Badanie fizykalne stosowane przez pielęgniarki na wybranych oddziałach szpitalnych

Mędrzycka‐Dąbrowska, Wioletta; Piotrkowska, Renata; Kwiecień-Jaguś, Katarzyna; Jarzynkowski, Piotr; Popiołek, Sandra

doi:10.25121/mr.2018.21.1.16

Cited by 3 publications

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“…This examination is also performed on bedridden patients. Mędrzycka-Dąbrowska et al [17], after analysing their own research, concluded that nurses working in surgical wards perform physical examinations more often, compared to nurses from conservative wards. The examinations include measuring blood pressure, heart rate, respiration, and during hospital admission.…”

Section: Resultsmentioning

confidence: 99%

“…Our own research has nations as sufficient, 38.2% as good, and just over 10% as insufficient. It is also worth noting that 39% of respondents were willing to improve their knowledge with a course or training [17]. The results of Liyew et al showed that nurses working in intensive care units had good practice in physical assessment among seriously ill patients [22].…”

Section: Discussionmentioning

confidence: 99%

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Usefulness of physical examination in the professional practice of nurses

Majchrowicz,

Tomaszewska

2023

ppiel

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Introduction: Performing a physical examination of a patient is one of the basic clinical competencies in nursing practice. It forms the basis for preparing nursing students for practice. Obtaining subjective and objective data through physical assessment enables nurses to make a diagnosis of the clinical condition of patients. The physical examination is primarily aimed at assessing the condition of the patient, so that an accurate nursing diagnosis can be made and appropriate measures can be taken to correct the problems that accompany the patients. The ability to conduct a physical examination enables better cooperation with other members of the therapeutic team. It is also believed that the ability of nurses to conduct a physical examination significantly enhances the competence of nurses. The aim of this paper was to assess the usefulness of physical examination in daily professional practice according to nursing staff. Material and methods: The study was conducted in a group of 186 nurses employed at a hospital in Podkarpackie voivodeship in Poland. The study was conducted in May 2023. The study used a diagnostic survey method with the use of a proprietary survey questionnaire. Participation in the study was random, anonymous, and voluntary. Results and conclusions: 35.9% of the nurses surveyed claimed they did not perform physical examinations very often. In contrast, 24.3% of the respondents said they performed them very often. 16.5% of respondents said they performed them several times a day. The majority of respondents believed that they were the right people to perform physical examinations. According to the respondents, physical examination is an important part of a nurse's work and has a great impact on patient treatment. Too infrequent performance of physical examinations among nurses is due to work overload and additional duties, as well as lack of confidence.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Usefulness of physical examination in the professional practice of nurses

Majchrowicz,

Tomaszewska

2023

ppiel

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“…Historia badania fizykalnego prowadzonego przez pielęgniarkę sięga lat 60. XX wieku [5]. Podstawową metodą gromadzenia danych na temat pacjenta jest ocena jego stanu zdrowia.…”

Section: Ocena Stanu Pacjentaunclassified

“…Z ich badań, prowadzonych na terenie województwa pomorskiego, wynika, że pomiary parametrów życiowych, ocenę budowy ciała i stanu odżywienia częściej wykonują pielęgniarki na oddziałach zabiegowych w porównaniu z jednostkami niezabiegowymi. Ponadto poziom wykształcenia i staż pracy istotnie wpływają na częstość wykonywania badań fizykalnych [5]. Takie zależności nie wynikają bezpośrednio z prezentowanych wyników, prawdopodobnie z uwagi Wśród barier ograniczających wykonywanie badań fizykalnych w praktyce klinicznej wymieniane są: kwestie osobiste (stres i lęk przed wykonywaniem badań spowodowany brakiem pewności siebie, brak gotowości wynikający z małego doświadczenia klinicznego), przeszkody związane z edukacją (rozbieżności pomiędzy teorią a praktyką, ograniczone możliwości doskonalenia umiejętności zdobytych podczas zajęć symulacyj-nych w czasie studiów w warunkach klinicznych, niskie kompetencje instruktorów, nieodpowiednie programy nauczania), wyzwania związane z praktyką kliniczną (marginalizowanie umiejętności i kompetencji do wykonywania badań fizykalnych przez pielęgniarki w praktyce klinicznej, brak wpływu na opiekę nad chorym) [13].…”

Section: Omówienieunclassified

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Performing physical examinations in the field of nursing competence

Cierzniakowska¹,

Popow²,

Kozłowska³

et al. 2021

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Physical examination in nursing related to work experience

Czeczelewska

2023

Med Sci Pulse

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Background: Poland and other European countries have incorporated the physical assessment of patients into nursing practice. Appropriate practical skills and awareness of physical assessment play an important role in early diagnosis, appropriate management, and mitigation of adverse consequences resulting from the deterioration of the patient's health. Aim of the study: The study aimed to evaluate the undertaking of physical examinations (PE) in professional practice by nurses with varying years of service. Material and methods: The study included a group of 171 registered nurses from Poland. Using the author's non-standardized questionnaire, the study examined the professional experience and usefulness of PE in the nursing profession. Results: Most nurses (56.3%) perform PE every day, regardless of seniority. The main reason for not performing PE was lack of time due to other nursing activities (32.7%) and insufficient staffing (29.9%). Some nurses also explained that it was due to the reluctance of medical personnel (24.1%). The most commonly used techniques in PE were inspection (44.1%) and palpation (32.8%). Most nurses (54.5%), regardless of seniority, felt satisfied with their PE performance. In the opinion of the respondents, 68.3% of patients approached PE undertaken by nurses with trust and appreciation, regardless of their seniority. Conclusions: Professional experience did not significantly affect the perception and performance of PE by nurses in professional practice. In the opinion of the respondents, trust and appreciation was the reaction most often declared by patients concerning nurses undertaking PE, which had no statistically significant relationship with the seniority of the nurse.

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Badanie fizykalne stosowane przez pielęgniarki na wybranych oddziałach szpitalnych

Cited by 3 publications

References 0 publications

Usefulness of physical examination in the professional practice of nurses

Usefulness of physical examination in the professional practice of nurses

Performing physical examinations in the field of nursing competence

Physical examination in nursing related to work experience

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