43 Oral Deficiencies in Nurses Knowledge and Substandard Practice Related to ECG Monitoring: Baseline Results of the Pulse Trial

Abstract

In addiction patient with Pad were more likely to have chronic total occlusion (Cto) (36% vs 24%, p = .002) and not-protected left main (18% vs 8%, p < .001). Clinical outcome at the time of follow-up (61±9.9 months) was as follows: Revascularization (43% vs 29%, p = .001), Cardiac death (20% vs 7%, p < .001), Mace (63% vs 40%, p < .001). Conclusion: This long-term registry shows that PAD remains an important clinical condition that influences the long-term outcome of patients undergoing PCI with stent implantation. Future research should investigate whether aggressive lifestyle changes, new drugs, and short-term clinical follow-up can reduce the substantial cardiovascular risk of subjects with Pad.

Design and validation of a three-instrument toolkit for the assessment of competence in electrocardiogram rhythm recognition

“…17,18 Moreover, corroborating the tools' construct validity, known-group analysis revealed that the ECG-KAT, ECG-SAT and ECG-SES were able to detect previously expected differences between individuals with different training experiences. 17,32 Literature often suggests that nurses and nursing students' continue to lack competence in ECG rhythm recognition, [8][9][10][11] which could interfere with the achievement of positive patient outcomes. 1,4,14 Consequently, nursing educators are faced with the challenge of promoting safe practice by developing valid and reliable assessments tools that can be used to rigorously assess nursing students' competence before being allowed to work without supervision.…”

“…Literature often suggests that nurses and nursing students’ continue to lack competence in ECG rhythm recognition, 8–11 which could interfere with the achievement of positive patient outcomes. 1,4,14 Consequently, nursing educators are faced with the challenge of promoting safe practice by developing valid and reliable assessments tools that can be used to rigorously assess nursing students’ competence before being allowed to work without supervision.…”

“…1,2,[5][6][7] Nonetheless, this is not always the case and research suggests that qualified nurses often lack competence in ECG rhythm recognition. [8][9][10][11] In many countries, nursing education does not include a final licensing examination, which means that nurses are allowed to practise without supervision immediately after completing their undergraduate programmes. 12 Therefore, in order to promote patient safety and positive patient outcomes, [1][2][3][4] most undergraduate programmes in nursing include training in ECG rhythm recognition.…”

“…1,2,5–7 Nonetheless, this is not always the case and research suggests that qualified nurses often lack competence in ECG rhythm recognition. 8–11…”

As Health Care Technology Advances: Benefits and Risks

“…18 Baseline data on quality of care showed substandard practice related to ECG monitoring, including incorrect electrode placement, inaccurate rhythm interpretation, overmonitoring for arrhythmias, underuse of ischemia monitoring, and failure to monitor for QTc prolongation when indicated. 6,19 In the current phase of the PULSE trial, we are testing whether the online ECG monitoring education program and the strategies to implement and sustain changes in practice will enhance nurses' knowledge and the quality of ECG monitoring, ultimately leading to improved outcomes for patients.…”