Department of Nursing, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
BMC Med Educ. 2024 Sep 27;24(1):1039. doi: 10.1186/s12909-024-05960-8.
This study was conducted to develop an electrocardiogram education program that incorporates an HTML webpage and blended learning methods to enhance electrocardiogram interpretation skills. Through continual and efficient education, the program aims to assist nurses in providing appropriate care and treatment to patients.
Pre-post design study.
We developed an electrocardiogram interpretation HTML webpage based on an electrocardiogram interpretation algorithm and implemented an 18-week (2023.5.15 ~ 2023.9.22) electrocardiogram education program, which included daily 5-minute training sessions. Twenty-seven ward nurses were provided with the URL ( https://ecgweb.github.io/ECGwebEN ) to the electrocardiogram interpretation HTML webpage and shared one electrocardiogram case daily for self-interpretation. Electrocardiogram interpretation performance and confidence were evaluated through questionnaires at three phases: before the program, after 6 weeks of basic electrocardiogram and arrhythmia education, and after 12 weeks of application of the electrocardiogram interpretation HTML webpage and case-based lecture education. The statistical tests used were repeated-measures ANOVA or the Wilcoxon signed-rank test.
The average score for electrocardiogram interpretation performance before the electrocardiogram education program was 11.89(SD = 3.50), after 6 weeks of basic electrocardiogram and arrhythmia education it was 14.15(SD = 3.68), and after 12 weeks of application of the electrocardiogram interpretation HTML webpage and case-based lecture education, it was 15.56(SD = 3.04). This shows that electrocardiogram interpretation performance significantly improved over time (p < .001). Additionally, post-hoc analysis revealed significant differences in electrocardiogram interpretation performance at each stage, i.e., before, during, and after the application of an electrocardiogram education program. Furthermore, the electrocardiogram interpretation confidence questionnaire score (pre-Median 18, IQR = 5; post-Median 23, IQR = 3) was improved significantly after the completion of the 18-week education program (p < .001).
Based on the results of this study, we believe that an electrocardiogram education program using HTML webpage, and a blended teaching method would be very beneficial for maintaining and improving electrocardiogram interpretation skills of clinical nurses. Such a program can help nurses interpret electrocardiograms more effectively and assist them in making important decisions in patient care.
本研究旨在开发一种心电图教育计划，该计划结合 HTML 网页和混合学习方法，以提高心电图解读技能。通过持续有效的教育，该计划旨在帮助护士为患者提供适当的护理和治疗。
前后设计研究。
我们基于心电图解读算法开发了一个心电图解读 HTML 网页，并实施了一个为期 18 周（2023.5.15~2023.9.22）的心电图教育计划，其中包括每天 5 分钟的培训课程。27 名病房护士提供了心电图解读 HTML 网页的 URL（https://ecgweb.github.io/ECGwebEN），并每天共享一个心电图病例进行自我解读。通过问卷在三个阶段评估心电图解读表现和信心：在计划之前、基础心电图和心律失常教育 6 周后，以及应用心电图解读 HTML 网页和基于案例的讲座教育 12 周后。使用的统计检验是重复测量方差分析或 Wilcoxon 符号秩检验。
在心电图教育计划之前，心电图解读表现的平均得分为 11.89（SD=3.50），在基础心电图和心律失常教育 6 周后，得分为 14.15（SD=3.68），在应用心电图解读 HTML 网页和基于案例的讲座教育 12 周后，得分为 15.56（SD=3.04）。这表明心电图解读表现随着时间的推移显著提高（p<0.001）。此外，事后分析显示在每个阶段，即应用心电图教育计划之前、期间和之后，心电图解读表现存在显著差异。此外，心电图解读信心问卷得分（前中位数 18，IQR=5；后中位数 23，IQR=3）在完成 18 周教育计划后显著提高（p<0.001）。
基于这项研究的结果，我们相信使用 HTML 网页和混合教学方法的心电图教育计划将非常有利于维持和提高临床护士的心电图解读技能。该计划可以帮助护士更有效地解读心电图，并协助他们在患者护理中做出重要决策。
