Alamri Majed Sulaiman, Almazan Joseph U
Department of Nursing, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia.
Int J Health Sci (Qassim). 2018 May-Jun;12(3):58-66.
There is a growing demand for health-care nursing services in several health care institutions. Understanding barriers to physical assessment among nursing students create a more detailed assessment in the development of quality patient's care in nursing practice. This study examined the barriers to physical assessment skills among nursing students in a government university in Arab Peninsula.
A cross-sectional research survey design of 206 nursing students using a standardized questionnaire was used. The questionnaire is composed of 7 subscales in evaluating the barriers to physical assessment skills between the classroom and clinical setting. Independent Samples t-test was used in comparing the gender mean of the nursing students about the barriers to physical assessment. Paired t-test was also used in determining the differences between perceived barriers to physical assessment in the classroom and clinical setting.
Subscale "reliance on others and technology," ward culture, "lack of influence on patient care" have significant differences between perceived barriers in physical assessment among classroom settings and clinical setting.
Although nursing students were oriented and educated about physical assessment in the nursing curriculum, this is not often practiced in clinical settings. The point that is if nursing students are incorrectly performing the patient assessment, then no amount of critical thinking could lead to better clinical decisions. Continuous exposure and enhancing the quality of planning and promotion of the nursing students could develop necessary skills. In addition, increasing self-confidence is vital to assess the patient's health status effectively and minimize the barriers to performing the physical assessment.
多家医疗机构对医疗护理服务的需求日益增长。了解护理专业学生在体格检查方面的障碍,有助于在护理实践中更详细地评估优质患者护理的发展情况。本研究调查了阿拉伯半岛一所公立大学护理专业学生在体格检查技能方面的障碍。
采用横断面研究调查设计,对206名护理专业学生使用标准化问卷。该问卷由7个分量表组成,用于评估课堂和临床环境中体格检查技能的障碍。独立样本t检验用于比较护理专业学生在体格检查障碍方面的性别均值。配对t检验也用于确定课堂和临床环境中体格检查感知障碍之间的差异。
分量表“依赖他人和技术”、病房文化、“对患者护理缺乏影响”在课堂环境和临床环境中体格检查的感知障碍之间存在显著差异。
尽管护理专业学生在护理课程中接受了体格检查方面的指导和教育,但在临床环境中往往没有得到实践。关键在于,如果护理专业学生对患者的评估不正确,那么再多的批判性思维也无法带来更好的临床决策。持续接触并提高护理专业学生规划和推广的质量,可以培养必要的技能。此外,增强自信心对于有效评估患者的健康状况和减少体格检查的障碍至关重要。