{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T09:55:38Z","timestamp":1787738138852,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Electrocardiographic (ECG) monitoring and recording are seen as the most commonly used non\u2010invasive diagnostic tool to identify cardiac arrhythmia and myocardial damage in the clinical setting. There is an expectation that critical care nurses are ideally trained to interpret abnormalities and morphology in the ECG more proficiently than nurses from general ward areas. However, the ability to interpret and recognise ECG abnormalities is dependent on which critical care area nurses are currently working in and their level of experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to investigate registered nurses' knowledge in being able to identify and interpret select electrocardiographic rhythms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This was a cross\u2010sectional study that evaluated registered nurses' knowledge of electrocardiogram rhythm identification and interpretation. A convenience sample of 105 registered nurses currently enrolled in a 2\u2010year Master's programme leading to critical care specialism and advanced practice nurse award were recruited. A 20\u2010item multiple choice questionnaire that provided examples of electrocardiogram rhythm (n=14) abnormalities and rhythm abnormalities caused by electrolyte disturbances (n=6)<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included registered nurses from critical care and general ward areas. The overall results were poor with only 55% of questions answered correctly. Coronary care nurses scored the highest in identifying ECG rhythms (12\/20\u2009\u00b1\u20091.58; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). When ECG abnormalities associated with electrolyte imbalances were analysed, both groups were unable to identify the effects of hypokalaemia and hypomagnesaemia effectively (<jats:italic>p<\/jats:italic>\u2009=\u2009.748). Length of time as a registered nurse (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.304, <jats:italic>p<\/jats:italic>\u2009=\u2009.002) and length of time in current work environment were weakly correlated (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.328, <jats:italic>p<\/jats:italic>\u2009=\u2009.001). Having a critical care background showed a positive relationship with nursing knowledge of ECG rhythm identification (<jats:italic>r<\/jats:italic>\u2009=\u20090.614, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study demonstrate that nurses have a poor knowledge of ECG rhythm identification and interpretation, a consistent finding from other work. A possible solution is a revamp of education and training associated with ECG recognition and morphology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Monitoring and assessing ECG morphology provide important details about cardio\u2010electroconductive stability, especially with fluctuations in serum electrolyte levels seen in critical illness or trauma. For this, critical nurses must improve their proficiency through education\/training or internal quality improvement activities in detecting abnormalities associated with ECG changes beyond those most easily recognizable rhythms such as atrial fibrillation or ventricular tachycardia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.13013","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T08:34:37Z","timestamp":1703838877000},"page":"1032-1039","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Registered nurses' knowledge and interpretation of <scp>ECG<\/scp> rhythms: A cross\u2010sectional study"],"prefix":"10.1111","volume":"29","author":[{"given":"Jessie","family":"Ng","sequence":"first","affiliation":[{"name":"School of Nursing Hong Kong Polytechnic University  Kowloon Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Christensen","sequence":"additional","affiliation":[{"name":"School of Nursing Hong Kong Polytechnic University  Kowloon Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2012.11.001"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.compbiomed.2014.02.012"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0000000000000876"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002707"},{"issue":"3","key":"e_1_2_12_6_1","first-page":"233","article-title":"Electrolyte disorders and arrhythmogenesis","volume":"18","author":"El\u2010Sherif N","year":"2011","journal-title":"Cardiol J"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1211\/pj.2015.20067712"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2021-036"},{"key":"e_1_2_12_9_1","volume-title":"Guyton and Hall Textbook of Medical Physiology","author":"Hall JE","year":"2021"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/nur.0000000000000033"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2009.03164"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/nnd.0b013e31827d0c4f"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2017.06.001"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.809"},{"issue":"3","key":"e_1_2_12_15_1","first-page":"80","article-title":"Nurses' knowledge and practices of electrocardiogram interpretation","volume":"13","author":"Tahboub OYH","year":"2019","journal-title":"Int Cardiovasc Res J"},{"issue":"2","key":"e_1_2_12_16_1","first-page":"1","article-title":"Assessment of nurses' knowledge and practice regarding fluids and electrolyte imbalance in the critical care units","volume":"8","author":"Hassan HMA","year":"2021","journal-title":"Port Said Sci J Nurs"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2020.100953"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/circoutcomes.116.003132"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2011129"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2013.05.014"},{"issue":"6","key":"e_1_2_12_21_1","first-page":"418","article-title":"'What do I do next? 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