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Retention of Baseline Electrocardiographic Knowledge After a Blended-Learning Course.
Carol Ann Brooks1, Nancy Kanyok2, Colin O'Rourke2
1Carol Ann Brooks is a clinical instructor and Nancy Kanyok is an education nurse specialist, Office of Nursing Education and Professional Practice Development, Nursing Institute; Nancy M. Albert is associate chief nursing officer, Office of Research and Innovation, Nursing Institute; and Colin O'Rourke is a biostatistician, Quantitative Health Science, Cleveland Clinic Health System, Cleveland, Ohio. brooksc2@ccf.org.
Nurses showed intermediate skill retention in electrocardiography (ECG) interpretation after a blended-learning course. Higher self-assessed competence and comfort with interventions correlated with better ECG skill retention at 8 weeks.
Area of Science:
- Nursing Education
- Cardiovascular Nursing
- Medical Education
Background:
- Skill retention in electrocardiography (ECG) among nurses after blended-learning courses is not well understood.
- Assessing the long-term effectiveness of ECG training is crucial for patient care.
Purpose of the Study:
- To evaluate ECG test scores at 3 and 8 weeks post-training.
- To correlate scores with nurse characteristics and self-assessed competence.
- To examine 1-year work retention in relation to ECG scores.
Main Methods:
- Data collected included demographics, comfort levels with ECG interpretation and interventions, and 1-year work retention.
- Correlational and comparative statistical analyses were employed.
Main Results:
- Nurses scored significantly higher on ECG tests at 3 weeks compared to 8 weeks (mean difference 26%, P < .001).
- Eight-week scores indicated intermediate skill retention, not associated with most nurse characteristics.
- Higher self-assessed competence and comfort with interventions were linked to better 8-week ECG scores and less score decline.
Conclusions:
- Electrocardiography skill retention and competence are intermediate and influenced by baseline self-assessment.
- Continuous reinforcement of ECG interpretation, measurement, and intervention skills at the bedside is recommended.
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