Effects of Electrocardiographic Monitoring Education on Nurses’ Confidence and Psychological Stress: An Online Cross-Sectional Survey in Japan

Sho Nishiguchi, Nagisa Sugaya, Yusuke Saigusa, Michinori Mayama, Takuhiro Moromizato, Masahiko Inamori, Yasuharu Tokuda and Takashi Watari
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Sho Nishiguchi: Department of General Internal Medicine, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan
Nagisa Sugaya: Unit of Public Health and Preventive Medicine, Yokohama City University, Yokohama 236-0027, Japan
Yusuke Saigusa: Department of Biostatistics, School of Medicine, Yokohama City University, Yokohama 236-0027, Japan
Michinori Mayama: Department of Obstetrics and Gynecology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0814, Japan
Takuhiro Moromizato: Renal & Rheumatology Division, Internal Medicine Department, Okinawa Prefectural Nambu Medical Center & Children Medical Center, Okinawa 901-1193, Japan
Masahiko Inamori: Department of Medical Education, Yokohama City University, Yokohama 236-0027, Japan
Yasuharu Tokuda: Muribushi Okinawa Center for Teaching Hospitals, Urasoe 901-2132, Japan
Takashi Watari: General Medicine Center, Shimane University Hospital, Izumo 693-8501, Japan

IJERPH, 2022, vol. 19, issue 8, 1-11

Abstract: We aimed to investigate the association between nurses’ electrocardiographic (ECG) monitoring education and their confidence and psychological stress regarding ECG monitoring. In 2019, a web-based cross-sectional study was conducted among Japanese nurses. A multivariable logistic regression analysis was performed to evaluate the effects of education on nurses’ confidence and psychological stress regarding ECG monitoring. In total, 1652 nurses were included in the study. Factors significantly associated with nurses’ confidence were post-graduate education experience (odds ratio [OR], 2.4; 95% confidence interval [CI], 1.6–3.6), ≥11 post-graduate years (OR, 2.2; 95% CI, 1.5–3.1), male gender (OR, 4.4; 95% CI, 2.9–6.6), ≥5 helpful experiences with ECG monitoring (OR, 10.7; 95% CI, 6.0–19.1), work experience in an intensive care unit (OR, 2.3; 95% CI, 1.5–3.7), and work experience in a cardiology department (OR, 1.7; 95% CI, 1.2–2.4). Factors significantly associated with nurses’ psychological stress were male gender (OR, 1.9; 95% CI, 1.2–2.9), ≥5 helpful experiences with ECG monitoring (OR, 1.9; 95% CI, 1.2–2.9), and work experience in an emergency room (OR, 2.4; 95% CI, 1.3–4.8). These results suggest that nurses’ post-graduate ECG monitoring education enhanced their confidence, but did not reduce psychological stress regarding ECG monitoring.

Keywords: nurse; education; continuous electrocardiography monitoring; confidence; psychological stress (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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