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Hemşirelerin Fizik Muayeneye Yönelik Tutumları ve Etkileyen Faktörler: Tanımlayıcı ve Kesitsel Bir Çalışma

Year 2023, Volume: 26 Issue: 4, 297 - 306, 29.12.2023
https://doi.org/10.5152/JANHS.2023.23516

Abstract

Amaç: Bu çalışmanın amacı, hemşirelerin fizik muayene yapma konusundaki özelliklerini, fizik muayeneye yönelik mevcut tutumlarını ve etkileyen faktörleri belirlemektir.

Yöntemler: Tanımlayıcı ve kesitsel tipteki bu araştırma, Afyonkarahisar ilindeki bir devlet ve üniversite hastanesinde görev yapan 488 hemşire ile gerçekleştirilmiştir. Veriler Hemşire Bilgi
Formu ve Fizik Muayene Tutum ve Uygulama Ölçeğinin Türkçe versiyonu kullanılarak toplandı.

Bulgular: Hemşirelerin fizik muayeneye yönelik tutum puanı 45.89 ± 10.32 (min:19, maks:87) olarak bulundu. Çoklu doğrusal regresyon analizi sonuçlarına göre; fizik muayene yapmak (β = −0.318,
P < .001), lisans mezunu olmak (β = −0.179, P < .001), kadın olmak (β = –0.175, P < .001), yüksek lisans derecesine sahip olmak (β = −0.168, P < .001), daha az hastanın günlük bakımından sorumlu
olmak (β = −0.158, P = .005), fizik muayeneyi hemşirelik uygulamalarının bir parçası olarak görmek (β = −0.155, P = .002) ve fizik muayene hakkında yeterli bilgi düzeyine sahip olmak (β = −0.140,
P = .001), fizik muayeneye yönelik daha olumlu tutuma sahip olma üzerine etkili olan anlamlı yordayıcılardı.

Sonuç: Bu çalışmanın sonuçları, hemşirelerin fizik muayeneye yönelik olumlu bir tutuma sahip olduklarını gösterdi. Fizik muayene yapma deneyimi tutumun ana belirleyicisiydi. Hemşirelerin fizik muayene becerilerini etkin bir şekilde kullanmalarını sağlamak için, bilgi ve beceri düzeylerinin geliştirilmesi ve kurumsal düzeyde politikaların oluşturulmasını öneriyoruz

