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Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure

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A qualitative study exploring nurse educators' experiences and views on nurses' competency in electrocardiogram

Yingyan Chen¹, Jacqueline Colgan², Caleb Ferguson³

¹School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Wellington Rd, Clayton, Victoria 3800, Australia; School of Health, University of the Sunshine Coast, 90 Sippy Downs Dr, Sippy Downs, Queensland 4556, Australia.

Nurse Education in Practice

|February 6, 2026

Summary

Australian nurse educators report nurses often lack systematic electrocardiogram (ECG) interpretation skills. Improving ECG competency requires addressing barriers like responsibility perception and enhancing education strategies.

Keywords:

Competency assessment Confidence Electrocardiogram interpretation Nurse attitudes Nurse educators

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Published on: September 22, 2023

Area of Science:

Nursing Education
Cardiovascular Nursing
Clinical Competency

Background:

Nurses are frontline responders for cardiovascular disease, requiring accurate electrocardiogram (ECG) interpretation.
Limited evidence exists on Australian nurses' current ECG interpretation competency.
This study addresses the critical need to understand and improve ECG interpretation skills in Australian acute care settings.

Purpose of the Study:

To explore nurse educators' perspectives on nurses' competency in electrocardiogram interpretation.
To identify barriers and facilitators influencing nurses' ECG interpretation skills in Australian hospitals.
To inform strategies for enhancing ECG interpretation education and practice.

Main Methods:

A nationwide qualitative exploratory study was conducted.
Semi-structured interviews and focus groups were held with 18 nurse educators via videoconference.
Inductive content analysis was used to analyze the data.

Main Results:

Nurse educators perceived nurses as lacking systematic ECG interpretation approaches, with competency varying by specialty.
Key barriers included nurses not viewing ECG interpretation as their responsibility and limited clinical exposure.
Facilitators involved perceived expectations, interprofessional collaboration, and effective learning approaches.

Conclusions:

Significant barriers and facilitators impact Australian nurses' ECG interpretation competency.
Developing targeted strategies is crucial to address identified barriers and enhance nurses' skills.
Future research should focus on creating standardized training programs with validated assessment tools for ECG interpretation.