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Hemşirelerin Fiziksel Değerlendirme Becerileri ve Uygulamaya İlişkin Görüşleri

Year 2018, Volume: 5 Issue: 1, 39 - 48, 14.04.2018
https://doi.org/10.31125/hunhemsire.431127

Abstract

Amaç: Çalışma hemşirelerin hasta bakımında fiziksel değerlendirme becerileri ve
uygulamalarını belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: Araştırma tanımlayıcı nitelikte tasarlanmış olup özel bir üniversite
hastanesinin erişkin servis ve yoğun bakım ünitelerinde çalışan 125 hemşire üzerinde
yürütülmüştür. Veriler fiziksel değerlendirme uygulamaları ile farkındalıklarını değerlendiren,
26 soruluk soru formu kullanılarak toplanmıştır.
Bulgular: Çalışmamızda hemşirelerin %97,6’sı fiziksel değerlendirme hakkında bilgilerinin
olduğunu belirtmişlerdir. Hemşirelerin %79,5’i ‘Bireyin tüm sistemlerinin değerlendirilmesi’
olarak tanımlamışlardır. Hemşirelerin çok gerekli olduğu düşünülen fiziksel değerlendirme
becerileri, vital bulgu (%97,6), ödem (%96,8), deri turgoru takibi (%92,8), pupil cevabı (%92,8),
göz hareketleri (%90,4), ağız mukoza (%92,0) değerlendirmesidir.
Sonuç: Hemşirelerin çoğunluğunun fizik değerlendirme becerileri konusunda bilgilerinin
olduğu ancak mezuniyet sonrası bu bilgilerin temel fiziksel değerlendirme becerileri ile sınırlı
kaldığı saptanmıştır. Fiziksel değerlendirme becerilerinin klinik ortamda beceri tekniklerinin
kapsayacak şekilde lisans sonrasında hizmet içi eğitim ve klinik ortamda uygulamalı eğitim
programlarının düzenlenmelidir.

References

  • 1. West SL. Physical assessment: whose role is it anyway? Nurs Crit Care 2006; 11(4): 161-167
  • 2. Görgülü S. Hemşireler için fiziksel muayene yöntemleri, İstanbul Tıp Kitapevi 1. Baskı 2014 p:1-3
  • 3. Zambas SI. Purpose of the systematic physical assessment in everyday practice: critique of a “sacred cow”. J. Nurs. Educ 2010 ;49 (6): 305-310
  • 4. Taller SL, Feldman R. The training and utilization of nurse practitioners in adult health appraisal. Med. J. Nurs 1984; 12: 40–48.
  • 5. Natapoff JM, Moetzinger CA, Quarto JM. Health assessment skills in the baccalaureate program. Nurs. Outlook 1982; 30:44–47.
  • 6. Lesa R, Dixon A. Physical assessment: implications for nurse educators and nursing practice. Int Nurs Rev 2007; 54:166–172.
  • 7. Raleigh M, Allan H. Qualitative study of advanced nurse practitioners’ use of physical assessment skills in the community: shifting skills across professional boundaries Journal of Clinical Nursing 2016:2025-2035
  • 8. Wilson M, Lillibridge J. Health assessment: a study of registered nurses’ knowledge and skill level. Contem. Nurse 1995; 4: 116–112.
  • 9. Giddens J. Comparing the frequency of physical examination techniques performed by associate and baccalaureate degree prepared nurses in clinical practice: does education make a difference Journal of Nursing Education 2006; 45:136–139.
  • 10. Secrest JA, Norwood BR, Mont PM. Physical assessment skills: a descriptive study of what is taught and what is practiced. Journal of Professional Nursing 2005; 21:114–118.
  • 11. Birks M, Cant R, James A, Chung C Davis J. The use of physical assessment skills by registered nurses in Australia: issues for nursing education. Collegian 2013; 20: 27–33.
  • 12. Giddens JF. A survey of physical assessment techniques performed by RNs: lessons for nursing education. J. Nurs. Educ 2007; 46 (2):83-87.
  • 13. Melanie B, Robyn C, Grad CP, Catherine C, Jenny D, Grad D. The use of physical assessment skills by registered nurses in Australia: Issues for nursing education, Collegian 2013; 20:27-33.
  • 14. Aydın D, Dörtbudak Z. Nurses’ knowledge and use of physical assessment methods within the context of patient assessment. HEAD 2004; 1(1):29-33.
  • 15. Koç Z, Sağlam Z. Determination of physical assessment skills used by nurses in Turkey. Health MED 2012; 6 (3): 30-33.
  • 16. Shin H, Kim B, Kang HS. Use of Physical assessment skills and education needs of advanced practice nurses and nurse specialists. J Korean Acad Nurs 2009; 39(5):709-719.
  • 17. Zambas SI, Smythe EA, Mclain KJ. The consequences of using advanced physical assessmentskills in medical and surgical nursing. A hermeneutic pragmatic study. International Journal of Qualitative Studies on Health and Well-being 2016;1-13.
  • 18. Douglas C, Windsor C, Lewis P. Too much knowledge for a nurse? Use of physical assessment by finalsemester nursing students. Nursing and Health Science 2015; 17; 492-499.
  • 19. Osborne S, Douglas C, Reid C, Jones L, Gardner G. The primacy of vital signs acute care nurses’ and midwives’ use of physical assessment skills: A cross sectional study. International Journal of Nursing Studies 2015; 52; 951-962.
  • 20. Kohtz C, Brown CS, Williams R. Physical assessment techniques in nursing education. A Replicated Study. Journal of Nursing Education 2017;6 (66):287-291.
  • 21. Cicolini G, Tomietto M, Simonetti V, Comparcini. Physical assessment techniques performed by Italian registered nurses: a quantitative survey. Journal of Clinical Nursing 2015; 24; 3700-3706.
Year 2018, Volume: 5 Issue: 1, 39 - 48, 14.04.2018
https://doi.org/10.31125/hunhemsire.431127

