Effectiveness of the CRISP Method on the Primary Cardiac Arrhythmia Interpretation Accuracy of Nurses

Abstract

Background: Accurate electrocardiogram (ECG) interpretation is key to quickly providing attention to patients, and the first health staff who evaluate ECGs are nurses. Method: This was a prospective study with a pre–posttest design. The study test included 15 ECGs related to primary cardiac arrhythmias. After pretest nurses were instructed on arrhythmia interpretation using the Cardiac Rhythm Identification for Simple People (CRISP) method, posttests were completed. Results: There was a significant difference between the pretest scores of nurses who had postgraduate education on ECG interpretation and who did not ( p = .002). Median test score increased from 3 (interquartile range [ IQR ] = 2–5) to 7 ( IQR = 5–9) ( p < .001). Participants mostly missed questions about heart blocks and were most successful with questions about fatal arrhythmias after education. Conclusion: The CRISP method is an effective, simple, and easy method for accurate ECG interpretation by nurses. The posttest scores of the participants, especially accurate interpretation of fatal arrhythmias, increased significantly after training. [ J Contin Educ Nurs . 2020;51(12):574–580.]

Nurses’ competency in electrocardiogram interpretation in acute care settings: A systematic review

“…One study assessed knowledge of continuous monitoring and intervening with rhythm abnormalities (Chronister, 2014). Educational interventions, including team‐based learning (Kim & Kim, 2020), training in the use of atrial electrograms (McRae et al, 2010), the Cardiac Rhythm Identification for Simple People (CRISP) method (Çıkrıkçı Isık et al, 2020), and the lecture‐discussion approach (VanArsdale, 1998), all led to significant improvement in nurses’ knowledge of ECG interpretation. Cross‐sectional descriptive studies reported varying levels of nurses’ knowledge of ECG interpretation.…”

“…to have low accuracy in ECG interpretation, with recognition rates of fatal ventricular arrhythmias under 30% (Çıkrıkçı Isık et al, 2020).…”

“…Many researchers report nurses’ knowledge and skills of ECG interpretation with inconsistent findings (Çıkrıkçı Isık et al, 2020; Coll‐Badell et al, 2017; Funk et al, 2017; Goodridge et al, 2013; Nickasch, 2016). For instance, in a cross‐sectional multi‐centre study, nurses working in an emergency department (ED) obtained an accuracy rate greater than 90% in ECG knowledge (Coll‐Badell et al, 2017).…”

Peningkatan Kemampuan Perawat dalam Interpretasi EKG Normal dan Aritmia dengan Metode Angka “3”

“…Sehingga dapat disimpulkan metode CRISP dan modified DISBI terbukti sama-sama efektif dalam meningkatkan kemampuan perawat dalam melakukan interpretasi EKG strip (Wibawa, 2019). Sama halnya dengan penelitian yang dilakukan oleh Isık et al, (2020) menyatakan bahwa metode CRISP adalah metode yang efektif, sederhana dan mudah untuk perawat dalam interpretasi EKG terutama EKG yang mengancam jiwa.…”

“…Terdapat perbedaan dengan hasil penelitian yang dilakukan oleh Marlisa & Pratiwi (2019) dengan mayoritas pendidikan responden adalah S1, menyatakan bahwa semakin tinggi tingkat pendidikan seseorang maka akan semakin baik pula tingkat pengetahuannya.Begitu juga hasil penelitian (Isık et al, 2020). Menyatakan bahwa ada perbedaan yang signifikan antara skor pretes perawat yang memiliki pendidikan pascasarjana tentang interpretasi EKG dan yang tidak (p = 0,002).…”