Effect of a physical assessment educational program on clinical practice

Mitoma, Rika; Yamauchi, Toyoaki

doi:10.5430/jnep.v8n8p96

“…In this study, training was a highly significant factor to use physical assessment skill practice. This finding was consistent with other studies conducted in Japan [61]. Therefore, to improve caregiving quality through systematic and advanced physical assessment skills, having a well-trained critical care nurse is crucial.…”

Section: Discussionsupporting

confidence: 92%

Practices and Barriers towards Physical Assessment among Nurses Working in Intensive Care Units: Multicenter Cross-Sectional Study

Liyew

¹

,

Tilahun

²

,

Kassew

³

2021

BioMed Research International

View full text Add to dashboard Cite

Background. In the intensive care units, patients need special consideration and monitor frequently with appropriate physical assessment skills. Nurses working in the intensive care units play a fundamental role in detecting patients at risk of deterioration through ongoing assessment and action in response to changing health status. Most of the nursing activities were poorly assessed in low-income countries including Ethiopia. Therefore, this study was aimed to assess the nurses’ practice and barriers to physical assessment among critically ill patients in Northwest Ethiopia. Methods. An institution-based multicenter cross-sectional study was conducted at Amhara regional state referral hospitals from March to September 2019. A total of 299 nurses working in the intensive care units were recruited through the convenience sampling method. A 30-item physical assessment practice and 36-item barriers to nurses’ use of the physical assessment scale inventory were used. The linear regression analysis model was fitted, and the adjusted unstandardized beta (β) coefficient with a 95% confidence interval was used. A p value < 0.05 was considered statistically significant. Results. The mean score of the nurses’ practice towards physical assessment among critically ill patients was 101.26 ± 24.99 . Greater perceived reliance on others and technology ( β = − 0.78 , 95% CI (-1.07, -0.48)), ward culture ( β = − 0.48 , 95% CI (-0.85, -0.11)), specialty area ( β = − 1.46 , 95% CI (-2.01, -0.90)), lack of nursing role model ( β = − 0.54 , 95% CI (-1.06, -0.02)), being unmarried ( β = − 6.10 , 95% CI (1.75, 10.46)), taken training ( β = 11.53 , 95% CI (6.34, 16.72)), and knowledge score ( β = 2.81 , 95% CI (2.00, 3.63)) were the factors significantly associated with the nurses’ practice score towards physical assessment. Reliance on others and technology towards physical assessment practice was the most important barrier followed by ward culture and specialty area. Conclusion. Nurses working in the intensive care units had a good practice towards physical assessment among critically ill patients. Hence, to increase the practice towards physical assessment in intensive care settings, especially for married nurses, experienced critical care nurses, and specialist professionals, practice support training, modifying ward environment, and educational support care are recommended.

show abstract

“…According to Oh et al, 28 physical assessment education and training are relevant, regardless of the experience level. Mitoma and Yamauchi 37 reported an increase in the regularity with which nurses performed physical assessment skills, as well as their inclination to do so, after the physical assessment education programme.…”

Section: Discussionmentioning

confidence: 97%

Physical assessment skills practised by critical care nurses: A cross‐sectional study

Rosli

¹

,

Soh

²

,

Ong

³

et al. 2022

Nursing in Critical Care

View full text Add to dashboard Cite

Background Physical assessment skills are essential to clinical decision‐making in nursing as they help nurses to identify and respond to patients' deterioration. Nurses develop confidence and can detect any out‐of‐range parameters in diagnosing and treating patients. Prior studies surveyed 120 skills but did not explicitly assess critical care. Aim To determine the range of physical assessment skills practised by critical care nurses and their adoption factors. Study design This study uses a cross‐sectional survey design. A self‐administered questionnaire evaluating 40 physical assessment skills was conducted with 133 staff nurses (response rate: 96.4%) in three critical care units at a Malaysian government hospital between November 2019 and January 2020. Results Most nurses applied 32 (80%) skills during every working shift, involving the vital signs and all body systems except the gastrointestinal system. Five skills (12.5%) were occasionally applied, while three skills (7.5%) were rarely applied or not part of most nurses' clinical practice. About 20% of the nurses did not routinely check the respiration rate. Medical and surgical intensive care unit nurses (U = 1129, p < .001) and nurses who had served over 10 years (H (2) = 9.60, p = .008) used more physical assessment skills than others. Nurses felt that continuing nursing education, participating in relevant courses and implementing standardised forms to record physical assessments would improve the application of such skills. Conclusion Clinical practice in these critical care settings challenges the assertion that physical assessment is vital to critical care nursing roles. Concerns highlighted by the nurses should be addressed by nursing management so that the application of physical assessment skills can be enhanced, especially in critical care settings. Relevance to Clinical Practice The findings indicated that physical assessment skills in critical care need to be improved. Education and training should emphasise these skills.

show abstract

“…Study Participants: 36 female nurses within the age range 24 to 39 years were included. Study Instrument: The researcher was used adopted questionnaire to assess ICU Nurses knowledge regarding respiratory physical assessment (Mitoma & Yamauchi, 2018). Data Analysis: Data analysis was evaluated by using Statistical Package for Social Sciences version 29.0.…”

Section: Methodology Study Designmentioning

confidence: 99%

Knowledge of Nurses Regarding Respiratory Physical Assessment in Tertiary Hospital Lahore, Pakistan

Latif¹,

Perveen²,

Sarwar³

et al. 2021

PJMHS

0

View full text Add to dashboard Cite

In health care setting nursing practices depends on knowledge. Knowledgeable nurses express their expertise in critical care units. Specialty in critical care units required respiratory knowledge regarding physical assessment. Furthermore nursing profession has been viewed central point for client care. The rapid changes in healthcare setting that increased demand of trained, experienced nurses in health care setting. The knowledge about anatomy and physiology regarding respiratory assessment necessary in the field of auscultating expertise like respiratory system that gives the chance of early diagnosis, assess the clients need and client health problem to implement the nursing process. Study Design: Descriptive Cross Sectional Study design was applied. Settings: Data was collected through convenient sampling method from ICU department of tertiary Hospital Lahore. Study Participants: 36 female nurses within the age range 24 to 39 years were included in this research. Results: The knowledge of ICU Nurses regarding anatomy of respiratory above 50% but knowledge regarding physical assessment less than 50%. Furthermore less knowledge among nurses about respiratory physical assessment in clinical practices. Keywords: Physical Assessment, Nurses application, Respiratory Knowledge, Practices

show abstract

Effect of a physical assessment educational program on clinical practice

Cited by 3 publications

References 24 publications

Practices and Barriers towards Physical Assessment among Nurses Working in Intensive Care Units: Multicenter Cross-Sectional Study

Practices and Barriers towards Physical Assessment among Nurses Working in Intensive Care Units: Multicenter Cross-Sectional Study

Physical assessment skills practised by critical care nurses: A cross‐sectional study

Knowledge of Nurses Regarding Respiratory Physical Assessment in Tertiary Hospital Lahore, Pakistan

Contact Info

Product

Resources

About