Effectiveness of Capacity Building Programme on Competency of Electrocardiogram (ECG) Interpretation Among Critical Care Nurses

Authors

  • Balasivanandan S Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India https://orcid.org/0009-0005-6625-5182
  • Manjula Annamalai Department of Medical Surgical Nursing, Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-7820-1801
  • Porkodi Arjunan Department of Medical Surgical Nursing, Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India https://orcid.org/0000-0003-0589-8000
  • Kavitha C Department of Critical Care, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India https://orcid.org/0000-0003-4996-6781
  • Kavitha Ramanathan Nursing Department, College of Nursing, CON-A, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), King Abdullah International Medical Research Center (KAIMRC), Ministry of the National Guard - Health Affairs, Al Ahsa, Saudi Arabia https://orcid.org/0000-0002-5437-605X

DOI:

https://doi.org/10.52756/ijerr.2024.v42.006

Keywords:

ECG interpretation, critical care nurses, capacity-building programme, knowledge and practice

Abstract

This study investigates the effects of a capacity-building programme on the competency of ECG interpretation among critical care nurses. Electrocardiogram (ECG) interpretation is a fundamental clinical skill essential for the rapid diagnosis of potentially life-threatening conditions. Misinterpretation of ECGs can result in inappropriate clinical decisions, leading to adverse patient outcomes. This study, conducted at a tertiary care hospital with over 1600 beds and six fully equipped intensive care units, aimed to improve the knowledge and practice of ECG interpretation among nurses frequently recording ECGs. A quantitative quasi-experimental study was conducted with 100 nurses selected using non-probability purposive sampling. Pre-test and post-test assessments were used to evaluate knowledge and practice, and data were analyzed using descriptive and inferential statistics. The results showed that the study group had significantly higher post-test knowledge and practice scores compared to the control group, with a strong positive correlation between knowledge and practice scores. The findings highlight the importance of continuous education and training for healthcare professionals.

References

Ahmed, A. A. (2014). Assessment of nurses' knowledge regarding ECG changes in myocardial infarction in three selected hospitals in Baghdad. Journal of Education and Practice,5(9), 70-78.

Alghamdi, S. M., Almutairi, B. F., Al-Surimi, K. M., &Alaklabi, A. (2018). Electrocardiography knowledge and skills among healthcare professionals in Saudi Arabia. Journal of Family Medicine and Primary Care, 7(6), 1313-1320.

Amini, K., Mirzaei, A., Hosseini, M., Zandian, H., Azizpour, I., & Haghi, Y. (2022). Assessment of electrocardiogram interpretation competency among healthcare professionals and students of Ardabil University of Medical Sciences: a multidisciplinary study. BMC Medical Education, 22(1), 448.

https://doi.org/10.1186/s12909-022-03518-0

Atwood, D., & Wadlund, D. L. (2015). ECG interpretation using the CRISP method: a guide for nurses. AORN Journal, 102(4), 396-408. https://doi.org/10.1016/j.aorn.2015.08.004

Breen, C. J., Kelly, G. P., &Kernohan, W. G. (2022). ECG interpretation skill acquisition: A review of learning, teaching and assessment. Journal of Electrocardiology, 73, 125-128.

https://doi.org/10.1016/j.jelectrocard.2019.03.010

Chamiso, T.M., Lemessa Jinfessa, F., & Jibril, M. (2024). Knowledge, practice, and factors associated with electrocardiography interpretation among nurses working in adult emergency and critical care units at selected governmental hospitals in Addis Ababa, Ethiopia, 2023: a cross-sectional study. BMC Nurs., 23, 557. https://doi.org/10.1186/s12912-024-02201-7

Chen, Y., Kunst, E., Nasrawi, D., Massey, D., Johnston, A. N., Keller, K., &Fengzhi Lin, F. (2022). Nurses’ competency in electrocardiogram interpretation in acute care settings: A systematic review. Journal of Advanced Nursing, 78(5), 1245-1266. https://doi.org/10.1111/jan.15147

Doğan, H. D. (2012). Cardiac arrhythmia knowledge levels of nurses working in intensive care units. Journal of Nursing Scholarship, 44(4), 339-346.

Drew, B. J., & Funk, M. (2006). Improving ECG monitoring: An important patient safety activity. Journal of Electrocardiology, 39(4 Suppl), S1-S5.

Getachew, M., Beyene, T., & Kebede, S. (2020). Electrocardiography interpretation competency of medical interns: experience from two Ethiopian medical schools. Emergency Medicine International, 2020, Article ID: 769563. https://doi.org/10.1155/2020/7695638

Fadlalmola, H., Tubaishat, A., & Habiballa, M. (2023). The Impact of Training Program on Nurse's Knowledge and Skills of Myocardial Infarction Screening by Using Electrocardiogram. Critical Care Nursing Quarterly, 46(2), 165-175. https://doi.org/10.1097/CNQ.0000000000000449

Funk, M., Fennie, K. P., Stephens, K. E., May, J. L., Winkler, C. G., & Drew, B. J. (2017). Association of implementation of practice standards for electrocardiographic monitoring with nurses’ knowledge, quality of care, and patient outcomes: findings from the Practical Use of the Latest Standards of Electrocardiography (PULSE) Trial. Circulation: Cardiovascular Quality and Outcomes, 10(2), e003132.

https://doi.org/10.1161/CIRCOUTCOMES.116.003132

Hawe, P., Noort, M., King, L., & Jordens, C. (1997). Multiplying health gains: the critical role of capacity-building within health promotion programs. Health Policy, 39(1), 29-42. https://doi.org/10.1016/s0168-8510(96)00847-0.

