Skip to main navigation menu Skip to main content Skip to site footer

Medicine

Vol 9 No 1 (2024): June

Revitalizing Hearts: The Transformative Impact of Pacemaker Therapy on Cardiac Conduction Disorders
Merevitalisasi Jantung: Dampak Transformatif Terapi Alat Pacu Jantung pada Gangguan Konduksi Jantung



(*) Corresponding Author
DOI
https://doi.org/10.21070/acopen.9.2024.8845
Published
June 1, 2024

Abstract

Despite the critical role of pacemakers in managing symptomatic atrioventricular and ventricular conduction abnormalities, there remains a significant gap in the knowledge and attitudes of nurses towards these devices. This study assesses the understanding and perceptions of pacemakers among nurses in Al-Basrah Governorate hospitals, exploring associations with demographic factors such as age, gender, educational level, years of experience, and training. Employing a descriptive methodology, a non-probability sample of 200 nurses from five hospitals (Abi Al-Khasib General Hospital, Umm Qasr General Hospital, Al-Zubair General Hospital, Al-Shifaa Hospital, and Al-Mawani Teaching Hospital) was surveyed from October 15, 2022, to August 15, 2023. Content validity was ensured by engaging eleven professionals, while reliability was assessed using Cronbach's Alpha. Results indicate a concerning deficiency in pacemaker-related knowledge, with 79.5% of nurses demonstrating poor knowledge, 18% showing intermediate knowledge, and only 2.5% exhibiting high knowledge. Similarly, attitudes were predominantly negative, with 81.5% of nurses expressing low enthusiasm towards pacemakers, while 11% and 7.5% displayed intermediate and high attitudes, respectively. These findings highlight the need for targeted educational interventions aimed at enhancing nurses' competence and attitudes concerning pacemakers to improve postoperative care and management outcomes for patients with these devices.
Highlights:

  1. Knowledge Deficit: A striking 79.5% of nurses surveyed exhibited poor knowledge about pacemakers, underlining a significant gap in essential medical training and understanding necessary for optimal patient care.

  2. Attitudinal Challenges: The majority of nurses (81.5%) demonstrated low attitudes towards pacemakers, which could potentially influence the quality of nursing care and patient outcomes.

  3. Need for Specialized Training: The results strongly suggest the necessity for specific educational programs focused on pacemakers, aiming to improve both the knowledge and attitudes of nursing staff, thereby enhancing patient care.

Keywords: Pacemaker Knowledge, Nursing Attitudes, Educational Interventions

References

  1. O. Ali Mohammed, M. Abd ELstar, and H. Ahmed Mohamed, "Nurses’ Performance Regarding Patient with Permanent Pacemaker in Intensive Care Unit," Egyptian Journal of Health Care, vol. 11, no. 1, pp. 28-40, 2020.
  2. S. K. Mulpuru, M. Madhavan, C. J. McLeod, Y.-M. Cha, and P. A. Friedman, "Cardiac Pacemakers: Function, Troubleshooting, and Management: Part 1 of a 2-Part Series," Journal of the American College of Cardiology, vol. 69, no. 2, pp. 189-210, 2017.
  3. A. M. Ahmed, N. M. Taha, H. K. Zytoon, and M. A. Mohammed, "Factors Affecting Nurses Performance Regarding Care for Patients with Permanent Pacemaker," Annals of the Romanian Society for Cell Biology, vol. 25, no. 6, pp. 20000-8, 2021.
  4. C. Swerdlow, D. Hayes, and D. Zipes, "Pacemakers and Implantable Cardioverter-Defibrillators," in Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 1st ed., pp. 745-770, 2012.
  5. N. Jhansi, S. Sridhar, and A. A. Rao, "Artificial Intelligence in Detection of Cardiovascular Diseases in ECG Images."
  6. E. C. Stecker, K. Reinier, E. Marijon, K. Narayanan, C. Teodorescu, A. Uy-Evanado, et al., "Public Health Burden of Sudden Cardiac Death in the United States," Circulation: Arrhythmia and Electrophysiology, vol. 7, no. 2, pp. 212-7, 2014.
  7. H. Burri and N. Varma, "Remote Device Management in Patients with Cardiac Complaints," Cardiac Electrophysiology Clinics, vol. 5, no. 3, pp. 337-47, 2013.
  8. G. J. Boink, V. M. Christoffels, R. B. Robinson, and H. L. Tan, "The Past, Present, and Future of Pacemaker Therapies," Trends in Cardiovascular Medicine, vol. 25, no. 8, pp. 661-73, 2015.
  9. M. P. Raatikainen, D. O. Arnar, B. Merkely, J. C. Nielsen, G. Hindricks, and H. Heidbuchel, et al., "A Decade of Information on the Use of Cardiac Implantable Electronic Devices and Interventional Electrophysiological Procedures in the European Society of Cardiology Countries: 2017 Report from the European Heart Rhythm Association," Ep Europace, vol. 19, suppl. 2, pp. ii1-ii90, 2017.
  10. R. Bayomi, "Permanent Pacemaker Implantation: Effect of Intervention Protocol on Nurse's Knowledge, Practices, and Patient's Outcomes," J Intensive Crit Care Nurs, vol. 3, no. 4, pp. 1-9, 2020.
  11. H. Mohammed and H. Atiyah, "Nurses, Knowledge Concerning an Implantation Pacemaker for Adult Patients with Cardiac Rhythm Disorder at Al-Nassirrhyia Heart Center," Kufa Journal for Nursing Sciences, vol. 6, no. 1, pp. 216-23, 2016.
  12. L. D. Urden, K. M. Stacy, and M. E. Lough, Priorities in Critical Care Nursing-E-Book, Elsevier Health Sciences, 2019.
  13. H. Abdel Monem Elseba, M. Mostafa Ragheb, and S. Elsayed Ghonaem, "Effectiveness of an Educational Program for Management of Patients Undergoing Permanent Pacemaker on Nurses' Performance," Journal of Nursing Science Benha University, vol. 3, no. 1, pp. 273-87, 2022.
  14. N. S. Ali, W. Youssef, A. Mohamed, and A. Hussein, "Nurses' Knowledge and Practice Regarding Implantable Cardiac Devices in Egypt," British Journal of Cardiac Nursing, vol. 10, no. 1, pp. 34-40, 2015.
  15. A. Tiryag, M. Atiyah, and A. Khudhair, "Nurses' Knowledge and Attitudes toward Thyroidectomy: A Cross-Sectional Study," Health Education and Health Promotion, vol. 10, no. 3, pp. 459-65, 2022.
  16. W. Shaama and M. N. A. H., "Knowledge of the University Of Namibia Third Year Bachelor in Nursing Students Regarding Post Operative Management of Patients after Thyroidectomy," Int J Med Sci Health Res, vol. 2, no. 04, pp. 187-97, 2018.

Downloads

Download data is not yet available.