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Electrocardiogram interpretation competency among emergency nurses and emergency medical service (EMS) personnel: A cross‐sectional and comparative descriptive study

Rahimpour, Maryam; Shahbazi, Shahla; Ghafourifard, Mansour; Gilani, Neda; Breen, Cathal


Maryam Rahimpour

Shahla Shahbazi

Mansour Ghafourifard

Neda Gilani


The aim of this research study was to compare electrocardiogram (ECG) interpretation competency among emergency nurses and EMS personnel.

A cross-sectional comparative descriptive study design was used.

This study recruited 170 participants (105 emergency nurses and 65 EMS personnel) in northwest of Iran. Data were collected during 2018 using ECG, an interpretation competency questionnaire and analysed using SPSS V.24 through independent t test, linear regression, Pearson and Spearman correlation coefficient. A statistical significance of p < .05 was assumed.

The study results showed a mean score of 6.65 ± 2.16 out of 10 for emergency nurses' and 4.87 ± 1.81 for EMS personnel ECG interpretation competency (p < .05).

Hospital emergency nurses were more qualified to interpret the ECG than the pre-hospital emergency medical personnel (p = .792 and β (SE)) = 0.22 (0.84). Active involvement in ECG interpretation and standard continued education are needed to develop and improve the emergency nurses and EMS personnel ECG interpretation competency.

Journal Article Type Article
Acceptance Date Jan 31, 2021
Online Publication Date Feb 21, 2021
Publication Date 2021-07
Deposit Date Nov 3, 2022
Publicly Available Date Nov 3, 2022
Journal Nursing Open
Print ISSN 2054-1058
Electronic ISSN 2054-1058
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 8
Issue 4
Pages 1712-1719
Keywords ECG interpretation competency, electrocardiography, emergency medical services personnel, emergency nursing, nurses
Public URL
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