응급실과 중환자실 간호사의 심전도 모니터링 관련 수행자신감에 영향을 미치는 요인

Abstract

Purpose: Self-confidence in performing electrocardiographic (ECG) monitoring is an essential competency for nurses caring for patients with heart problems to achieve positive nursing outcomes. This cross-sectional study aims to identify the influencing factors of self-confidence of performance regarding ECG monitoring of emergency department and intensive care unit nurses and to identify educational needs related to ECG monitoring.

Methods: The subjects of this study were 153 nurses working in 1 emergency room and 4 intensive care units at C university hospital located in G city. The structured questionnaire included knowledge, self-confidence and educational needs related to ECG monitoring. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, multiple regression and Eisenhower matrix analysis using SPSS 26.0 program.

Results: The average self-confidence in performing ECG monitoring level was 63.47 (±15.09) points out of 100. Factors affecting self-confidence in performing ECG monitoring were ‘completion of education on ECG monitoring’ (β=.21, p=.008), ‘frequency of searching for up-to-date evidence’ (β=.17, p=032), and ‘clinical experience in current department’ (β =.18, p=022). The explanatory power of the model was 14.5%. Nurses who completed relevant education and training in hospitals, frequently searched for the latest evidence, and had worked for a long time in the current department had higher performance confidence. Through the Eisenhower matrix analysis considering importance and urgency, eight educational topics with the highest priority were derived.

Conclusion: These results suggest that a systematic education and training intervention program based on the needs of nurses is necessary to improve self-confidence of performance regarding ECG monitoring of emergency room and intensive care unit nurses. It is necessary to organize them into high-priority educational topics. In addition, it is necessary to create an environment that can increase the accessibility of the latest evidence in the clinical field. These efforts will enable them to care for patients with heart problems with greater confidence.