Nurses' Performance Regarding Life Threatening Ventricular Dysrhythmias among Critically Ill Patients (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...
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 ...
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 ...
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...
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.
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.
Competence of nurses in the intensive cardiac care unit
Electronic physician, 2016
Introduction: Competence of nurses is a complex combination of knowledge, function, skills, attitudes, and values. Delivering care for patients in the Intensive Cardiac Care Unit (ICCU) requires nurses' competences. This study aimed to explain nurses' competence in the ICCU. Methods: This was a qualitative study in which purposive sampling with maximum variation was used. Data were collected through semi-structured interviews with 23 participants during 2012-2013. Interviews were recorded, transcribed verbatim, and analyzed by using the content-analysis method. Results: The main categories were "clinical competence," comprising subcategories of 'routine care,' 'emergency care,' 'care according to patients' needs,' 'care of non-coronary patients', as well as "professional competence," comprising 'personal development,' 'teamwork,' 'professional ethics,' and 'efficacy of nursing education.' Conclusion: The finding of this study revealed dimensions of nursing competence in ICCU. Benefiting from competence leads to improved quality of patient care and satisfaction of patients and nurses and helps elevate nursing profession, improve nursing education, and clinical nursing.