Key result
Nurses show high accuracy in 12-lead ECG placement despite poor theoretical knowledge.
Why the study?
Accurate knowledge and placement of 12-lead ECG among nursing students and nurses is critical to avoid misdiagnosis and inappropriate patient management, but the degree of accuracy and knowledge is not well established.
Cross-Sectional (n=484)
Nursing students and nurses in Italy demonstrated poor theoretical knowledge but very good practical accuracy regarding 12-lead ECG placement, highlighting the need for targeted educational programs.
ECG knowledge gaps among nurses may raise misdiagnosis risk; supports training needs but leaves open effects on outcomes.
Background and aim: Electrocardiogram (ECG) is considered the most used diagnostic tool to identify many cardiological disease and conditions that require the monitoring and recording of heart’s electric activity. The aim of this study is the validation and application of a web-survey, addressed to nursing students and nurses, in order to evaluate the degree of accuracy and the knowledge on the correct positioning of the 12-leads ECG. Methods: The study was a cross-sectional questionnaire-based study. The survey comprised 30 items, mainly multiple-choice questions. The participants were 484 nurses and nursing students. In the study, no exclusion criteria were adopted, but fill in the questionnaire any nurse on duty during the data collection period and/or any nursing student during the data collection period. Statistical analyses were performed using the SAS v. 9.4. In the study, no exclusion criteria were adopted. Results: A total of 484 nursing students and nurses comprising of 149 males (30.79%) and 335 females (69.21%) responded. In full findings showed good psychometric properties and good reliability. The Cronbach’s alpha coefficient for the study is 0.76 (number of items = 17, number of obs= 484). The mean age of responders was 32.01 (Standard deviation (SD) 9.63). A logistic multivariate regression demonstrated significant differences. Conclusions: It is evident from our findings and those from other countries, that more education is required to ensure that mistaken interpretation, misdiagnosis, patient mismanagement and/or inappropriate procedures due to 12 leads ECG misplacement does not occur.
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Giannetta et al. (2020) conducted a cross-sectional in Knowledge and accuracy of 12-lead ECG placement (n=484). Nursing experience and education was evaluated on Level of theoretical knowledge and accuracy in 12-lead ECG placement. Among 484 Italian nursing students and nurses, theoretical knowledge of 12-lead ECG placement was poor with a mean score of 6.90 out of 10, while accuracy was very good with a mean score of 6.77 out of 7.
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