Arrhythmias: The Heart of Nursing Skills, a Self-Directed Multimedia for Nursing Students

Monday, 22 July 2013

Michel Dore, RN1
Maria-Cecilia Gallani, PhD2
Amélie Véronique Dubé, MA1
(1)Faculty of Nursing, Laval University, Québec, QC, Canada
(2)Faculté des sciences infirmières, Université Laval, Québec, QC, Canada

Learning Objective 1: The learner will be able to identify the necessary pedagogical steps to create a self-directed multimedia on cardiac arrythmias.

Learning Objective 2: The learner will be able to identify different approaches to teach complex concepts related to cardiac arrythmias.

Purpose: This communication presents the pedagogical steps utilized in the design of the multimedia «The Arrhythmias: at the heart of nursing skills!» planned to support learning and development of the skills of nursing students to interpret an EKG.

Methods: A multidisciplinary team including specialized nurses, pedagogues, a graphic designer and computer technicians developed the content and the pedagogical design of the multimedia. The content included concepts of cardiac anatomy and electrophysiology; a description of the normal cardiac rhythm; electrophysiological mechanisms of the arrhythmias, systematic analysis of the EKG and classification of arrhythmias; as well as the assessment, the treatment and the appropriate nursing interventions for each type of arrhythmia. This content was organized according to learning objectives. The pedagogical strategies utilized different approaches, emphasizing the inductive method, rich in feedbacks, facilitating the self-learning.

Results: The first stage of implementation consisted of a pretest with students in October 2011. The tested excerpts were the tutorial concerning the estimating of the heart rate and exercises on the interpretation of EKGs (static and animated). The second stage included the development of videos reproducing the reality of a nurse during the installation of the cardiac monitoring and intervening when a patient presents an acute arrhythmia.

Conclusion: This pedagogical tool was evaluated and much appreciated by the peers – specialists in the clinical as well as in pedagogical domains and by the students. The use such technology of information and communication seems to be an important avenue to facilitate the process of learning related to the content of cardiac arrhythmias in the context of nursing sciences.  The next step of development is the integration of knowledge through the application of clinical cases, when the learner must make the link between the clinical condition, the EKG and nursing interventions, enhancing the development of clinical competence.