ASSESSMENT OF ECG INTERPRETATION AMONG NURSES

Authors

  • M NAZ Department of Nursing, Superior University Lahore, Pakistan
  • N KARAMAT Department of Nursing, Superior University Lahore, Pakistan
  • H SADDIQUE Department of Nursing, Superior University Lahore, Pakistan
  • SS TESNEEM Department of Nursing, Superior University Lahore, Pakistan
  • R JABEEN Department of Nursing, Superior University Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.1292

Keywords:

ECG interpretation, nursing competency, clinical practice, professional development, cardiac care, training gaps

Abstract

Electrocardiography (ECG) is a vital diagnostic tool for the early identification and management of cardiac conditions. Nurses, as integral members of the healthcare team, require strong ECG interpretation skills to ensure timely and accurate patient care. However, gaps in knowledge, training, and practice remain significant challenges, particularly in resource-constrained settings. Objective: To assess the knowledge, confidence, and practices of nurses regarding ECG interpretation and identify gaps and barriers to effective training and utilization. Methods: A cross-sectional study was conducted at Mayo Hospital, Lahore, over three months. A purposive sampling technique was used to recruit 134 registered nurses from the Cardiology, Medicine, and Gynecology departments. Data were collected using a structured questionnaire and analyzed using SPSS version 22. Descriptive and inferential statistics, including central tendency measures and p-values, were employed to summarize and assess trends within the data. Results: Moderate confidence in ECG interpretation was reported by 26.1% of participants, while 17.2% strongly disagreed with their confidence levels. Perceptions of training adequacy were mixed, with 23.9% strongly agreeing that their education was sufficient, but 19.4% strongly disagreed. Regular utilization of ECG interpretation skills in clinical practice was reported by only 20.1%. A notable demand for additional training was observed, with 39.6% of respondents advocating for refresher courses. Workplace and peer support were identified as critical factors influencing skill utilization and development. Conclusion: Nurses' knowledge and confidence in ECG interpretation remain suboptimal, reflecting gaps in training and limited clinical application. Targeted educational interventions, workplace support, and the incorporation of innovative tools are essential to enhance ECG interpretation competencies. These measures will empower nurses to deliver improved cardiac care and contribute to better patient outcomes.

Downloads

Download data is not yet available.

References

AlGhatrif M, Lindsay J. A brief review: history to understand fundamentals of electrocardiography. Trends Cardiovasc Med. 2023; 33(1):1-6. doi:10.1016/j.tcm.2022.09.002.

Levis JT. ECG diagnosis: understanding the basics and beyond. J Electrocardiol. 2023; 75(2):153-161. doi:10.1016/j.jelectrocard.2022.11.001.

Barman HA, Durmaz E, Tuncay A. Nurses' role in ECG monitoring and interpretation: a global perspective. Int J Nurs Pract. 2023; 29(1)

a. . doi:10.1111/ijn.13000.

Larson MG, Vasan RS. The importance of proper ECG interpretation: implications for clinical practice. Circulation. 2023; 147(7)

a. . doi:10.1161/CIRCULATIONAHA.122.060113.

Ahmadi H, Bazrafshan S, Nasiri M. Knowledge and skills of healthcare professionals in ECG interpretation: a systematic review. BMC Cardiovasc Disord. 2022; 22(1):133. Doi: 10.1186/s12872-022-02585-y.

Krantz MJ, Shapiro MF, Kindig DA. Training barriers in ECG interpretation among nurses in low-resource settings. J Adv Nurs. 2022; 78(5):1205-1214. doi:10.1111/jan.15011.

Brady WJ, Perron AD, Ullman EA. The effectiveness of simulation-based training on ECG interpretation skills in nursing staff. Simul Healthc. 2023; 18(2):97-104. doi:10.1097/SIH.0000000000000708.

Dhillon HS, Gandhi R, Gupta S. Impact of targeted education on ECG interpretation accuracy among nursing professionals. Indian Heart J. 2023; 75(3):174-180. doi:10.1016/j.ihj.2023.03.006.

Malik R, Ali A, Khan AR. Cardiovascular disease burden and the role of nurses in Pakistan: challenges and opportunities. BMJ Open. 2022; 12(10) doi: 10.1136/bmjopen-2022-061244.

AlGhatrif M, Lindsay J. A brief review: history to understand fundamentals of electrocardiography. Trends Cardiovasc Med. 2023; 33(1):1-6. doi:10.1016/j.tcm.2022.09.002.

Ahmadi H, Bazrafshan S, Nasiri M. Knowledge and skills of healthcare professionals in ECG interpretation: a systematic review. BMC Cardiovasc Disord. 2022; 22(1):133. Doi: 10.1186/s12872-022-02585-y.

Brady WJ, Perron AD, Ullman EA. The effectiveness of simulation-based training on ECG interpretation skills in nursing staff. Simul Healthc. 2023; 18(2):97-104. doi:10.1097/SIH.0000000000000708.

Krantz MJ, Shapiro MF, Kindig DA. Training barriers in ECG interpretation among nurses in low-resource settings. J Adv Nurs. 2022; 78(5):1205-1214. doi:10.1111/jan.15011.

Brady WJ, Mattu A, Tabas JA. ECG essentials for clinical practice: advancing nursing skills in the ED. Emerg Med J. 2023; 40(3):190-196. Doi: 10.1136/emermed-2022-211015.

Dhillon HS, Gandhi R, Gupta S. Impact of targeted education on ECG interpretation accuracy among nursing professionals. Indian Heart J. 2023; 75(3):174-180. doi:10.1016/j.ihj.2023.03.006.

Nguyen L, Tran P, Vo T. Economic barriers to ECG adherence in Vietnam: a mixed-methods study. Int J Nurs Pract. 2023; 14(4):89-95. doi:10.1016/j.ijnp.2023.0089.

Malik R, Ali A, Khan AR. Cardiovascular disease burden and the role of nurses in Pakistan: challenges and opportunities. BMJ Open. 2022; 12(10). Doi: 10.1136/bmjopen-2022-061244.

Smith J, Patel M, Khan S. Enhancing nursing competencies in ECG interpretation through mentorship programs: a global perspective. Nurse Educ Today. 2023; 124:105679. doi:10.1016/j.nedt.2023.105679.

Downloads

Published

2024-11-21

How to Cite

NAZ , M., KARAMAT, N., SADDIQUE, H., TESNEEM, S., & JABEEN, R. (2024). ASSESSMENT OF ECG INTERPRETATION AMONG NURSES. Biological and Clinical Sciences Research Journal, 2024(1), 1292. https://doi.org/10.54112/bcsrj.v2024i1.1292

Most read articles by the same author(s)

<< < 1 2 3 4 5