2.50
Hdl Handle:
http://hdl.handle.net/10755/156981
Category:
Abstract
Type:
Presentation
Title:
Deficiencies in Nurses' ECG Monitoring Knowledge: Baseline Results of the PULSE Trial
Author(s):
Funk, Marjorie; May, Jeanine; Winkler, Catherine; Drew, Barbara; Turkman, Yasemin; Stephens, Kimberly; Fashjian, Meghan; Laragy, Margaret; Feder, Sheli; Fennie, Kristopher
Author Details:
Marjorie Funk, RN, MSN, PhD, FAAN, FAHA, Yale University School of Nursing, New Haven, Connecticut, USA, email: marjorie.funk@yale.edu; Jeanine May; Catherine Winkler; Barbara Drew; Yasemin Turkman; Kimberly Stephens; Meghan Fashjian; Margaret Laragy; Sheli Feder; Kristopher Fennie
Abstract:
POSTER PURPOSE: To evaluate nurses' current knowledge related to electrocardiographic (ECG) monitoring and determine if any characteristics of the nurses are predictive of their knowledge of ECG monitoring. BACKGROUND/SIGNIFICANCE:Despite major advances in ECG monitoring technology, monitoring practices are inconsistent and often inadequate. It is unclear whether this is partly due to knowledge deficits of nurses. We designed the Practical Use of the Latest Standards for Electrocardiography (PULSE) Trial to evaluate the effect of implementing practice standards for ECG monitoring from the American Heart Association and the American Association of Critical-Care Nurses on nurses' knowledge, quality of care, and patients' outcomes. METHOD: This study is part of the initial phase of the PULSE trial, which is a 5-year multisite randomized clinical trial. We examined baseline knowledge of 1739 nurses working on adult cardiac units in 17 hospitals (15 in the US, 1 in Canada, 1 in Hong Kong) from September 2008 to June 2009. Nurses completed an online demographic form and a 20-item knowledge test that covered essentials of ECG monitoring and arrhythmia, ischemia, and QT-interval monitoring. The test was developed by the investigators, pilot tested on 124 nurses, and revised on the basis of an item analysis. Scores can range from 0 to 100, with higher scores indicating greater knowledge. RESULTS: The sample was 89% female, 72% white, with a mean age of 38 (SD, 11) years; 74% had a bachelorÆs degree or higher. The mean test score was 48 (SD, 12; range, 6 - 90). Of the 4 subsections, nurses had the highest mean score (52; SD, 16) on the essentials of ECG monitoring and had the lowest mean score (36; SD, 23) on ischemia monitoring. Mixed modeling treating hospital as a random effect revealed that the following factors were predictive of higher scores: older age (P= .04), male sex (P<.001), white race (P=.03), education at a bachelor's level or higher (P=.009), longer time working as a nurse (P=.02), longer time working on a cardiac unit (P< .001), working in a critical care unit (P<.001), and having had a rhythm interpretation course (P=.005). CONCLUSIONS: Test scores, especially related to ischemia monitoring, indicated that nurses' knowledge about ECG monitoring can be improved. Education should particularly target less experienced nurses. The online education program on ECG monitoring in the next phase of the PULSE trial was designed to improve nurses' knowledge and, ultimately, the quality of ECG monitoring and patients' outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDeficiencies in Nurses' ECG Monitoring Knowledge: Baseline Results of the PULSE Trialen_GB
dc.contributor.authorFunk, Marjorieen_GB
dc.contributor.authorMay, Jeanineen_GB
dc.contributor.authorWinkler, Catherineen_GB
dc.contributor.authorDrew, Barbaraen_GB
dc.contributor.authorTurkman, Yaseminen_GB
dc.contributor.authorStephens, Kimberlyen_GB
dc.contributor.authorFashjian, Meghanen_GB
dc.contributor.authorLaragy, Margareten_GB
dc.contributor.authorFeder, Shelien_GB
dc.contributor.authorFennie, Kristopheren_GB
dc.author.detailsMarjorie Funk, RN, MSN, PhD, FAAN, FAHA, Yale University School of Nursing, New Haven, Connecticut, USA, email: marjorie.funk@yale.edu; Jeanine May; Catherine Winkler; Barbara Drew; Yasemin Turkman; Kimberly Stephens; Meghan Fashjian; Margaret Laragy; Sheli Feder; Kristopher Fennieen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156981-
dc.description.abstractPOSTER PURPOSE: To evaluate nurses' current knowledge related to electrocardiographic (ECG) monitoring and determine if any characteristics of the nurses are predictive of their knowledge of ECG monitoring. BACKGROUND/SIGNIFICANCE:Despite major advances in ECG monitoring technology, monitoring practices are inconsistent and often inadequate. It is unclear whether this is partly due to knowledge deficits of nurses. We designed the Practical Use of the Latest Standards for Electrocardiography (PULSE) Trial to evaluate the effect of implementing practice standards for ECG monitoring from the American Heart Association and the American Association of Critical-Care Nurses on nurses' knowledge, quality of care, and patients' outcomes. METHOD: This study is part of the initial phase of the PULSE trial, which is a 5-year multisite randomized clinical trial. We examined baseline knowledge of 1739 nurses working on adult cardiac units in 17 hospitals (15 in the US, 1 in Canada, 1 in Hong Kong) from September 2008 to June 2009. Nurses completed an online demographic form and a 20-item knowledge test that covered essentials of ECG monitoring and arrhythmia, ischemia, and QT-interval monitoring. The test was developed by the investigators, pilot tested on 124 nurses, and revised on the basis of an item analysis. Scores can range from 0 to 100, with higher scores indicating greater knowledge. RESULTS: The sample was 89% female, 72% white, with a mean age of 38 (SD, 11) years; 74% had a bachelor&AElig;s degree or higher. The mean test score was 48 (SD, 12; range, 6 - 90). Of the 4 subsections, nurses had the highest mean score (52; SD, 16) on the essentials of ECG monitoring and had the lowest mean score (36; SD, 23) on ischemia monitoring. Mixed modeling treating hospital as a random effect revealed that the following factors were predictive of higher scores: older age (P= .04), male sex (P<.001), white race (P=.03), education at a bachelor's level or higher (P=.009), longer time working as a nurse (P=.02), longer time working on a cardiac unit (P< .001), working in a critical care unit (P<.001), and having had a rhythm interpretation course (P=.005). CONCLUSIONS: Test scores, especially related to ischemia monitoring, indicated that nurses' knowledge about ECG monitoring can be improved. Education should particularly target less experienced nurses. The online education program on ECG monitoring in the next phase of the PULSE trial was designed to improve nurses' knowledge and, ultimately, the quality of ECG monitoring and patients' outcomes.en_GB
dc.date.available2011-10-26T19:18:56Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:18:56Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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