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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Barriers to Electrocardiographic Monitoring Practice Among Nurses: A Scoping Review.

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Nurses face challenges with electrocardiographic monitoring (ECG-M) best practices due to knowledge gaps and difficulties retaining skills. Continuing education and institutional protocols are key strategies to improve patient care through effective ECG-M.

Keywords:
cardiac monitoringelectrocardiographynursingscoping review

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Area of Science:

  • Nursing
  • Cardiovascular Monitoring
  • Patient Safety

Background:

  • Effective electrocardiographic monitoring (ECG-M) is crucial for safe patient care.
  • Nurses frequently encounter challenges in implementing best practices for ECG-M.
  • Barriers hinder optimal performance in cardiac monitoring.

Purpose of the Study:

  • To identify and map barriers faced by nursing teams in performing ECG-M.
  • To explore strategies for overcoming these identified barriers.
  • To enhance the quality of patient care through improved ECG-M practices.

Main Methods:

  • A scoping review was conducted following Joanna Briggs Institute Manual recommendations.
  • Searches were performed across seven major databases (Medline, Web of Science, Embase, CINAHL, LILACS, Scopus, Cochrane).
  • Keywords included "Electrocardiography," "Hemodynamic Monitoring," "Nursing," and "Nursing Team" for articles published between January 2014 and December 2022.

Main Results:

  • Twenty-nine articles were selected and analyzed.
  • Primary barriers included a lack of nursing knowledge and skills in ECG-M.
  • Difficulty in retaining knowledge post-education and technical monitoring aspects were also significant barriers.
  • Barriers related to ECG-M data interpretation and technical aspects of monitoring were identified.

Conclusions:

  • Addressing knowledge and skill deficits is essential for improving ECG-M.
  • Continuing education, institutional protocols, and customized monitoring parameters are effective strategies.
  • Implementing these strategies can enhance nursing practice and patient safety in cardiac monitoring.