Practice and confidence in electrocardiogram interpretation among ICU nurses: A cross-sectional study

IF 4.9 2区医学 Q1 NURSING

Intensive and Critical Care Nursing Pub Date : 2024-09-18 DOI:10.1016/j.iccn.2024.103835

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引用次数: 0

Abstract

Objectives

This study aimed to determine practice and confidence in electrocardiogram (ECG) interpretation among intensive care unit (ICU) nurses in Fujian Province, China, and identify predictors of ECG interpretation practice.

Research methodology/design

A quantitative cross-sectional study was conducted between October 2021 and December 2021 among 357 respondents.

Setting

Conducted online at twenty-one hospitals in all nine cities of Fujian Province.

Main outcome measures

Purposive and convenient sampling techniques were employed in selecting hospitals and respondents, respectively. A validated and pre-tested Chinese version of the questionnaire was used in data collection. We conducted binary logistic regression to identify the predictors of ICU nurses’ ECG interpretation practice, and linear regression to analyze the relationship between ECG interpretation practice and confidence. We considered statistically significant a p-value < 0.05.

Results

The practice mean score of the respondents was 5.54 (SD = 2.26) out of 10 points, and only 2.2 % of nurses correctly interpreted all the patient ECG strips. Few ICU nurses (25.5 %) had good ECG interpretation practice, with a confidence mean score of 2.02 (SD = 0.99) out of 4 points in their overall ability to interpret patient ECG strips. Currently working unit in comparison to cardiac ICU (emergency ICU: AOR = 5.71, 95 % CI: 1.84–17.75); previous ECG training (AOR = 2.02, 95 % CI: 1.10–3.70); source of ECG training (university/school) (AOR = 2.02, 95 % CI: 1.12–3.65); and ECG knowledge (AOR = 16.18, 95 % CI: 7.43–35.25) were significantly associated with the ECG interpretation practice.

Conclusions

ICU nurses’ ECG interpretation practice in the current study was relatively poor. An ECG education program is recommended to impart ICU nurses with basic ECG knowledge for enhancing good ECG interpretation practice and confidence in nursing care provision.

Implications for clinical practice

Good ECG interpretation skills are paramount among ICU nurses for better patient outcomes. ECG knowledge among ICU nurses is an important predictor of effective ECG monitoring for cardiac arrhythmias. Therefore, frequent, continuouszgood practice and boost confidence in the provision of quality nursing care.

查看原文本刊更多论文

重症监护室护士在心电图解读方面的实践和信心：横断面研究

研究方法/设计2021年10月至2021年12月期间，对357名受访者进行了一项定量横断面研究。研究地点福建省9个地市的21家医院。在数据收集过程中，我们使用了经过验证和预先测试的中文版问卷。我们通过二元逻辑回归确定了 ICU 护士心电图解读实践的预测因素，并通过线性回归分析了心电图解读实践与信心之间的关系。结果受访者的实践平均分为 5.54（SD = 2.26）（满分 10 分），只有 2.2 % 的护士正确解读了所有患者的心电图条。少数 ICU 护士（25.5%）具有良好的心电图判读能力，其判读患者心电图条的总体能力的信心平均分为 2.02（SD = 0.99）分（满分 4 分）。与心脏重症监护室相比，目前工作单位（急诊重症监护室：AOR = 5.71，95 % CI：1.84-17.75）；以前接受过心电图培训（AOR = 2.02，95 % CI：1.10-3.70）；心电图培训来源（大学/学校）（AOR = 2.02，95 % CI：1.12-3.65）；心电图知识（AOR = 16.18，95 % CI：7.43-35.25）与心电图解读实践显著相关。建议开展心电图教育计划，向 ICU 护士传授基本的心电图知识，以提高良好的心电图判读实践和护理信心。对临床实践的意义良好的心电图判读技能对 ICU 护士来说至关重要，有助于改善患者预后。ICU 护士的心电图知识是有效监测心律失常的重要预测因素。因此，经常、持续z好的练习可增强提供优质护理服务的信心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Intensive and Critical Care Nursing NURSING-

CiteScore

6.30

自引率

15.10%

发文量

144

审稿时长

57 days

期刊介绍： The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.