References

  • 1. Zambas SI, Smythe EA, Koziol-Mclain J. The consequences of using advanced physical assessment skills in medical and surgical nursing: a hermeneutic pragmatic study. Int J Qual Stud Health Well Being. 2016;11(1):32090. [CrossRef]
  • 2. Ahmad Kutah o. Physical assessment techniques performed by Jordanian registered nurses (RNs): survey Study. Am J Nurs Sci. 2021;10(1):41. [CrossRef]
  • 3. Tan MW, Lim FP, Siew AL, Levett-Jones T, Chua WL, Liaw SY. Why are physical assessment skills not practiced? A systematic review with implications for nursing education. Nurse Educ Today. 2021;99:104759. [CrossRef]
  • 4. Saghir M, Hussain M, Perveen K, Afzal M, Shoukat MS. Knowledge, attitude, and practices towards physical assessment of critically III patients among nurses working in intensive care unit: a Cross-Sectional Study in Lahore, Pakistan. IJHMNP. 2021;3(1):44-61. [CrossRef]
  • 5. osborne S, Douglas C, Reid C, Jones L, Gardner G, RBWH Patient Assessment Research Council. The primacy of vital signs - Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study. Int J Nurs Stud. 2015;52(5):951-962. [CrossRef]
  • 6. Borji M, Tarjoman A, Taghi Nejad H, Meymizade M, Nariman S, Safari S. Relationship between knowledge-skill and importance of physical examination for children admitted to infectious wards: examining nurses’ points of view. J Compr Ped. 2018;9(1):e63292. [CrossRef]
  • 7. Khoran M, Alhani F, Hajizadeh E. Nurses challenges in health assessment skills in Iran and another country: an integrative review. J NursMidwif Sci. 2018;5(1):38-45. [CrossRef]
  • 8. Goto H, Yamauchi T. Nurse perceptions of physical assessment skills for detecting acute progression of heart failure. Jpn J Nurs Sci. 2021;18(1):e12368. [CrossRef]
  • 9. Pejmankhah S. Evaluate nurses’ self-assessment and educational needs in term of physical examination of patients in hospitals of Birjand University of Medical Sciences. Procedia Soc Behav Sci. 2014;141:597-601. [CrossRef]
  • 10. 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(1):27-33. [CrossRef]
  • 11. oh H, Lee J, Kim EK. Perceived competency, frequency, training needs in physical assessment among registered nurses. Korean J Adult Nurs. 2012;24(6):627-634. [CrossRef]
  • 12. Cicolini G, Tomietto M, Simonetti V, et al. Physical assessment techniques performed by Italian registered nurses: a quantitative survey.J Clin Nurs. 2015;24(23-24):3700-3706. [CrossRef]
  • 13. Rosli SN, Soh KL, ong SL, Halain AA, Abdul Raman RA, Soh KG. Physical assessment skills practised by critical care nurses: a cross-sectional study. Nurs Crit Care. 2023;28(1):109-119. [CrossRef] 14. Liyew B, Tilahun AD, Kassew T. Practices and barriers towards physical assessment among nurses working in intensive care units: multicenter cross-sectional study. BioMed Res Int. 2021;2021:5524676.[CrossRef]
  • 15. McElhinney E. Factors which influence nurse practitioners ability to carry out physical examination skills in the clinical area after a degree level module - an electronic Delphi study. J Clin Nurs. 2010;19(21-22):3177-3187. [CrossRef]
  • 16. Gharaibeh B, Al-Smadi AM, Ashour A, Slater P. Development and psychometric testing of the physical examination Attitudes and Practices Scale. Nurs Forum. 2019;54(1):111-120. [CrossRef]
  • 17. Ajzen I, Fishbein M. Attitudes and the attitude-behavior relation: reasoned and automatic processes. Eur Rev Soc Psychol. 2000;11(1):1-33. [CrossRef]
  • 18. Liyew B, Tilahun AD, Kassew T. Knowledge, attitude, and associated factors towards physical assessment among nurses working in intensive care units: a Multicenter Cross-Sectional Study. Crit Care Res Pract. 2020:1-9.
  • 19. Gharaibeh B, Abuhammad S, Akhu-Zaheya L. Attitudes toward physical examination skills among registered nurses in clinical settings in Jordan. Inform Med Unlocked. 2022;32:101027. [CrossRef]
  • 20. Zambas SI. Purpose of the systematic physical assessment in everyday practice: critique of a “sacred cow”. J Nurs Educ. 2010;49(6):305-310. [CrossRef]
  • 21. Regulation on the Amendment of the Nursing Regulation, T.R. official Gazette. Available at: https ://ww w.sag lik.g ov.tr/TR,1 0526/ hemsirelik-yonetmeli ginde -degi sikli k-yap ilmas ina-d air-yonetm elik. HTML.
  • 22. Kızıl H, Altıntop İ, Akyol YE. Hemşirelerin bireyselleştirilmiş bakımdafiziksel muayene yöntemlerini kullanma durumlarının incelenmesi.Yoğun Bakım Hemşireliği Dergisi. 2019;23(3):131-139.
  • 23. Çalışkan N, Doğan N, Erdoğan BC, et al. Hemşirelerin ve hemşirelik öğrencilerinin fiziksel değerlendirme becerilerini kullanma durumları: Karşılaştırmalı bir çalışma. Hacettepe Üniversitesi hemşirelik Fakültesi Dergisi. 2020;7(3):206-214.
  • 24. Çevİk B, Uğurlu Z, Akyüz E, Kav S, Ersayın A. Hemşirelerin fiziksel değerlendirme becerileri ve uygulamaya ilişkin görüşleri. Hacettepe Univ Hemşirelik Fak Derg. 2018;5(1):39-48. [CrossRef]
  • 25. Korkmaz Doğdu A, Kol E. Nurses’ views on physical examination use and related factors. J Nurs Sci. 2021;4(2):66-75.
  • 26. Baştürk S, Taştepe M. Evren ve Örneklem. In: Baştürk S., ed. Bilimsel Araştırma Yöntemleri. Vize Yayıncılık, 2013:129-159.
  • 27. Kısacık ÖG, Özdaş A. Turkish version of the physical examination attitude and practice scale in nursing: a validity and reliability study. 3rd International Congress of Multidisciplinary Studies in Health Sciences, Ankara, 2021:245-246.
  • 28. Mitoma R, Yamauchi T. Effect of a physical assessment educational program on clinical practice. J Nurs Educ Pract. 2018;8(8):96-104.[CrossRef]
  • 29. Douglas C, Windsor C, Lewis P. Too much knowledge for a nurse? Use of physical assessment by final-semester nursing students. Nurs Health Sci. 2015;17(4):492-499. [CrossRef]
  • 30. Birks M, James A, Chung C, Cant R, Davis J. The teaching of physical assessment skills in pre-registration nursing programmes in Australia: issues for nursing education. Collegian. 2014;21(3):245-253.[CrossRef]

Nurses’ Attitudes Towards Physical Examination and Influencing Factors: A Descriptive and Cross-Sectional Study

Year 2023, Volume: 26 Issue: 4, 297 - 306, 29.12.2023
https://doi.org/10.5152/JANHS.2023.23516

Abstract

Objective: The aim of the study was to determine the characteristics of Turkish nurses with regard to performing physical examination, their current attitudes towards physical examination,
and the factors affecting them.