Kashou, A., May, A., DeSimone, C., &Noseworthy, P. (2020). The essential skill of ECG interpretation: How do we define and improve competency? Postgraduate Medical Journal, 96(1133), 125-127.

https://doi.org/10.1136/postgradmedj-2019-137191

Kes, D., Ozduran, B., Celik, S., & Cetin, E. (2023). The effectiveness of short text messages on nurses' arrhythmia interpretation skills. Nursing in Critical Care, 28(3), 362-369. https://doi.org/10.1111/nicc.12712

Khalil, A.I., Hantira, N.Y., & Alnajjar, H.A. (2023). The Effect of Simulation Training on Enhancing Nursing Students' Perceptions to Incorporate Patients' Families Into Treatment Plans: A Randomized Experimental Study. Cureus, 15(8), e44152. https://doi.org/10.7759/cureus.44152.

Levett-Jones, T., Gersbach, J., Arthur, C., & Roche, J. (2011). Implementing a clinical competency assessment model that promotes critical reflection and ensures nursing graduates’ readiness for professional practice. Nurse Education in Practice, 11(1), 64-69.

Madhual, S., Nayak, D., Dalei, S., Padhi, T., & Das, N. R. (2023). Assessment of cardiovascular risk factors in male androgenetic alopecia: A case control study in a tertiary care hospital of western Odisha. Int. J. Exp. Res. Rev., 36, 425-432. https://doi.org/10.52756/ijerr.2023.v36.037

Mousa, A. M., Owaid, H. A., Ahmed, R. S., Zedaan, H. A., &Shalal, S. H. (2016). Nurses’ knowledge concerning early interventions for patients with ventricular tachycardia at Baghdad teaching hospitals. kufa Journal for Nursing Sciences, 6(2), 8-15. https://doi.org/10.36321/kjns.vi20162.2705

Nakamura, S., et al. (2021). Effectiveness of short training programme for improving electrocardiogram interpretation skills among emergency nurses: A single-group before-after study. Journal of Emergency Nursing, 47(5), 630-635.

Ng, J., & Christensen, M. (2023). Registered nurses' knowledge and interpretation of ECG rhythms: A cross‐sectional study. Nursing in Critical Care. https://doi.org/10.1111/nicc.13013

Rahimpour, M., Shahbazi, S., Ghafourifard, M., Gilani, N., & Breen, C. (2021). Electrocardiogram interpretation competency among emergency nurses and emergency medical service (EMS) personnel: A cross‐sectional and comparative descriptive study. Nursing Open, 8(4), 1712-1719. https://doi.org/10.1002/nop2.809

Ribeiro, A. H., Ribeiro, M. H., Paixão, G. M., Oliveira, D. M., Gomes, P. R., Canazart, J. A., & Ribeiro, A. L. P. (2020). Automatic diagnosis of the 12-lead ECG using a deep neural network. Nature Communications, 11(1), 1760.

https://doi.org/10.1038/s41467-020-15432-4

Sarrafzadegan, N., &Mohammadifard, N. (2019). Role of nursing education in controlling cardiovascular disease. ARYA Atherosclerosis, 15(6), 304–312.

Santana-Santos, E., Pires, E., Silva, J., Sallai, V., Bezerra, D., & Ferretti-Rebustini, R. E. D. L. (2017). Ability of nurses interpret a 12-lead electrocardiography. RevistaBaiana De Enfermagem, 31(1), 1-8.

Tahboub, O. Y., & Dal Yilmaz, U. (2019). Nurses’ knowledge and practices of electrocardiogram interpretation. International cardiovascular research journal, 13(3).

WHO (World Health Organization). (2022). Cardiovascular Diseases (CVDs) Fact Sheet. Retrieved from https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases- (cvds)

Werner, K., Kander, K., & Axelsson, C. (2016). Electrocardiogram interpretation skills among ambulance nurses. European Journal of Cardiovascular Nursing, 15(4), 262-268.

Xiang-Lin Yang, X., Papazoglou, A., Hu, G., Kondakci, G., Makris, G., &Xiong, W. (2015). A brief review on the history of human electroencephalography research. Neurology Research International, 2015, 814216.

Zhang, Z., & Hsu, H. H. (2013). Evaluating healthcare professionals' ECG interpretation skills: systematic review. BioMed Research International, 2013, 452591.

Zakynthinos, G. E., Tsolaki, V., Oikonomou, E., Vavouranakis, M., Siasos, G., &Zakynthinos, (2023). Metabolic Syndrome and Atrial Fibrillation: Different Entities or Combined Disorders. Journal of Personalized Medicine, 13(9), 1323. https://doi.org/10.3390/jpm13091323

Published

2024-08-30

How to Cite

S, B., Annamalai, M., Arjunan, P., C, K., & Ramanathan, K. (2024). Effectiveness of Capacity Building Programme on Competency of Electrocardiogram (ECG) Interpretation Among Critical Care Nurses. International Journal of Experimental Research and Review, 42, 60–67. https://doi.org/10.52756/ijerr.2024.v42.006

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