Kontakt 2024, 26(4):327-332 | DOI: 10.32725/kont.2024.049

Italian nursing students' knowledge of Atrial Fibrillation: A cross-sectional studyNursing - Original article

Enkeleda Gjini1, Stefano Terzoni2, Federico Ruta3, Alessandro Delli Poggi4, Mauro Parozzi5, Roberta Lodini5, Kelara Israil6, Paolo Ferrara5, *
1 Catholic University "Our Lady of Good Concel", Faculty of Medicine, Tirana, Albania
2 University of Milan La Statale, Department of Biomedical Sciences for Health, Milan, Italy
3 General Direction, Asl BAT, Andria, Italy
4 University of Rome La Sapienza, Department of Surgical Sciences, Roma, Italy
5 San Paolo Teaching Hospital, ASST Santi Paolo e Carlo, Milan, Italy
6 San Carlo Teaching Hospital, ASST Santi Paolo e Carlo, Milan, Italy

Background: Early recognition, prevention, and treatment of complications are key aspects of nursing care planning for people with Atrial Fibrillation (AF). However, recent studies suggest that nurses' knowledge of AF is only sometimes accurate. No studies are currently available in Italy.

Aim: To study nursing students' knowledge of Atrial Fibrillation in an Italian setting.

Methods: A multicentre cross-sectional study was conducted in a population of nursing students from three Italian universities during the 2022/2023 academic year. The validity and reliability of the Italian version of the Atrial Fibrillation Knowledge Assessment Tool (AFKAT-ita) were investigated.

Results: 246 students (response rate 73.21%) were enrolled. The total of correct answers was Me = 18 IQR [16; 19] (theoretical range 0-21). The number of correct answers increased with age (p < 0.001), year of the course advances (p < 0.001), and in those who had direct contact with people with AF during their clinical experience (p < 0.001). The Content Validity Index (S-CVI) of the AFKAT-ita was 92.10, the Cronbach's alpha coefficient was 0.695, and McDonald's ω was 0.726.

Conclusion: Overall, students showed a moderate level of knowledge. These results provide an initial overview of the knowledge of AF in Italian nursing students; in-depth studies are desirable. The psychometric properties of the AFKAT-ita confirm it as a valid and reliable tool for assessing AF knowledge.

Keywords: Atrial Fibrillation (AF); Knowledge; Nursing; Students
Conflicts of interest:

The authors have no conflict of interest to declare.

Received: July 1, 2024; Revised: August 28, 2024; Accepted: September 13, 2024; Prepublished online: October 23, 2024; Published: December 17, 2024  Show citation

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Gjini E, Terzoni S, Ruta F, Delli Poggi A, Parozzi M, Lodini R, et al.. Italian nursing students' knowledge of Atrial Fibrillation: A cross-sectional study. Kontakt. 2024;26(4):327-332. doi: 10.32725/kont.2024.049.
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References