Abstract

References

  • 1. West SL. Physical assessment: whose role is it anyway? Nurs Crit Care 2006; 11(4): 161-167
  • 2. Görgülü S. Hemşireler için fiziksel muayene yöntemleri, İstanbul Tıp Kitapevi 1. Baskı 2014 p:1-3
  • 3. Zambas SI. Purpose of the systematic physical assessment in everyday practice: critique of a “sacred cow”. J. Nurs. Educ 2010 ;49 (6): 305-310
  • 4. Taller SL, Feldman R. The training and utilization of nurse practitioners in adult health appraisal. Med. J. Nurs 1984; 12: 40–48.
  • 5. Natapoff JM, Moetzinger CA, Quarto JM. Health assessment skills in the baccalaureate program. Nurs. Outlook 1982; 30:44–47.
  • 6. Lesa R, Dixon A. Physical assessment: implications for nurse educators and nursing practice. Int Nurs Rev 2007; 54:166–172.
  • 7. Raleigh M, Allan H. Qualitative study of advanced nurse practitioners’ use of physical assessment skills in the community: shifting skills across professional boundaries Journal of Clinical Nursing 2016:2025-2035
  • 8. Wilson M, Lillibridge J. Health assessment: a study of registered nurses’ knowledge and skill level. Contem. Nurse 1995; 4: 116–112.
  • 9. Giddens J. Comparing the frequency of physical examination techniques performed by associate and baccalaureate degree prepared nurses in clinical practice: does education make a difference Journal of Nursing Education 2006; 45:136–139.
  • 10. Secrest JA, Norwood BR, Mont PM. Physical assessment skills: a descriptive study of what is taught and what is practiced. Journal of Professional Nursing 2005; 21:114–118.
  • 11. Birks M, Cant R, James A, Chung C Davis J. The use of physical assessment skills by registered nurses in Australia: issues for nursing education. Collegian 2013; 20: 27–33.
  • 12. Giddens JF. A survey of physical assessment techniques performed by RNs: lessons for nursing education. J. Nurs. Educ 2007; 46 (2):83-87.
  • 13. Melanie B, Robyn C, Grad CP, Catherine C, Jenny D, Grad D. The use of physical assessment skills by registered nurses in Australia: Issues for nursing education, Collegian 2013; 20:27-33.
  • 14. Aydın D, Dörtbudak Z. Nurses’ knowledge and use of physical assessment methods within the context of patient assessment. HEAD 2004; 1(1):29-33.
  • 15. Koç Z, Sağlam Z. Determination of physical assessment skills used by nurses in Turkey. Health MED 2012; 6 (3): 30-33.
  • 16. Shin H, Kim B, Kang HS. Use of Physical assessment skills and education needs of advanced practice nurses and nurse specialists. J Korean Acad Nurs 2009; 39(5):709-719.
  • 17. Zambas SI, Smythe EA, Mclain KJ. The consequences of using advanced physical assessmentskills in medical and surgical nursing. A hermeneutic pragmatic study. International Journal of Qualitative Studies on Health and Well-being 2016;1-13.
  • 18. Douglas C, Windsor C, Lewis P. Too much knowledge for a nurse? Use of physical assessment by finalsemester nursing students. Nursing and Health Science 2015; 17; 492-499.
  • 19. Osborne S, Douglas C, Reid C, Jones L, Gardner G. The primacy of vital signs acute care nurses’ and midwives’ use of physical assessment skills: A cross sectional study. International Journal of Nursing Studies 2015; 52; 951-962.
  • 20. Kohtz C, Brown CS, Williams R. Physical assessment techniques in nursing education. A Replicated Study. Journal of Nursing Education 2017;6 (66):287-291.
  • 21. Cicolini G, Tomietto M, Simonetti V, Comparcini. Physical assessment techniques performed by Italian registered nurses: a quantitative survey. Journal of Clinical Nursing 2015; 24; 3700-3706.
There are 21 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Banu Çevik

Ziyafet Uğurlu This is me

Elif Akyüz This is me

Sultan Kav This is me

Asuman Ersayın This is me

Publication Date April 14, 2018
Submission Date November 13, 2017
Published in Issue Year 2018 Volume: 5 Issue: 1

Cite

Vancouver Çevik B, Uğurlu Z, Akyüz E, Kav S, Ersayın A. Hemşirelerin Fiziksel Değerlendirme Becerileri ve Uygulamaya İlişkin Görüşleri. JOHUFON. 2018;5(1):39-48.