Capability of emergency nurses for electrocardiogram interpretation
•Electrocardiogram-interpretation capability of emergency nurses is fair.•Identifying and differentiating heart blocks can be challenging for emergency nurses.•Personal characteristics are associated with electrocardiogram-interpretation capability. Electrocardiogram is the first-line diagnostic ima...
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| Veröffentlicht in: | International emergency nursing 2021-01, Vol.54, p.100953, Article 100953 |
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| creator | Ho, Jonathan Ka-Ming Yau, Caroline Hau-Yee Wong, Chi-Yip Tsui, Jason Sung-Shan |
| description | •Electrocardiogram-interpretation capability of emergency nurses is fair.•Identifying and differentiating heart blocks can be challenging for emergency nurses.•Personal characteristics are associated with electrocardiogram-interpretation capability.
Electrocardiogram is the first-line diagnostic imaging modality for evaluating patients with chest pain. The present study aimed to determine the capability of emergency nurses for electrocardiogram interpretation by using a more appropriate questioning method.
This was a cross-sectional descriptive survey. A convenience sample of 96 emergency nurses was obtained from two emergency departments in Hong Kong. The electrocardiogram-interpretation capability of the emergency nurses was determined using a self-developed well-designed questionnaire comprising 10 questions on electrocardiogram interpretation. Each question carried one point, such that the maximum score was 10 points. The higher the score, the more capable was the emergency nurse at electrocardiogram interpretation.
The mean score achieved by the participants was 7.7 ± 1.8. Only 12.5% of the participants were able to answer all questions correctly. A considerable proportion of the participants were unable to recognize first-degree heart block (74.0%), second-degree heart block type I (52.1%), or third-degree heart block (39.6%). Gender, electrocardiogram training, nursing experience, and emergency department experience had significant associations with mean score.
The electrocardiogram-interpretation capability of the emergency nurses was fair. Better training should be implemented to help emergency nurses recognize potentially fatal heart blocks, enabling prompt and appropriate patient treatment. |
| doi_str_mv | 10.1016/j.ienj.2020.100953 |
| format | Article |
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Electrocardiogram is the first-line diagnostic imaging modality for evaluating patients with chest pain. The present study aimed to determine the capability of emergency nurses for electrocardiogram interpretation by using a more appropriate questioning method.
This was a cross-sectional descriptive survey. A convenience sample of 96 emergency nurses was obtained from two emergency departments in Hong Kong. The electrocardiogram-interpretation capability of the emergency nurses was determined using a self-developed well-designed questionnaire comprising 10 questions on electrocardiogram interpretation. Each question carried one point, such that the maximum score was 10 points. The higher the score, the more capable was the emergency nurse at electrocardiogram interpretation.
The mean score achieved by the participants was 7.7 ± 1.8. Only 12.5% of the participants were able to answer all questions correctly. A considerable proportion of the participants were unable to recognize first-degree heart block (74.0%), second-degree heart block type I (52.1%), or third-degree heart block (39.6%). Gender, electrocardiogram training, nursing experience, and emergency department experience had significant associations with mean score.
The electrocardiogram-interpretation capability of the emergency nurses was fair. Better training should be implemented to help emergency nurses recognize potentially fatal heart blocks, enabling prompt and appropriate patient treatment.</description><identifier>ISSN: 1755-599X</identifier><identifier>EISSN: 1532-9267</identifier><identifier>EISSN: 1878-013X</identifier><identifier>DOI: 10.1016/j.ienj.2020.100953</identifier><identifier>PMID: 33360363</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Cardiac arrhythmias ; Cardiovascular diseases ; Chest pain ; Electrocardiography ; Emergencies ; Emergency medical care ; Emergency services ; Heart ; Nurses ; Nursing ; Professional training</subject><ispartof>International emergency nursing, 2021-01, Vol.54, p.100953, Article 100953</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jan 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-1e8da684a9a81731ee508359697f9712d323c08da74bcbd37be027a3ee182c873</citedby><cites>FETCH-LOGICAL-c384t-1e8da684a9a81731ee508359697f9712d323c08da74bcbd37be027a3ee182c873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1755599X20301257$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,30978,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33360363$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ho, Jonathan Ka-Ming</creatorcontrib><creatorcontrib>Yau, Caroline Hau-Yee</creatorcontrib><creatorcontrib>Wong, Chi-Yip</creatorcontrib><creatorcontrib>Tsui, Jason Sung-Shan</creatorcontrib><title>Capability of emergency nurses for electrocardiogram interpretation</title><title>International emergency nursing</title><addtitle>Int Emerg Nurs</addtitle><description>•Electrocardiogram-interpretation capability of emergency nurses is fair.•Identifying and differentiating heart blocks can be challenging for emergency nurses.•Personal characteristics are associated with electrocardiogram-interpretation capability.
Electrocardiogram is the first-line diagnostic imaging modality for evaluating patients with chest pain. The present study aimed to determine the capability of emergency nurses for electrocardiogram interpretation by using a more appropriate questioning method.
This was a cross-sectional descriptive survey. A convenience sample of 96 emergency nurses was obtained from two emergency departments in Hong Kong. The electrocardiogram-interpretation capability of the emergency nurses was determined using a self-developed well-designed questionnaire comprising 10 questions on electrocardiogram interpretation. Each question carried one point, such that the maximum score was 10 points. The higher the score, the more capable was the emergency nurse at electrocardiogram interpretation.