  1. ANMAC - Australian Nursing and Midwifery Accreditation Council (2019). Registered Nurse Accreditation Standards 2019, 26 p. [online] [cit. 2020-04-11], Available from: https://anmac.org.au/sites/default/files/2024-06/06920_anmac_reg_nurse_std_ee_2019_updated_fa.pdf
  2. Arauz A, Arteaga C, Zapata-Gómez C, Ramos-Ventura C, Méndez B, Otiniano-Sifuentes R, et al. (2022). Embolic stroke of undetermined source: beyond atrial fibrillation. Neurologia 37(5): 362-370. DOI: 10.1016/j.nrl.2019.03.008. Go to original source... Go to PubMed...
  3. Bao MQ, Shu GJ, Chen CJ, Chen YN, Wang J, Wang Y (2022). Association of chronic kidney disease with all-cause mortality in patients hospitalised for atrial fibrillation and impact of clinical and socioeconomic factors on this association. Front Cardiovasc Med 9: 945106. DOI: 10.3389/fcvm.2022.945106. Go to original source... Go to PubMed...
  4. Chen Y, Nasrawi D, Massey D, Johnston ANB, Keller K, Kunst E (2021). Final-year nursing students' foundational knowledge and self-assessed confidence in interpreting cardiac arrhythmias: A cross-sectional study. Nurse Educ Today 97: 104699. DOI: 10.1016/j.nedt.2020.104699. Go to original source... Go to PubMed...
  5. Di Carlo A, Bellino L, Consoli D, Mori F, Zaninelli A, Baldereschi M, et al. (2019). Prevalence of atrial fibrillation in the Italian elderly population and projections from 2020 to 2060 for Italy and the European Union: the FAI Project. Europace 21(10): 1468-1475. DOI: 10.1093/europace/euz141. Go to original source... Go to PubMed...
  6. Ferguson C, Inglis SC, Newton PJ, Middleton S, Macdonald PS, Davidson PM (2016). Education and practice gaps on atrial fibrillation and anticoagulation: a survey of cardiovascular nurses. BMC Med Educ 16: 9. DOI: 10.1186/s12909-015- 0504-1. Go to original source...
  7. Gourraud JB, Khairy P, Abadir S, Tadros R, Cadrin-Tourigny J, Macle L, et al. (2018). Atrial fibrillation in young patients. Expert Rev Cardiovasc Ther 16(7): 489-500. DOI: 10.1080/14779072.2018.1490644. Go to original source... Go to PubMed...
  8. Habibzadeh H, Rahmani A, Rahimi B, Rezai SA, Aghakhani N, Hosseinzadegan F (2019). Comparative study of virtual and traditional teaching methods on the interpretation of cardiac dysrhythmia in nursing students. J Educ Health Promot 8: 202. DOI: 10.4103/jehp.jehp_34_19. Go to original source... Go to PubMed...
  9. Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JJ, Blomström-Lundqvist C, et al. (2021). 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J 42(5): 373-498. DOI: 10.1093/eurheartj/ehaa612. Go to original source... Go to PubMed...
  10. Jatau Abubakar I, Wimmer BC, Bereznicki LR, Dwan C, Black JA, Bezabhe WM, Peterson GM (2020). Development and Validation of an Atrial Fibrillation Knowledge Assessment Tool (AFKAT). Int J Environ Res Public Health 17(5): 1721. DOI: 10.3390/ijerph17051721. Go to original source... Go to PubMed...
  11. Kanters TA, Brugts JJ, Manintveld OC, Versteegh MM (2021). Burden of Providing Informal Care for Patients with Atrial Fibrillation. Value Health 24(2): 236-243. DOI: 10.1016/j.jval.2020.09.011. Go to original source... Go to PubMed...
  12. Krijthe BP, Kunst A, Benjamin EJ, Lip GYH, Franco OH, Hofman A, et al. (2013). Projections on the number of individuals with atrial fibrillation in the European Union from 2000 to 2060. Eur Heart J 34(35): 2746-2751. DOI: 10.1093/eurheartj/eht280. Go to original source... Go to PubMed...
  13. Ladwig KH, Goette A, Atasoy S, Johar H (2020). Psychological aspects of atrial fibrillation: A systematic narrative review: Impact on incidence, cognition, prognosis, and symptom perception. Curr Cardiol Rep 22(11): 137. DOI: 10.1007/s11886-020-01396-w. Go to original source... Go to PubMed...
  14. Li J, Gao M, Zhang M, Liu D, Li Z, Du J, et al. (2020). Treatment of atrial fibrillation: a comprehensive review and practice guide. Cardiovasc J Afr 31(3): 45-50. DOI: 10.5830/CVJA-2019-064. Go to original source... Go to PubMed...
  15. Li PWC, Yu DSF, Yan BP (2022). Nurse-led multi-component behavioural activation programme to improve health outcomes in patients with atrial fibrillation: a mixed-methods study and feasibility analysis. Eur J Cardiovasc Nurs 22(6): 655-663. DOI: 10.1093/eurjcn/zvac104. Go to original source... Go to PubMed...
  16. Lippi G, Sanchis-Gomar F, Cervellin G (2021). Global epidemiology of atrial fibrillation: An increasing epidemic and public health challenge. Int J Stroke 16(2): 217-221. DOI: 10.1177/1747493019897870. Go to original source... Go to PubMed...
  17. McCabe PJ, Barton DL, DeVon HA (2017). Older Adults at Risk for Atrial Fibrillation Lack Knowledge and Confidence to Seek Treatment for Signs and Symptoms. SAGE Open Nurs 3: 10.1177/2377960817720324. DOI: 10.1177/2377960817720324. Go to original source... Go to PubMed...
  18. McCabe PJ, Rhudy LM, Chamberlain AM, DeVon HA (2016). Fatigue, dyspnea, and intermittent symptoms are associated with treatment-seeking delay for symptoms of atrial fibrillation before diagnosis. Eur J Cardiovasc Nurs 15(6): 459-468. DOI: 10.1177/1474515115603901. Go to original source... Go to PubMed...
  19. McCallum CJ, Raja DC, Pathak RK (2019). Atrial fibrillation: an update on management. Aust Prescr 42(6): 186-191. DOI: 10.18773/austprescr.2019.067. Go to original source... Go to PubMed...
  20. Mousa SE, Dawood HA (2022). Nurses knowledge towards atrial fibrillation in cardiac care unit in babylon governorate. Int J Health Sci 6(S3): 8373-8384. DOI: 10.53730/ijhs.v6nS3.7997. Go to original source...
  21. NMC - Nursing and Midwifery Council (2018). Future nurse: Standards of proficiency for registered nurses. [online] [cit. 2020-04-11]. Available from: https://www.nmc.org.uk/globalassets/sitedocuments/education-standards/future-nurse-proficiencies.pdf
  22. Omoush A, Aloush S, ALBashtawy M, Rayan A, Alkhawaldeh A, Eshah N, et al. (2022). Nurses' knowledge of anticoagulation therapy for atrial fibrillation patients: Effectiveness of an educational course. Nurs Forum 57(5): 825-832. DOI: 10.1111/nuf.12770. Go to original source... Go to PubMed...
  23. Patsiou V, Samaras A, Kartas A, Moysidis DV, Papazoglou AS, Bekiaridou A, et al. (2022). Prognostic implications of adherence to oral anticoagulants among patients with atrial fibrillation: Insights from MISOAC-AF trial. J Cardiol 81(4): 390-396. DOI: 10.1016/j.jjcc.2022.09.009. Go to original source... Go to PubMed...
  24. Polit DF, Beck CT (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health 29(5): 489-497. DOI: 10.1002/nur.20147. Go to original source... Go to PubMed...
  25. Taylor EC, O'Neill M, Hughes LD, Moss-Morris R (2022). Atrial fibrillation, quality of life and distress: a cluster analysis of cognitive and behavioural responses. Qual Life Res 31(5): 1415-1425. DOI: 10.1007/s11136-021-03006-w. Go to original source... Go to PubMed...
  26. Son YJ, Baek KH, Lee SJ, Seo EJ (2019). Health-Related Quality of Life and Associated Factors in Patients with Atrial Fibrillation: An Integrative Literature Review. Int J Environ Res Public Health 16(17): 3042. DOI: 10.3390/ijerph16173042. Go to original source... Go to PubMed...
  27. Zimetbaum P (2017). Atrial Fibrillation. Ann Intern Med 166(12): 920. DPO: 10.7326/L17-0247. Go to original source... Go to PubMed...

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