tachycardia. The detection rate for different arrhythmias variedfrom 96 per centfor patients with 'benign' arrhythmias occurring in at least three 1-minute periods per half-hour and 86 per cent for patients with 'warning' arrhythmias, to 42 per cent for patients with ventricular tachycardia. Special attention was paid to infrequently occurring arrhythmias which were analysed in relation to half-hour periods. Of 'warning' arrhythmias occurring during only one 1-minute period per half-hour, 48 per cent were detected, but the detection rate increased to 71 per cent when the same type of arrhythmia occurred during two or more 1-minute periods per half-hour. The mean delay time for detection of 'warning' and 'malignant' arrhythmias was less than half an hour. The exact delay time could not be evaluated as the study was based on the half-hourly reports of the nurses. The fact that the most infrequent 'warning' arrhythmias were detected in 48 per cent during the first possible minute indicates, however, that the true delay time is much shorter. The efficiency of arrhythmia detection is higher in this than in other published studies, both for detection rate and delay time. Possible explanationsfor this are that well-defined routinesfor arrhythmia documentation are established and that a system for decentralised electrocardiographic display is used.