Shin Hyunsook, Kim Bog-Ja, Kang Hee Sun
College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.
J Korean Acad Nurs. 2009 Oct;39(5):709-19. doi: 10.4040/jkan.2009.39.5.709.
The study was done to investigate physical assessment skills used by, and educational needs of, advanced practice nurses (APNs) and nurse specialists in Korea.
A total of 123 APNs and nurse specialists working in five major hospitals in Seoul were surveyed from July 15 to August 20, 2007.
Fourteen skills out of 126 items were reported as being performed on a regular basis by participants. The majority of these skills involved general observation. Forty-six skills were rarely used. Some participants showed a lack of confidence in certain assessment skills, such as in doing a rectal or pelvic exam, and the use of some assessment equipment. Over 90% of participants required in-depth education on health assessment provided by specialists or nursing professional organizations.
More educational opportunities in physical assessment should be provided including education programs based on the nurses' skill levels and needs. This effort will help to increase confidence of APNs and nurse specialists in physical assessment skills, ultimately resulting in better nursing outcomes.
本研究旨在调查韩国高级执业护士(APN)和专科护士所使用的身体评估技能以及他们的教育需求。
2007年7月15日至8月20日,对在首尔五家主要医院工作的123名APN和专科护士进行了调查。
参与者报告称,在126项技能中,有14项技能是他们经常执行的。这些技能中的大多数涉及一般观察。46项技能很少被使用。一些参与者对某些评估技能缺乏信心,例如直肠或盆腔检查以及一些评估设备的使用。超过90%的参与者需要由专家或护理专业组织提供的关于健康评估的深入教育。
应提供更多身体评估方面的教育机会,包括基于护士技能水平和需求的教育项目。这项工作将有助于增强APN和专科护士对身体评估技能的信心,最终带来更好的护理效果。