Methods: This descriptive and cross-sectional study was conducted with 488 nurses working in a state and an university hospital in the Afyonkarahisar province of Turkey. The data were collected
with the Nurse Information Form and the Turkish version of the Physical Examination Attitude and Practice Scale.

Results: Nurses’ attitude score towards physical examination was found to be 45.89 (SD = 10.32, minimum: 19, maximum: 87). As per the multiple linear regression results, performing physical
examination (β = −0.318, P < .001), having undergraduate degree (β = −0.179, P < .001), being female (β= −0.175, P < .001), having postgraduate degree (β = −0.168, P < .001), being responsible
for the daily care of fewer patients (β = −0.158, P = .005), considering physical examination as part of nursing practices (β = −0.155, P = .002), and having sufficient knowledge level about physical
examination (β = −0.140, P = .001) were significant factors that were effective in having a more positive attitude towards physical examination.

Conclusion: The results of this study revealed that nurses have a positive attitude towards physical examination. Experience performing a physical examination was the main predictor of attitude
towards physical examination. To enable nurses to use their physical examination skills effectively, it is recommended to improve their knowledge and skill levels and to establish policies at the
institutional level.

References

  • 1. Zambas SI, Smythe EA, Koziol-Mclain J. The consequences of using advanced physical assessment skills in medical and surgical nursing: a hermeneutic pragmatic study. Int J Qual Stud Health Well Being. 2016;11(1):32090. [CrossRef]
  • 2. Ahmad Kutah o. Physical assessment techniques performed by Jordanian registered nurses (RNs): survey Study. Am J Nurs Sci. 2021;10(1):41. [CrossRef]
  • 3. Tan MW, Lim FP, Siew AL, Levett-Jones T, Chua WL, Liaw SY. Why are physical assessment skills not practiced? A systematic review with implications for nursing education. Nurse Educ Today. 2021;99:104759. [CrossRef]
  • 4. Saghir M, Hussain M, Perveen K, Afzal M, Shoukat MS. Knowledge, attitude, and practices towards physical assessment of critically III patients among nurses working in intensive care unit: a Cross-Sectional Study in Lahore, Pakistan. IJHMNP. 2021;3(1):44-61. [CrossRef]
  • 5. osborne S, Douglas C, Reid C, Jones L, Gardner G, RBWH Patient Assessment Research Council. The primacy of vital signs - Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study. Int J Nurs Stud. 2015;52(5):951-962. [CrossRef]
  • 6. Borji M, Tarjoman A, Taghi Nejad H, Meymizade M, Nariman S, Safari S. Relationship between knowledge-skill and importance of physical examination for children admitted to infectious wards: examining nurses’ points of view. J Compr Ped. 2018;9(1):e63292. [CrossRef]
  • 7. Khoran M, Alhani F, Hajizadeh E. Nurses challenges in health assessment skills in Iran and another country: an integrative review. J NursMidwif Sci. 2018;5(1):38-45. [CrossRef]
  • 8. Goto H, Yamauchi T. Nurse perceptions of physical assessment skills for detecting acute progression of heart failure. Jpn J Nurs Sci. 2021;18(1):e12368. [CrossRef]
  • 9. Pejmankhah S. Evaluate nurses’ self-assessment and educational needs in term of physical examination of patients in hospitals of Birjand University of Medical Sciences. Procedia Soc Behav Sci. 2014;141:597-601. [CrossRef]
  • 10. 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(1):27-33. [CrossRef]
  • 11. oh H, Lee J, Kim EK. Perceived competency, frequency, training needs in physical assessment among registered nurses. Korean J Adult Nurs. 2012;24(6):627-634. [CrossRef]
  • 12. Cicolini G, Tomietto M, Simonetti V, et al. Physical assessment techniques performed by Italian registered nurses: a quantitative survey.J Clin Nurs. 2015;24(23-24):3700-3706. [CrossRef]
