Assessing the Proficiency of Emergency and Critical Care Nurses in Electrocardiogram Interpretation and the Integration of Computerized Electrocardiogram Analysis--Benefits and Limitations: A Systematic Review.
Purpose: This systematic review aimed to evaluate electrocardiogram interpretation competency among emergency and critical care nurses and to examine the diagnostic performance, benefits, and limitations of computerized and artificial intelligence--based electrocardiogram interpretation systems. Met...
| Publicado en: | Korean Journal of Adult Nursing Vol. 38; no. 2; pp. 139 - 155 |
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| Autores principales: | , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Korean Society of Adult Nursing
May2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194237299&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194237299 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12254886 BKLA jtl: Korean Journal of Adult Nursing issn: 12254886 maglogo: N pubinfo: dt: May2026 vid: 38 iid: 2 pid: 69073 pub: Korean Society of Adult Nursing artinfo: ui: 194237299 194237299 194237299 10.7475/kjan.2025.1125 194237299 ppf: 139 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Assessing the Proficiency of Emergency and Critical Care Nurses in Electrocardiogram Interpretation and the Integration of Computerized Electrocardiogram Analysis--Benefits and Limitations: A Systematic Review. aug: au: Alwahsh, Amer Hussein Hasanien, Amer A. affil: Graduate Student PhD Candidate, Department of Clinical Nursing, The University of Jordan School of Nursing, Amman, Jordan sug: subj: Emergency Nurses Psychosocial Factors Critical Care Nurses Psychosocial Factors Clinical Competence Evaluation Electrocardiography Artificial Intelligence Diagnosis, Computer Assisted Human Female Male Systematic Review Descriptive Statistics Checklists Heart Arrest Diagnosis Arrhythmia Myocardial Ischemia Decision Support Systems, Clinical Critical Care Nursing Emergency Nursing Professional Competence Medline Embase CINAHL Database Cochrane Library Gray Literature Female Male ab: Purpose: This systematic review aimed to evaluate electrocardiogram interpretation competency among emergency and critical care nurses and to examine the diagnostic performance, benefits, and limitations of computerized and artificial intelligence--based electrocardiogram interpretation systems. Methods: This systematic review was conducted in accordance with PRISMA 2020 guidelines and registered in the International Prospective Register of Systematic Reviews under registration number CRD420251169307. Six electronic databases and additional sources were searched for studies published between January 2020 and October 2025, with the final search conducted in October 2025. Studies were included if they involved registered nurses interpreting electrocardiograms in acute care settings or evaluated computerized electrocardiogram interpretation systems using adult datasets. Methodological quality was assessed using validated tools appropriate to study design, including the Joanna Briggs Institute critical appraisal tools, ROBINS-I, and QUADAS-2. Results: Mean electrocardiogram interpretation scores among nurses ranged from 43% to 68%, with fewer than 40% of participants meeting predefined competency thresholds. Performance was strongest for asystole recognition and weakest for tachyarrhythmias, myocardial ischemia, and conduction abnormalities. Artificial intelligence--based systems demonstrated high diagnostic accuracy, with area under the curve values ranging from 0.91 to 0.97 and sensitivity exceeding 94% across major diagnostic tasks. Conclusion: Emergency and critical care nurses demonstrated insufficient electrocardiogram interpretation competency in several safety-critical domains. Computerized and artificial intelligence--based systems showed high diagnostic accuracy and may serve as effective complementary tools when integrated with ongoing nurse education and appropriate clinical oversight. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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