ECG Interpretation Using the CRISP Method: A Guide for Nurses

Atwood, Denise; Wadlund, Diana L.

doi:10.1016/j.aorn.2015.08.004

Cited by 18 publications

(10 citation statements)

References 1 publication

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“…For study I, heart rate data was collected from the open source cyton board plus ECG and the ADI ECG. In concordance with ECG recordings, the latter device was set-up to create three axes triangulating the heart [33]. The electrodes from both devices were placed using the standard three-lead placement: 1) inferior to the right clavicle, 2) interior to the left clavicle, and 3) superior and laterally to the right of the umbilicus [33].…”

Section: Instrumentationmentioning

confidence: 99%

The validity and reliability of an open source biosensing board to quantify heart rate variability

Burma

Lapointe

Soroush

et al. 2021

Heliyon

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Background: Heart rate variability (HRV) is a popular tool to quantify autonomic function. However, this typically requires an expensive 3-12 lead electrocardiogram (ECG) and BioAmp system. This investigation sought to determine the validity and reliability of an OpenBCI cyton biosensing board (open source) for accurately quantifying HRV. New method: A cyton board with a 3-lead ECG was employed to acquire heart rate waveform data, which was processed to obtain HRV within both time-and frequency-domains. The concurrent validity was compared to a simultaneous recording from an industry-standard 3-lead ECG (ADInstruments) (n ¼ 15). The reliability of the cyton board was compared between three days within a 7-day timespan (n ¼ 10). Upright quiet-stance short-term HRV metrics were quantified in time-and frequency-domains. Results: The two devices displayed excellent limits of agreements (all log mean differences AE0.4) and very high between-device variable associations (all r 2 > 0.98). Between the three time points in the same subjects, no differences were noted within time-(all p > 0.71) or frequency-domains (all p > 0.88) across testing points. Finally, all HRV metrics exhibited excellent levels of reliability through high Cronbach's Alpha (all !0.916) and intraclass correlation coefficients (all !0.930); and small standard error of the measurement (all 0.7) and typical error of the measurement (all 0.1) metrics.Comparison with existing methods: The cyton board with 3-lead ECG was compared with an industry-standard ADInstruments ECG during HRV assessments. There were no significant differences between devices with respect to time-and frequency-domains. The cyton board displayed high-levels of between-day reliability and provided values harmonious to previous ECG literature highlighting the applicability for longitudinal studies. Conclusion: With proper background knowledge regarding ECG principles and a small degree of set-up complexity, an open source cyton board can be created and employed to perform multimodal HRV assessments at a fraction of the cost (~4%) of an industry-standard ECG setup.

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Section: Instrumentationmentioning

confidence: 99%

The validity and reliability of an open source biosensing board to quantify heart rate variability

Burma

Lapointe

Soroush

et al. 2021

Heliyon

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“…The CRISP method is an algorithm designed to enable nurses to interpret ECGs rapidly [ 15 ]. Compared with traditional ECG analysis methods, it only takes three steps to identify the cardiac rhythm, then provides sufficient information for the risk stratification of arrhythmia.…”

Section: Discussionmentioning

confidence: 99%

“…This method can therefore yield a significant improvement in nurses’ ECG learning [ 12 ]. The CRISP (Cardiac Rhythm Identification for Simple People) method is an innovative algorithm designed to help nurses rapidly interpret ECGs [ 15 , 16 ]. It has been shown that the CRISP method for interpreting primary cardiac arrhythmia by nurses is effective, simple, easy.…”

Section: Introductionmentioning

confidence: 99%

CRISP method with flipped classroom approach in ECG teaching of arrhythmia for trainee nurses: a randomized controlled study

et al. 2022

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Background This study aimed to explored the effects of the Cardiac Rhythm Identification for Simple People (CRISP) method with flipped classroom approach for arrhythmia interpretation in electrocardiogram (ECG) by trainee nurses. Methods A total of 120 trainee nurses were enrolled and randomly divided into the experimental group and the control group using lecture-based learning method. We observed the effects of the two methods in ECG interpretation training and investigated the students’ attitudes toward the teaching practices. Results After training, the ECG test scores in the experimental group were significantly higher than that of the control group. Six months later, the ECG test scores of the experimental group was still higher. Self-learning enthusiasm, understanding of teaching content, satisfaction of teaching mode, satisfaction of teaching effectiveness, and interest in learning ECG were significantly higher in the experimental group. Conclusion CRISP method with flipped classroom approach is a new and effective mode worth trying in ECG teaching for trainee nurses.

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“…4 Every nurse should be able to recognise basic ECG rhythms, such as normal sinus rhythm, sinus tachycardia, sinus bradycardia, atrial fibrillation, atrial flutter, heart blocks, ventricular fibrillation and asystole. 5 It is required that the nurse must be responsible for monitoring and making clinical decisions based on information obtained from the monitor.…”

Section: Introductionmentioning

confidence: 99%

“…9 Many methods had been designed like CRISP (Cardiac Rhythm Identification for Simple People) which helps nurses to rapidly interpret ECG. 5 Also American Heart Association designed a PULSE trial (Practical Use of the Latest Standards for Electrocardiography trial) which is an online ECG monitoring education programme and strategies to implement and sustain change in practice, led by nurse champions on each unit and this trial increases nurses' knowledge of ECG monitoring, quality of care related to ECG monitoring and the patient outcomes.…”

mentioning

confidence: 99%

A Study to Assess the Knowledge Regarding Ecg Interpretation During Cardiac Emergencies Among the Staff Nurses of Selected Cardiac Hospitals of Bathinda in Punjab

Philip¹,

Chauhan²

2020

TRR

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Electrocardiogram (ECG) interpretation by nurses is a valuable tool for the initial evaluation of patients with cardiac problems which may lead to potentially life threatening complications. Nurses usually being the first ones to handle the ECG made them to be more creative to take appropriate decisions to save a life especially in critical units of hospital. Hence there is a need to increase the knowledge of the nurses on ECG interpretation to provide right intervention and to avoid complications. The aim of the study is to determine the knowledge in ECG interpretation during cardiac emergencies among the staff nurses. This descriptive study was conducted on the registered nurses who worked at selected cardiac hospitals at Bathinda. A total of 70 staff nurses were selected who voluntarily consented to be the sample of the study. A structured questionnaire that was developed by the researcher on the basis of the literature was used as data collection tool. Data were collected using a questionnaire after obtaining the ethical approval. Descriptive statistics and Pearson Chi-Square tests were used in analysing the data. Results of the study showed a good level of knowledge among nurses, regarding the ECG interpretation during cardiac emergencies. Working unit in hospital and previous ECG training courses play an important role in defining the professionalism of nurses to have a good experience in ECG interpretation. Training courses for nurses under the supervision of qualified staff especially for nurses who work in critical care area in hospital, with continuing self learning programmes and staying up to date to any changes and development of new protocols or technology help increase patient outcomes.

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ECG Interpretation Using the CRISP Method: A Guide for Nurses

Cited by 18 publications

References 1 publication

The validity and reliability of an open source biosensing board to quantify heart rate variability

The validity and reliability of an open source biosensing board to quantify heart rate variability

CRISP method with flipped classroom approach in ECG teaching of arrhythmia for trainee nurses: a randomized controlled study

A Study to Assess the Knowledge Regarding Ecg Interpretation During Cardiac Emergencies Among the Staff Nurses of Selected Cardiac Hospitals of Bathinda in Punjab

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