The mean score achieved by the participants was 7.7 ± 1.8. Only 12.5% of the participants were able to answer all questions correctly. A considerable proportion of the participants were unable to recognize first-degree heart block (74.0%), second-degree heart block type I (52.1%), or third-degree heart block (39.6%). Gender, electrocardiogram training, nursing experience, and emergency department experience had significant associations with mean score.
The electrocardiogram-interpretation capability of the emergency nurses was fair. Better training should be implemented to help emergency nurses recognize potentially fatal heart blocks, enabling prompt and appropriate patient treatment.</description><subject>Cardiac arrhythmias</subject><subject>Cardiovascular diseases</subject><subject>Chest pain</subject><subject>Electrocardiography</subject><subject>Emergencies</subject><subject>Emergency medical care</subject><subject>Emergency services</subject><subject>Heart</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Professional training</subject><issn>1755-599X</issn><issn>1532-9267</issn><issn>1878-013X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kE1LxDAQhoMo7rr6BzxIwXPXfDRNCl6k-AULXhS8hTSdLinbpiZdYf-9KV09eppheOYd5kHomuA1wSS_a9cW-nZNMZ0GuODsBC0JZzQtaC5OYy84T3lRfC7QRQgtxjnJKT1HC8ZYjlnOlqgs9aAru7PjIXFNAh34LfTmkPR7HyAkjfMJ7MCM3hnta-u2XneJ7Ufwg4dRj9b1l-is0bsAV8e6Qh9Pj-_lS7p5e34tHzapYTIbUwKy1rnMdKElEYwAcCwZL_JCNIUgtGaUGRwZkVWmqpmoAFOhGQCR1EjBVuh2zh28-9pDGFXr9r6PJxXlmGcky6SMFJ0p410IHho1eNtpf1AEq8mbatXkTU3e1OwtLt0co_dVB_Xfyq-oCNzPAMQHvy14FUxMMVBbH-2o2tn_8n8AG4t-Sw</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Ho, Jonathan Ka-Ming</creator><creator>Yau, Caroline Hau-Yee</creator><creator>Wong, Chi-Yip</creator><creator>Tsui, Jason Sung-Shan</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope></search><sort><creationdate>202101</creationdate><title>Capability of emergency nurses for electrocardiogram interpretation</title><author>Ho, Jonathan Ka-Ming ; Yau, Caroline Hau-Yee ; Wong, Chi-Yip ; Tsui, Jason Sung-Shan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-1e8da684a9a81731ee508359697f9712d323c08da74bcbd37be027a3ee182c873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiac arrhythmias</topic><topic>Cardiovascular diseases</topic><topic>Chest pain</topic><topic>Electrocardiography</topic><topic>Emergencies</topic><topic>Emergency medical care</topic><topic>Emergency services</topic><topic>Heart</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Professional training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ho, Jonathan Ka-Ming</creatorcontrib><creatorcontrib>Yau, Caroline Hau-Yee</creatorcontrib><creatorcontrib>Wong, Chi-Yip</creatorcontrib><creatorcontrib>Tsui, Jason Sung-Shan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><jtitle>International emergency nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ho, Jonathan Ka-Ming</au><au>Yau, Caroline Hau-Yee</au><au>Wong, Chi-Yip</au><au>Tsui, Jason Sung-Shan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Capability of emergency nurses for electrocardiogram interpretation</atitle><jtitle>International emergency nursing</jtitle><addtitle>Int Emerg Nurs</addtitle><date>2021-01</date><risdate>2021</risdate><volume>54</volume><spage>100953</spage><pages>100953-</pages><artnum>100953</artnum><issn>1755-599X</issn><eissn>1532-9267</eissn><eissn>1878-013X</eissn><abstract>•Electrocardiogram-interpretation capability of emergency nurses is fair.•Identifying and differentiating heart blocks can be challenging for emergency nurses.•Personal characteristics are associated with electrocardiogram-interpretation capability.
Electrocardiogram is the first-line diagnostic imaging modality for evaluating patients with chest pain. The present study aimed to determine the capability of emergency nurses for electrocardiogram interpretation by using a more appropriate questioning method.
This was a cross-sectional descriptive survey. A convenience sample of 96 emergency nurses was obtained from two emergency departments in Hong Kong. The electrocardiogram-interpretation capability of the emergency nurses was determined using a self-developed well-designed questionnaire comprising 10 questions on electrocardiogram interpretation. Each question carried one point, such that the maximum score was 10 points. The higher the score, the more capable was the emergency nurse at electrocardiogram interpretation.
The mean score achieved by the participants was 7.7 ± 1.8. Only 12.5% of the participants were able to answer all questions correctly. A considerable proportion of the participants were unable to recognize first-degree heart block (74.0%), second-degree heart block type I (52.1%), or third-degree heart block (39.6%). Gender, electrocardiogram training, nursing experience, and emergency department experience had significant associations with mean score.
The electrocardiogram-interpretation capability of the emergency nurses was fair. Better training should be implemented to help emergency nurses recognize potentially fatal heart blocks, enabling prompt and appropriate patient treatment.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>33360363</pmid><doi>10.1016/j.ienj.2020.100953</doi></addata></record> |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Elsevier ScienceDirect Journals |
| subjects | Cardiac arrhythmias Cardiovascular diseases Chest pain Electrocardiography Emergencies Emergency medical care Emergency services Heart Nurses Nursing Professional training |
| title | Capability of emergency nurses for electrocardiogram interpretation |
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