Medical-Surgical Department, College of Nursing, King Saud University, Riyadh, Saudi Arabia.
Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawadmi, Saudi Arabia.
J Clin Nurs. 2021 Mar;30(5-6):664-675. doi: 10.1111/jocn.15586. Epub 2020 Dec 16.
This study assessed the perceived knowledge and competence, and the attitude of Saudi nursing students towards vital signs monitoring for detecting patient deterioration during clinical rotation. It also examined the predictors of students' attitudes.
One of the most important uses of vital signs monitoring is the early detection of deterioration. Vital signs monitoring is one of the most frequently assigned tasks to students during clinical rotation. However, the attitudes of nursing students towards vital signs monitoring for detecting clinical deterioration remain unexplored.
Quantitative, cross-sectional design.
A convenience sample of 529 baccalaureate nursing students in two universities in Saudi Arabia was surveyed using the V-scale from October 2019-December 2019. A multivariate multiple regression was implemented to examine the multivariate effect of the predictor variables on the five subscales of the V-scale. This study adhered to the STROBE checklist.
The overall attitudes of the students towards VS monitoring can be interpreted as poor to modest. The highest mean was reported in the subscale 'communication'. The subscales 'workload', 'key indicators' and 'technology' received low mean scores. The university, age, gender, academic year level and perceived knowledge had significant multivariate effects on the five subscales of the V-scale.
The Saudi nursing students had poor attitudes towards vital signs monitoring, specifically towards the use of technology in vital signs monitoring, the workload associated with vital signs monitoring and vital signs as key indicators of patient deterioration.
The findings reveal the need to improve the curricular content and training of nursing students regarding vital signs and the physiological indicators of clinical deterioration. This study also identified areas that require improvement to ensure positive attitudes among students.
本研究评估了沙特护理学生对临床轮转中通过生命体征监测来发现患者病情恶化的感知知识和能力，以及态度。还研究了学生态度的预测因素。
生命体征监测最重要的用途之一是早期发现病情恶化。生命体征监测是学生在临床轮转中最常被分配的任务之一。然而，护理学生对生命体征监测以检测临床恶化的态度仍未得到探索。
定量、横断面设计。
2019 年 10 月至 12 月，对沙特阿拉伯两所大学的 529 名护理学士学生进行了便利抽样调查，使用 V 量表进行调查。采用多元逐步回归分析，考察预测变量对 V 量表五个分量表的多元影响。本研究遵循 STROBE 清单。
学生对 VS 监测的总体态度可以解释为较差到适中。“沟通”分量表报告的平均分最高。“工作量”、“关键指标”和“技术”分量表的平均分较低。大学、年龄、性别、年级和感知知识对 V 量表的五个分量表有显著的多元影响。
沙特护理学生对生命体征监测的态度较差，特别是对生命体征监测中使用技术、与生命体征监测相关的工作量以及生命体征作为患者病情恶化的关键指标的态度较差。
研究结果表明，需要改进护理学生的课程内容和培训，以提高他们对生命体征和临床恶化的生理指标的认识。本研究还确定了需要改进的领域，以确保学生的积极态度。
