9.00
Hdl Handle:
http://hdl.handle.net/10755/335404
Category:
Full-text
Type:
Presentation
Title:
Development of the Barriers to Nurses' Use of Physical Assessment Scale
Other Titles:
Symposium: More Than Vital Signs: Reframing Nurses Recognition and Response to Clinical Deterioration
Author(s):
Douglas, Clint
Lead Author STTI Affiliation:
Non-member
Author Details:
Clint Douglas, RN, BN, PhD, c2.douglas@qut.edu.au
Abstract:
Session presented on Friday, July 25, 2014: Purpose: There is growing evidence of failure to recognise hospitalised patients at risk of clinical deterioration, in part due to inadequate physical assessment by nurses. Yet, little is known about the barriers to nurses' use of physical assessment in the acute hospital setting and no validated scales have been published. Complex intervention studies designed to address these barriers and improve nursing assessment skills are also needed. However, before interventions targeting nurses' assessment practices can be developed, a valid and reliable measure of barriers to physical assessment skills is required. The purpose of the study was to develop and psychometrically test the Barriers to Nurses' use of Physical Assessment Scale. Methods: Scale development was based on a comprehensive literature review, focus groups, expert review and psychometric evaluation. The scale was administered to 434 acute care registered nurses working at a large Australian teaching hospital between June and July 2013. Psychometric analysis included factor analysis, model fit statistics and reliability testing. Results: The final scale was reduced to 38 items representing seven factors, together accounting for 57.7% of the variance: (1) reliance on others and technology, (2) lack of time and interruptions, (3) ward culture, (4) lack of confidence, (5) lack of nursing role models, (6) lack of influence on patient care, and (7) specialty area. Internal reliability ranged from .70 to .86. Conclusion: Findings provide initial evidence for the validity and reliability of the new scale and point to the importance of understanding the organisational determinants of nurses' assessment practices. Barriers to nurses' use of physical assessment may impair timely recognition of patient deterioration and interventions targeting these factors may improve patient outcomes. This new measure should encourage future researchers and clinicians to assess the barriers to nurses' use of physical assessment, to better understand how to support nursing assessment in acute care settings.
Keywords:
clinical deterioration; patient safety; nursing assessment
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14D11
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleDevelopment of the Barriers to Nurses' Use of Physical Assessment Scaleen
dc.title.alternativeSymposium: More Than Vital Signs: Reframing Nurses Recognition and Response to Clinical Deteriorationen
dc.contributor.authorDouglas, Clinten
dc.contributor.departmentNon-memberen
dc.author.detailsClint Douglas, RN, BN, PhD, c2.douglas@qut.edu.auen
dc.identifier.urihttp://hdl.handle.net/10755/335404-
dc.description.abstractSession presented on Friday, July 25, 2014: Purpose: There is growing evidence of failure to recognise hospitalised patients at risk of clinical deterioration, in part due to inadequate physical assessment by nurses. Yet, little is known about the barriers to nurses' use of physical assessment in the acute hospital setting and no validated scales have been published. Complex intervention studies designed to address these barriers and improve nursing assessment skills are also needed. However, before interventions targeting nurses' assessment practices can be developed, a valid and reliable measure of barriers to physical assessment skills is required. The purpose of the study was to develop and psychometrically test the Barriers to Nurses' use of Physical Assessment Scale. Methods: Scale development was based on a comprehensive literature review, focus groups, expert review and psychometric evaluation. The scale was administered to 434 acute care registered nurses working at a large Australian teaching hospital between June and July 2013. Psychometric analysis included factor analysis, model fit statistics and reliability testing. Results: The final scale was reduced to 38 items representing seven factors, together accounting for 57.7% of the variance: (1) reliance on others and technology, (2) lack of time and interruptions, (3) ward culture, (4) lack of confidence, (5) lack of nursing role models, (6) lack of influence on patient care, and (7) specialty area. Internal reliability ranged from .70 to .86. Conclusion: Findings provide initial evidence for the validity and reliability of the new scale and point to the importance of understanding the organisational determinants of nurses' assessment practices. Barriers to nurses' use of physical assessment may impair timely recognition of patient deterioration and interventions targeting these factors may improve patient outcomes. This new measure should encourage future researchers and clinicians to assess the barriers to nurses' use of physical assessment, to better understand how to support nursing assessment in acute care settings.en
dc.subjectclinical deteriorationen
dc.subjectpatient safetyen
dc.subjectnursing assessmenten
dc.date.available2014-11-17T13:51:41Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:51:41Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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