Competency of Nurses Working in Adult Emergency Room at Electrocardiography Interpretation :Multicenter Study in Addis Ababa,Ethiopia,2021.

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Addis Abeba University


Background; Electrocardiogram (ECG) is a procedure of recording the electrical activity of the heart within a period of time using electrodes placed over the chest. Basic ECG rhythms, such as normal sinus rhythm, sinus tachycardia, sinus bradycardia, atrial fibrillation, atrial flutter, heart blocks, ventricular fibrillation, and asystole should be recognized by any nurse. Nurses are normally the first responders to an in-hospital cardiac arrest in health care facilities, and they must be proficient in basic resuscitation skills. Objective: the objective of this study was to assess the Competency of nurses working in the adult emergency room at ECG interpretation: a multicenter study in Addis Ababa ethiopia2021. Method: An institutional-based descriptive, cross-sectional study design using a quantitative research method with convenience sampling method was used to enroll 175 nurses in five hospitals at adult ER. Data was collected by using standard self-administered questionnaires which were adapted from ECG guidelines. The data was checked for its’ completeness and entered into Epi data version 7.2.2 Then data was imported to SPSS version 26 software for analysis. The descriptive results were presented with frequency distribution tables, graphs and its association were analyzed by fishers extract test instead of X 2 due to occurrence of some observed number being less than 5with significant value of (p<0.05). RESULT: out of 203respondents 175 were actively participated with a response rate of 86.2%.from those respondents 175nurses, 159(90.9%) were not competent (scored <65%) only 16(9.1%) were competent (scored>65%) the mean score was 6.82 from 20 questions and (SD=± 3.65).the minimum score was5% and the maximum score was 90%. Conclusion: the overall level of competency of nurses about ECG interpretation is low. This is difficult to monitor and manage arrhythmias. Level of education and training were a determinant factor to enhance their competency.



ECG interpretation, arrhythmias, competency