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Show Enhancing Nurse Self-Efficacy When Reassigned to be Telemetry Technicians BACKGROUND Ethan Young, BSN, RN, MSN Student Anne Kendrick, DNP, RN, CNE Bonnie Leman, MSN, RN INTERVENTIONS • This project aims to increase nurse self-efficacy when reassigned to be telemetry technicians. A 30-minute training was created for nurses reassigned to the telemetry technician role. A question-andanswer session is planned for the conclusion of the training. • Nurses may be reassigned to telemetry monitoring but often feel unprepared in the role. • Step 1: Pre-survey was created to assess nurses’ self-confidence if assigned to the role of telemetry technician. • Errors in telemetry monitoring, including missed arrythmias or delayed response to alarms, are associated with a lack of training.1 • This education gap affects nurses. Nurses often feel overwhelmed by responsibilities they are not fully trained for.2,3 • This project highlights the need for role-specific training to improve patient outcomes and nurse self-efficacy.4,5 METHODS • Step 2: A training was created discussing the processes, responsibilities, and protocols for telemetry monitoring. • Step 3: Post-survey was created to assess growth in nurse self-confidence after being trained. • Step 4: Essential information was included in a printed guide to be available for nurses when reassigned. IMPACTS • Patients are safer with adequately trained staff monitoring their heart rhythms.1 Deliverables: • Nurses can experience less burnout when they feel adequately trained for their job responsibilities.3 • A 0-5 Likert scale pre-survey will assess confidence before the training. • Nurses' knowledge of cardiac rhythms can increase with experience in telemetry monitoring.4 • A training was created to review the processes, responsibilities, and protocols for telemetry technicians. • Formal, standardized training can ensure nurses receive evidence-based training. • Participants will complete a post-survey to assess growth after the intervention. • More nurses trained in telemetry monitoring can aid in staffing flexibility. Image 1 • A reference guide was created with the essential information for use during and after implementation. CONCLUSIONS Kurt Lewin’s Change Management Model is the framework for implementation. • Nurses who receive more role-specific orientation can be more confident when reassigned as telemetry technicians. REFERENCES • Patients may receive better, more competent care when nurses receive more training. 1Sandau K. E., Funk, M., Auerbach, A., Barsness, G. W., Blum, K., Cvach, M., Lampert, R., May, J. L., McDaniel, G. M., Perez, M. V., Sendelbach, S., Sommargren, C. E., & Wang, P. J. (2017). Update to practice standards for electrocardiographic monitoring in hospital settings. Circulation, 136(19). https://doi.org/10.1161/CIR.0000000000000527 • Nurses with more training can experience lower rates of burnout when they feel adequately prepared for their role. 2Funk, M., Fennie, K. P., Knudson, K. A., & Ruppel, H. (2021). Monitor-watcher use, nurses' knowledge of electrocardiographic monitoring, and arrhythmia detection. American Journal of Critical Care, 30(1), 38–44. https://doi.org/10.4037/ajcc2021122 3Kukielka, E., Gipson, K. R., & Jones, R. (2019). A brief analysis of telemetry–related events. Patient Safety, 1(2), 36-44, https://doi.org/10.33940/biomed/2019.12.4 4Perpetua, Z., Hayden, M., & Alexander, S. (2023). Increasing self-efficacy and knowledge of cardiac arrhythmias for medical-surgical nurses. MedSurg Nursing, 32(6). https://link-gale-com.hal.weber.edu/apps/doc/A781079817/ITOF?u=ogde72764&sid=summon&xid=e0eeca9b 5Alshammari, M. H., & Alenezi, A. (2023). Nursing workforce competencies and job satisfaction: The role of technology integration, self-efficacy, social support, and prior experience. BMC Nursing, 22(1), 308. https://doi.org/10.1186/s12912-023-01474-8 Image 1: Istock (2023). [Stock photo] https://www.istockphoto.com/photo/hospital-monitor-displays-vital-signs-heart-rate-blood-pressure-ekg-andoxygen-gm1674660261-536139926?utm_source=pexels&utm_medium=affiliate&utm_campaign=limitedresults_photo&utm_content=srp_page_end_media&utm_term=telemetry Image 2: Pixels (2020) [Stock photo]. https://www.pexels.com/photo/an-ecg-paper-on-a-table-with-a-heart-monitor-16450237/ Image 2 |
