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Limited facilities in some developing regions make ECG conduction difficult when ECG conductors are unavailable. This quasi-experimental randomized post-test only control trial evaluated ECG artifact image outcomes using 0.9% NaCl, jelly, distilled water, and without conductor in inpatient and outpatient settings. Seventy-nine? (n=81) participants were analyzed across three groups.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/electrocardiogram-recording-results-of-distilled-water-jelly-nacl-and-without-conductor-evidence-based-practice/446023/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/electrocardiogram-recording-results-of-distilled-water-jelly-nacl-and-without-conductor-evidence-based-practice/446023.png","ImageObject",300,407,{"name":92,"@type":93},"Adam","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is evidence-based practice emphasized in ECG recording?","Question",{"text":112,"@type":113},"Evidence-based practice facilitates transferring research evidence into quality clinical practice, helping nurses provide more reliable ECG-based nursing care and reduce errors in recording and interpretation.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What problem does the study address regarding ECG conductors?",{"text":117,"@type":113},"In some developing regions, facilities can be limited so ECG conductors may be unavailable, making ECG recording difficult and potentially affecting recording quality.",{"name":119,"@type":110,"acceptedAnswer":120},"Which substances were compared as possible ECG conductor substitutes?",{"text":121,"@type":113},"The study compared 0.9% NaCl, jelly, distilled water, and recording without a conductor, assessing differences in ECG artifact images.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},446023,1791033504,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Malaysian Journal of Medicine and Health Sciences (eISSN 2636-9346)  \nORIGINAL ARTICLE  \nElectrocardiogram Recording Results of Distilled Water, Jelly, NaCl and without Conductor: Evidence Based Practice  \nWan Nishfa Dewi1, Safri Safri1, Erwin Erwin1, Irwan Irwan2  \n1 Faculty of Nursing Universitas Riau, Jl. Pattimura No. 9 Pekanbaru, Riau, Sumatra Indonesia  \n2 Faculty of Medicine Universitas Riau, Jl. Diponegore No. 1 Pekanbaru, Riau, Sumatra Indonesia  \nABSTRACT  \nIntroduction: Evidence based practice is an approach to facilitating the transfer of evidence into quality clinical practice. Nurses as professional health workers should refer to evidence-based approach in providing nursing care. Oneof them is recording Electrocardiogram (ECG) . ECG is a common test performed for patients with cardiovascular. However, in some regions in developing countries with limited facilities such as ECG conductors, ECG recording is difficult to be performed. This research aimed to investigate the possibilities of substitutions conductors for ECG that seek from the artifacts of ECG recording results using 0.9% NaCl, jelly, distilled water and without conductor in ECG tests. Method: This study employed a quasi-experimental design using a randomized post-test only control trial approach. The study was conducted on inpatients and outpatients who were performed ECG test by a cardiologist who is a member of the research team. A samples size of 81 people were obtained through purposive sampling technique and divided into three groups. The research instrument used for all groups was an observation guideline for the artifact images of ECG recording results. Results: The results showed that there was no significant difference of the artifact images resulted from using 0.9% NaCl, distilled water, and jelly as conductors in ECG tests. While ECG recording resulted between NaCl and without conductor showed that there was significant difference between two groups indicated by the p value of 0.010 (α=0.05) . Conclusion: In conclusion, it was found that 0.9% NaCl and distilled water were effective to be used as conductors to substitute jelly to obtain a good recording result of ECG tests.  \nKeywords: Evidence based practice, Substitution, Electrocardiogram, Conductor  \nCorresponding Author:  \nWan Nishfa Dewi, PhD  \n[Email: wan.dewi@lecturer.unri.ac.id](Email: wan.dewi@lecturer.unri.ac.id)  \n[Tel:](Tel:) +62 812 752 2049  \nINTRODUCTION  \nElectrocardiogram (ECG) recording is one of the important assessments in determining underlying problems in the cardiovascular system. The ECG recording results are essential for diagnosing and informing health workers, especially nurses, a change of patient conditions. However, ECG recording should be performed accurately as the errors in recording procedures and misinterpretation can lead to inaccurate diagnosis. Therefore, to avoid errors in recording ECGs, health workers including nurses must have a great understanding and knowledge concerning ECG (1) .  \nECG is an important diagnostic and monitoring tool in health care systems (2) . ECG is a combination of three words, namely: electro means electrical signal; cardio means heart; and gram means recording. Thus, the electrocardiogram is the recording of the electrical signal of the heart. The instrument used to record the electrical activity ofthe heart is called electrocardiograph (3). There  \nare three types of ECG recording, namely: (1) standard clinical ECG using twelve leads, (2) vector cardiogram (VCG), and (3) ambulatory ECG (monitoring) . The VCG and monitoring types are used in bedside monitors in intensive room (4) .  \nAn artifact is a sight resembling a fine or fuzzy hair on an ECG image. According to Jevon and Ewens (1), this wave interference called artifact are caused by several factors including: the patient experiencing a seizure or shiver and anxiety due to the contact between the electrodes and the dirty skin,(c) the incorrect placement of electrodes,(d)","cbCain6jjXma5FZu","https://ap.wps.com/l/cbCain6jjXma5FZu","pdf",93256,"English","# Introduction\n## Electrocardiogram recording and importance\n## ECG artifacts and causes\n## Limited studies on ECG conductors and alternatives","[{\"question\":\"Why is evidence-based practice emphasized in ECG recording?\",\"answer\":\"Evidence-based practice facilitates transferring research evidence into quality clinical practice, helping nurses provide more reliable ECG-based nursing care and reduce errors in recording and interpretation.\"},{\"question\":\"What problem does the study address regarding ECG conductors?\",\"answer\":\"In some developing regions, facilities can be limited so ECG conductors may be unavailable, making ECG recording difficult and potentially affecting recording quality.\"},{\"question\":\"Which substances were compared as possible ECG conductor substitutes?\",\"answer\":\"The study compared 0.9% NaCl, jelly, distilled water, and recording without a conductor, assessing differences in ECG artifact images.\"}]","Electrocardiogram Recording Results of Distilled Water, Jelly, NaCl and without Conductor: Evidence Based Practice | PDF",1790713691,13]