Nurse perceptions of physical assessment skills for detecting acute progression of heart failure.

Purpose The study purpose was to investigate whether years of clinical experience and experience of encountering heart failure affect perceptions of the need for physical assessment, and the nature of the association between perceptions and years of clinical experience. Methods: This study was surve...

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Publicado en:Japan Journal of Nursing Science Vol. 18; no. 1; pp. 1 - 20
Autores principales: Goto, Hisae, Yamauchi, Toyoaki
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2021
      vid: 18
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        148159931
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        148159931
        148159931
        10.1111/jjns.12368
        148159931
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        atl: Nurse perceptions of physical assessment skills for detecting acute progression of heart failure.
      aug:
        au:
          Goto, Hisae
          Yamauchi, Toyoaki
        affil: Department of Nursing, Graduate School of Medicine, Nagoya University, Nagoya, Japan
      sug:
        subj:
          Heart Failure Diagnosis
          Disease Progression Diagnosis
          Physical Examination Utilization
          Nursing Skills
          Nurse Attitudes
          Nursing Assessment
          Nursing Diagnosis
          Human
          Surveys
          Japan
          Random Sample
          Questionnaires
          Self Administration
          Cardiovascular System Physiology
          Summated Rating Scaling
          Sample Size
          Pearson's Correlation Coefficient
          Chi Square Test
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Post Hoc Analysis
          Data Analysis Software
          Comparative Studies
      ab: Purpose The study purpose was to investigate whether years of clinical experience and experience of encountering heart failure affect perceptions of the need for physical assessment, and the nature of the association between perceptions and years of clinical experience. Methods: This study was survey‐based. Of hospitals in Japan with ≥200 beds, 298 hospitals were randomly selected as candidate research sites. Ultimately, 44 hospitals agreed to participate in this study. A self‐administered questionnaire measuring 48 physical assessment skills was developed and distributed to nurses. The questionnaire rated the perceived need for 48 skills assessing acute progression of heart failure. Results: Of 1,113 nurses sampled, 373 (33.5%) responded. Of these, 347 completed questionnaires (response rate: 93.0%). Nurses' perceived need for skills involving systematic or cardiovascular system assessment decreased with clinical experience. Nurses' perceived need for skills involving cardiovascular symptoms and circulatory failure assessment increased with clinical experience. We found four patterns of change for nurses' perceptions of physical assessment skills according to clinical experience. Conclusions: The findings showed that differences in nurses' perceived need for physical assessment skills were associated with differences in clinical experience. Nurses with more experience selected more suitable skills for detecting acute progression of heart failure. Nurses' perceptions of the need for specific skills were proportional to years of clinical experience, and there may be a threshold value of years of experience.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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