Background/Introduction:
In response to the pandemic, electrocardiogram (ECG) rhythm interpretation education transitioned to an online, self-paced course with optional instructor-led virtual labs. ..
more »Background/Introduction:
In response to the pandemic, electrocardiogram (ECG) rhythm interpretation education transitioned to an online, self-paced course with optional instructor-led virtual labs. Challenges included technology issues, limited learner engagement, inefficient use of instructor time, and low pass rates. Lab capacity was 30, but average attendance was 5.5. Prescheduled tutoring required instructor availability with only 25% of offerings attended. Legacy learning management system permitted multiple test attempts leading to competency concerns and inaccurate passing rate data.
Purpose or Objective:
Create an innovative hybrid ECG program engaging learners, increasing learner confidence and competence, while improving valuable human resource allocation.
Method or Evaluation:
The system ECG team performed a literature review for data and best practices and explored engagement tools and legacy course learner evaluations. Guided by the Nursing Professional Development Practice and Analyze, Design, Develop, Implement, and Evaluate (ADDIE) models, the existing 15-hour program was reinvented, resulting in a streamlined 10-hour hybrid approach. The interactive self-paced course allowed for increased engagement. Mandatory virtual instructor-led labs included practice and gamification opportunities to assess knowledge. The exam moved to a new platform preventing retesting. Confidence data was collected through anonymous surveys.
Results or Findings:
Technology issues, including exam retests, were resolved. Evaluations indicated increased confidence from 2.87 to 4.07 on a 1-5 scale in ECG rhythm interpretation and intervention. Learners appreciated gamification and interactivity. Monitoring of exam results shows decreases in failure notifications, the need for individualized tutoring, and additional exams. 96% of nurses passed the critical rhythm exam, and 100% passed the general ECG exam. 94% of ECG techs passed the critical rhythm exam, and 96% passed the general exam. Restructured lab schedule and as-needed tutoring for remediation led to decreased instructor workload.
Conclusions/Implications for Practice:
Revitalized multimodal course content, including mandatory virtual labs with a new exam platform, decreased technology challenges, and increased learner engagement and testing success while utilizing instructor time effectively.
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