Nurses’ competency on electrocardiography interpretation in adult emergency room: Addis Ababa, Ethiopia, 2021. Multicenter cross-sectional study

IF 1.8 4区医学 Q2 NURSING International Emergency Nursing Pub Date : 2024-04-27 DOI:10.1016/j.ienj.2024.101453

Yegremew Haimanot Belay , Demmelash Gezahegn , Birhanu Melaku , Ousman Adal

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Abstract

Aim

This study aimed to assess the proficiency of nurses in interpreting electrocardiogram within the adult emergency units of Addis Ababa, Ethiopia, during the year 2021.

Methods

This institutional-based descriptive, cross-sectional study involved 175 nurses from five randomly selected hospitals' adult emergency units. Semi-structured, self-administered questionnaires were used for data collection. Data were entered into Epi-Data and analyzed using SPSS version 26. Fisher's exact test identified statistical significance between dependent and independent variables at a p-value < 0.05.

Results

Out of 203 respondents, 175 participated actively, yielding a response rate of 86.2%. Among these nurses, 159 (90.9%) were deemed not competent (scoring < 65%), with a mean score of 6.82 ± 3.65 SD.

Patient or Public Contribution

No patient or public contribution was included in this study.

Conclusion

The overall competency level in electrocardiogram interpretation among nurses is significantly poor. This indicates that most nurses in the emergency units are unable to accurately interpret ECG monitoring, potentially leading to the failure to recognize signs of arrhythmias, electrolyte disturbances, and other cardiac abnormalities. Consequently, this may result in inappropriate patient care and increased mortality rates. Education and training were identified as key factors in enhancing their competency.

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成人急诊室护士的心电图解读能力：埃塞俄比亚亚的斯亚贝巴，2021 年。多中心横断面研究

目的本研究旨在评估 2021 年埃塞俄比亚亚的斯亚贝巴成人急诊科护士解读心电图的熟练程度。方法本研究以机构为基础进行描述性横断面研究，涉及 175 名护士，他们来自随机抽取的五家医院的成人急诊科。数据收集采用半结构式自填问卷。数据输入 Epi-Data，并使用 SPSS 26 版进行分析。结果在 203 名受访者中，有 175 人积极参与，回复率为 86.2%。在这些护士中，159 人（90.9%）被认为不胜任（得分率< 65%），平均得分为 6.82 ± 3.65 SD。这表明急诊科的大多数护士都无法准确解读心电图监测结果，可能导致无法识别心律失常、电解质紊乱和其他心脏异常的迹象。因此，这可能会导致不恰当的患者护理和死亡率上升。教育和培训被认为是提高他们能力的关键因素。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.