Date of Conferral

2020

Degree

Ph.D.

School

Nursing

Advisor

Leslie Hussey

Abstract

Telemetry interpretation is a common skill required by registered nurses (RNs) to take care of patients in an acute care setting. Telemetry education guidelines are needed because there are no established standards for the amount, type, or scope of education needed for RNs who take care of patients on continuous telemetry monitoring. The purpose of this retrospective analysis design study, guided by Benner’s skill acquisition model and Kirkpatrick’s learning outcomes measurement theory, was to (a) determine the effect of a blended telemetry course, which is a combination of eLearning and an instructor-led class, on the telemetry reading proficiency of RNs in an acute care setting over time, and (b) to compare the difference in charting of telemetry interpretation and treatments actions taken based on ECG results over time after a blended format telemetry course of RNs who work in critical care, progressive care, and medical-surgical, acute care settings. Data on 98 records were analyzed using a repeated measures ANOVA to determine the effect of a blended learning telemetry course on the telemetry reading proficiency of RNs acute care setting over time. No differences were revealed. MANOVA was used to compare the difference in RN charting of interpretation and action based on ECG results over time of those who work in critical care, progressive care, and medical-surgical acute care settings. No difference was revealed. Recommendations for future research are to establish competencies and educational standards for nurses for continuous telemetry monitoring practices and to determine an effective way to deliver the information to meet competencies and standards which would affect positive social change through improved patient care outcomes.

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