Background: Electrocardiographic (ECG) interpretation skills are key in providing fast attention to patients with cardiovascular diseases, enabling prevention or early detection of life-threatening situations. The main aim of the study is to determine the current competency level in ECG interpretation and arrhythmias management of nurses in critical and non-critical departments.
Method: A cross-sectional design using a convenience sample of 251 nurses working in critical and non-critical departments of Northern West Bank hospitals was used. A valid and reliable structured questionnaire was used to collect data that were designed to measure the competency level in ECG interpretation and arrhythmias management.
Result: About half of the participants were females (50.2%), with a mean age of 29.2 ± 5.68 years, and 50.2% of them reported they received ECG courses. Unfortunately, low competency levels in ECG interpretation and arrhythmias management of nurses in critical and non-critical departments were found, as only 17.1% of the participants were competent (≥ 7.5 out of 10). Nurses working in critical care units, males, and those with higher education levels scored significantly higher than those working in non-critical units, females, and those with a bachelor’s degree or diploma. Unfortunately, nurses had low competency levels not only in ECG rhythm interpretation but also in the management of arrhythmia cases.
Conclusion: The level of competency in ECG interpretation and arrhythmias management among Palestinian nurses is low, as only 17.1% of participants were competent in ECG interpretation and arrhythmia management. Thus, this can be considered a serious and alarming situation, especially when dealing with malignant lethal arrhythmia. Therefore, improving nurses’ knowledge of ECG interpretation and management of cardiac arrhythmias is essential and warranted.