What Do Our Nurses Know about Managing Patient with Permanent Pacemakers?
Downloads
Introduction: The number of patients with pacemaker implant is increasing in the health services sector in Malaysia, which requires nurses to have expertise in patient care with pacemaker implantation. Therefore, this study was conducted to analyse the level of knowledge among nurses regarding the management of patients with pacemaker implantation.
Methods: A cross-sectional study was conducted through purposive sampling among all nurses working at the critical care unit, intensive care unit, cardiac rehabilitation ward, investigation clinical laboratory, and non-invasive clinical laboratory in a public hospital in Kelantan. A questionnaire consisted of demographic data and nurses' knowledge was distributed. Data were analysed for descriptive analysis and using Pearson correlation test.
Results: Results from all respondents (n=70), show 48.6 % of the respondents had moderate knowledge about patient management with pacemaker implantation, 32.9 % had a low level of knowledge and only 13.6% had high knowledge regarding management of patient with pacemaker implantation. There is a significant difference between the level of knowledge and demographic data, that is between the level of education (p=0.027), age (p=0.011) and length of service (p=0.015). There is no significant relationship between knowledge and demographic data, such as gender (p=0.481), marital status (p=0.315), and post-basic (p=0.067).
Conclusion: Level of knowledge among nurses about the management of patient with pacemaker implantation is low to moderate. Additional education and exposure among nurses are needed to enhance the knowledge of nurses and improve the quality of care among patients with pacemaker implant.
Ali Elfeky, H., & Shoeib Ali, F. (2013). Nurses' Practices and Perception of Delirium in the Intensive Care Units of a Selected University Hospitals in Egypt. Journal of Education and Practice, 4(19). www.iiste.org
Ali, N. S., Youssef, W., Mohamed, A., & Hussein, A. (2014). Nurses' knowledge and practice regarding implantable cardiac devices in Egypt. British Journal of Cardiac Nursing. https://doi.org/10.12968/bjca.2015.10.1.34
Ameen, F. (2017). Knowledge of Cardiology Nurses, Regarding Care of Patients with Permanent Pacemakers and Implantable Cardioverter Defibrillators in Karachi Pakistan. Prehospital and Disaster Medicine. https://doi.org/10.1017/s1049023x17004095
Aris, A., Sulaiman, S., & Che Hasan, M. K. (2019). The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA). Enfermeria Clinica. https://doi.org/10.1016/j.enfcli.2019.04.004
Boink, G. J. J., Christoffels, V. M., Robinson, R. B., & Tan, H. L. (2015). The past, present, and future of pacemaker therapies. In Trends in Cardiovascular Medicine. https://doi.org/10.1016/j.tcm.2015.02.005
Bowling, A. (2002). Research methods in health : investigating health and health services. Open University Press.
Brenner, R., Ammann, P., Yoon, S.-I., Christen, S., Hellermann, J., Girod, G., Knaus, U., Duru, F., Krasniqi, N., Ramsay, D., Sticherling, C., Lippuner, K., & Kühne, M. (2017). Reduction of falls and fractures after permanent pacemaker implantation in elderly patients with sinus node dysfunction. Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology, 19(7), 1220–1226. https://doi.org/10.1093/europace/euw156
Burri, H., & Varma, N. (2013). Remote device management in patients with cardiac complaints. In Cardiac Electrophysiology Clinics. https://doi.org/10.1016/j.ccep.2013.05.005
Fuster, V., & Kelly, B. B. (2010). Committee on Preventing the Global Epidemic of Cardiovascular Disease: Meeting the Challenges in Developing Countries Board on Global Health. http://www.nap.
HadiAtiyah, H. M. D. H. (2016). Nurses, Knowledge Concerning an Implantation Pacemaker For Adult Patients with Cardiac Rhythm Disorder at Al-Nassirrhyia Heart Center.
Hatchett, R. P., & Thompson, D. R. (2002). Cardiac nursing : a comprehensive guide.
Humphreys, M. (2013). Nursing the Cardiac Patient. In Nursing the Cardiac Patient. https://doi.org/10.1002/9781118785331
Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement.
Mahramus, T. L., Penoyer, D. A., Sole, M. Lou, Wilson, D., Chamberlain, L., & Warrington, W. (2013). Clinical nurse specialist assessment of nurses' knowledge of heart failure. Clinical Nurse Specialist. https://doi.org/10.1097/NUR.0b013e3182955735
Mohd Sharif, N. A., Che Hasan, M. K., Che Jamaludin, F. I., & Zul Hasymi Firdaus, M. K. (2018). The need for first aid education for adolescents. Enfermería Clínica, 28(Supplement 1), 13–18. https://doi.org/10.1016/S1130-8621(18)30028-7
Mohd Yusoff, N. S., Firdaus, M. K. Z. H., Jamaludin, F. I. C., & Che Hasan, M. K. (2019). The need for educating healthcare professionals regarding good musculoskeletal health practice. Enfermeria Clinica. https://doi.org/10.1016/j.enfcli.2019.04.089
Nurumal, M. S., Sabran, N. M., Hamid, S. H. A., & Hasan, M. K. C. (2020). Nurses' Awareness on Patient Safety Culture in A Newly Established University Hospital. Jurnal Keperawatan Indonesia, 0(0). https://doi.org/10.7454/jki.v0i0.1088
Rasmussen, I. K. B., & Pareek, M. (2014). A video demonstration of pacemaker-induced pectoral muscle stimulation. In BMJ Case Reports. https://doi.org/10.1136/bcr-2013-200697
Riley, J. (2015). The Key Roles For The Nurse In Acute Heart Failure Management. Cardiac Failure Review. https://doi.org/10.15420/cfr.2015.1.2.123
Stecker, E. C., Reinier, K., Marijon, E., Narayanan, K., Teodorescu, C., Uy-Evanado, A., Gunson, K., Jui, J., & Chugh, S. S. (2014). Public health burden of sudden cardiac death in the United States. Circulation: Arrhythmia and Electrophysiology. https://doi.org/10.1161/CIRCEP.113.001034
WHO | Global Health Observatory (GHO) data. (2019). WHO.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.