Knowledge, Practice, and Associated Factors on Electrocardiograph Interpretation Among Nurses Working in Emergency and Intensive Care Units of Selected Public Hospitals in Addis Ababa, Ethiopia, 2024

Abstract

<title>Abstract</title> Background Fast ECG interpretation is crucial in reducing patient mortality and morbidity related to heart conditions. Despite its importance, many healthcare providers struggle with proficiency in ECG interpretation. Objective This study aimed to assess nurses' knowledge, practice, and associated factors regarding electrocardiograph interpretation in emergency and intensive care units of selected public hospitals in Addis Ababa, Ethiopia. Methods A cross-sectional study was conducted to assess nurses' knowledge, practice, and associated factors related to electrocardiograph interpretation in selected public hospitals in emergency and intensive care units in Addis Ababa, Ethiopia. Data were collected using structured, self-administered questionnaires and analyzed using SPSS. Descriptive statistics, bivariate analysis, and logistic regression models were used to assess associations between variables. Results Only a quarter of the study participants had good knowledge (n = 60, 23.5%) and good practice (n = 69, 27.1%) regarding ECG strip interpretation. The most frequently recognized ECG strip was asystole. Factors associated with good knowledge and practice included being master’s degree holders, having ECG training, and working in intensive care units. Conclusion This study revealed a concerning lack of knowledge and practice among nurses in ECG interpretation. The findings highlight the need for training programs and experience-sharing initiatives to improve nurses' proficiency in ECG interpretation and ultimately enhance patient outcomes.