  • 13. Rosli SN, Soh KL, ong SL, Halain AA, Abdul Raman RA, Soh KG. Physical assessment skills practised by critical care nurses: a cross-sectional study. Nurs Crit Care. 2023;28(1):109-119. [CrossRef] 14. Liyew B, Tilahun AD, Kassew T. Practices and barriers towards physical assessment among nurses working in intensive care units: multicenter cross-sectional study. BioMed Res Int. 2021;2021:5524676.[CrossRef]
  • 15. McElhinney E. Factors which influence nurse practitioners ability to carry out physical examination skills in the clinical area after a degree level module - an electronic Delphi study. J Clin Nurs. 2010;19(21-22):3177-3187. [CrossRef]
  • 16. Gharaibeh B, Al-Smadi AM, Ashour A, Slater P. Development and psychometric testing of the physical examination Attitudes and Practices Scale. Nurs Forum. 2019;54(1):111-120. [CrossRef]
  • 17. Ajzen I, Fishbein M. Attitudes and the attitude-behavior relation: reasoned and automatic processes. Eur Rev Soc Psychol. 2000;11(1):1-33. [CrossRef]
  • 18. Liyew B, Tilahun AD, Kassew T. Knowledge, attitude, and associated factors towards physical assessment among nurses working in intensive care units: a Multicenter Cross-Sectional Study. Crit Care Res Pract. 2020:1-9.
  • 19. Gharaibeh B, Abuhammad S, Akhu-Zaheya L. Attitudes toward physical examination skills among registered nurses in clinical settings in Jordan. Inform Med Unlocked. 2022;32:101027. [CrossRef]
  • 20. Zambas SI. Purpose of the systematic physical assessment in everyday practice: critique of a “sacred cow”. J Nurs Educ. 2010;49(6):305-310. [CrossRef]
  • 21. Regulation on the Amendment of the Nursing Regulation, T.R. official Gazette. Available at: https ://ww w.sag lik.g ov.tr/TR,1 0526/ hemsirelik-yonetmeli ginde -degi sikli k-yap ilmas ina-d air-yonetm elik. HTML.
  • 22. Kızıl H, Altıntop İ, Akyol YE. Hemşirelerin bireyselleştirilmiş bakımdafiziksel muayene yöntemlerini kullanma durumlarının incelenmesi.Yoğun Bakım Hemşireliği Dergisi. 2019;23(3):131-139.
  • 23. Çalışkan N, Doğan N, Erdoğan BC, et al. Hemşirelerin ve hemşirelik öğrencilerinin fiziksel değerlendirme becerilerini kullanma durumları: Karşılaştırmalı bir çalışma. Hacettepe Üniversitesi hemşirelik Fakültesi Dergisi. 2020;7(3):206-214.
  • 24. Çevİk B, Uğurlu Z, Akyüz E, Kav S, Ersayın A. Hemşirelerin fiziksel değerlendirme becerileri ve uygulamaya ilişkin görüşleri. Hacettepe Univ Hemşirelik Fak Derg. 2018;5(1):39-48. [CrossRef]
  • 25. Korkmaz Doğdu A, Kol E. Nurses’ views on physical examination use and related factors. J Nurs Sci. 2021;4(2):66-75.
  • 26. Baştürk S, Taştepe M. Evren ve Örneklem. In: Baştürk S., ed. Bilimsel Araştırma Yöntemleri. Vize Yayıncılık, 2013:129-159.
  • 27. Kısacık ÖG, Özdaş A. Turkish version of the physical examination attitude and practice scale in nursing: a validity and reliability study. 3rd International Congress of Multidisciplinary Studies in Health Sciences, Ankara, 2021:245-246.
  • 28. Mitoma R, Yamauchi T. Effect of a physical assessment educational program on clinical practice. J Nurs Educ Pract. 2018;8(8):96-104.[CrossRef]
  • 29. Douglas C, Windsor C, Lewis P. Too much knowledge for a nurse? Use of physical assessment by final-semester nursing students. Nurs Health Sci. 2015;17(4):492-499. [CrossRef]
  • 30. Birks M, James A, Chung C, Cant R, Davis J. The teaching of physical assessment skills in pre-registration nursing programmes in Australia: issues for nursing education. Collegian. 2014;21(3):245-253.[CrossRef]

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Research Articles
Authors

Azize ÖZDAŞ

Öznur GÜRLEK KISACIK

Early Pub Date December 30, 2023
Publication Date December 29, 2023
Published in Issue Year 2023 Volume: 26 Issue: 4

Cite

AMA ÖZDAŞ A, GÜRLEK KISACIK Ö. Nurses’ Attitudes Towards Physical Examination and Influencing Factors: A Descriptive and Cross-Sectional Study. Journal of Nursology. December 2023;26(4):297-306. doi:10.5152/JANHS.2023.23516