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Abbasali Ebrahimian, Ali Fakhr-Movahedi , Hossein Davari, Maedeh Tourdeh,
Volume 8, Issue 5 (1-2015)
Abstract

Background and Aim: Learning basic issues in nursing requires new strategies that can enhance knowledge retention among nurses. This study aimed to determine the effect of lecturing by peer-nurses on critical units nurses’ retaining knowledge of electrocardiogram (ECG) interpretation.

Materials and Methods: In this experimental study, two units (as test and control groups) were selected randomly from among critical care units of Semnan University of Medical Sciences hospitals. First, a pretest was performed on nurses in both groups. Then, the nurses of test group were trained by a peer-nurse how to interpret ECGs. A posttest was performed on the two groups both a week and a year later. Finally, the data were analyzed using Pearson’s correlation coefficient, t-paired and t-tests.

Results: The mean of nurses’ scores of ECG interpretation in pretest was 9.55±2.73 in the test group and 10.82±3.43 in the control group. In the first posttest, mean scores of nurses’ knowledge in test and control groups were 15.27±2.57 and 11.36±3.29, respectively. In the second posttest, nurses’ mean scores in test and control groups were 10.82±4.07 and 11.33±2.95, respectively. There was a significant difference (p<0.05) between the pretest and the first posttest in the test group, but there was no such difference for the second posttest (p>0.05).

Conclusion: Lecturing by peer-nurses can enhance nurses’ knowledge about ECG interpretation in the short run, but it cannot enhance knowledge retention. So it is suggested that other educational methods be used in nurses' in-service training programs designed for ECG interpretation.


Abbasali Ebrahimian , Nader Khalesi , Maedeh Tourdeh , Hossein Dargahi,
Volume 11, Issue 3 (Supplement 1 2017)
Abstract

Background and Aim: Emergency medical services (EMS) staff’s attention level may be affected by various work conditions. This study aims to compare the beginning- and end-of-shift attention levels of Tehran’s pre-hospital emergency staff with those of Semnan Province.
Materials and Methods: This is a descriptive and cross-sectional research study conducted in 2013. In this study, 192 emergency medical technicians (EMT) of Tehran and Semnan Province participated. The research instrument was Bonnardel Attention Level Test. The participants’ attention level was assessed at 10 am and 5 am. The data were analyzed by chi-square test and independent samples t-test. 
Results: At 10 am (arrival attention), the average rate of attention level of Tehran’s pre-hospital emergency staff was 0.49±0.25 and that of Semnan Province staff was 0.51±0.23. There was not a significant difference (p=0.58) at that time between the average rate of attention in these two groups. At 5 am (exit attention), however, the average attention level of Tehran’s pre-hospital emergency staff was 0.45±0.25, and of Semnan Province staff was 0.55±0.20. At this time, there was a statistically significant difference (P= 0.044) between the average rate of attention in these two groups. 
Conclusion: The means of arrival and exit attention levels in pre-hospital emergency staffs were moderate. Besides, there was no significant difference between the arrival attention levels of the two groups. Therefore, in order to increase the attention level in both groups, it is suggested that the workload and the length of shifts should be reduced for pre-hospital emergency staffs, specially in Tehran.


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