Effectiveness of educational intervention on ECG monitoring and interpretation among nursing students

Sheilini, Melita and Devi, Elsa Sanatombi (2014) Effectiveness of educational intervention on ECG monitoring and interpretation among nursing students. Journal of Dental and Medical Sciences, 13 (12). 01-05. ISSN 2279-0853

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Abstract

One of the important critical care nursing skills is monitoring ECG. It can provide evidence to support a diagnosis, and it is crucial for patient management by helping in diagnosing the abnormal cardiac rhythm.In potentially life threatening situations, the nurse is expected to interpret the rhythm accurately and respond appropriately. To do this the nurse must be well educated in rhythm interpretation. The present study was carried out with the objectives to assess the knowledge of nursing students in ECG monitoring and interpretation,to assess the skill in interpreting ECG among nursing students,to determine the effectiveness of teaching program on ECG monitoring and interpretation, to find out the association between knowledge on ECG monitoring and interpretation andvariables,to find out the association between the skill in interpreting ECG and the variables and to determine the relationship between knowledge and skill of nursing students in ECG monitoring and interpretation.The research approach used for this study was evaluative research. One group pretestposttest design was adopted. About 40 MSc Nursing 1st year students were selected using convenient sampling technique. The data collection instruments were: Demographic Proforma,Strucutred knowledge questionnaire on ECG monitoring and interpretation and Tool to assess skill in ECG interpretation. Teaching content on ECG monitoring and interpretation was prepared on the basis of review of literature and in consultation with experts. Content validity of the teaching content was established by giving it to nine experts in different fields and modifications were made according to experts’ suggestions. The tools were pretested before use among 5 PBBSc(N) students.Reliability coefficient of Structured knowledge questionnaire was found out by using Split half technique and the tool was found reliable (r=0.90). Test retest method was used to find out the reliability coefficient of skill tool and it was found reliable (r=0.80).Descriptive and inferential statistics were used to analyze the data. The significant findings of the study were: Majority 31(77.5%) of the students had ICU experience and majority 19(47.5%) and 18(45%) had work experience of < 1year and > 1-3 years respectively. It was found that the majority 22(55%) had good knowledge on ECG monitoring and interpretation and only one student had poor knowledge whereas during post test it was found that majority 26(65%) had good knowledge and no one had poor knowledge.The results also revealed that majority 23(57.5%) hhad poor skill in interpreting ECG during pretest whereas majority 36(90%) had good skill in interpreting ECG and no one belonged to the category of poor skill.Statistical analysis showed there was a no significant increase in knowledge scores (t(39) =1.302, p>0.05) but the skill scores had significant improvement(t(39) =13.181, p<0.05) after the teaching program. It was found that there was significant association between the knowledge of nursing students on ECG monitoring and interpretationand areas of work experience (χ2=12.10,p=0.001) and years of work experience(χ2 =29.00,p<0.001). Also there was significant association between the skill of nursing students in ECG interpretation and areas of work experience (χ2 =12.10,p=0.001) and years of work experience(χ2=29.00, p<0.001).

Item Type: Article
Uncontrolled Keywords: Effectiveness; knowledge,skill; ECG; nursing students.
Subjects: Nursing > MCON Manipal > Medical Surgical
Depositing User: KMC Manipal
Date Deposited: 20 Dec 2014 09:27
Last Modified: 20 Dec 2014 09:27
URI: http://eprints.manipal.edu/id/eprint/141332

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