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dc.contributor.authorDouglas, Clinten
dc.date.accessioned2014-11-17T13:51:41Z
dc.date.available2014-11-17T13:51:41Z
dc.date.issued2014-11-17
dc.identifierINRC14D11
dc.identifier.urihttp://hdl.handle.net/10755/335404
dc.description<p>International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong</p>en
dc.description.abstract<p>Session presented on Friday, July 25, 2014:</p> <p><strong>Purpose:</strong> 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.</p> <p><strong>Methods:</strong> 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.</p> <p><strong>Results:</strong> 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.</p> <p><strong>Conclusion:</strong> 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.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectClinical Deteriorationen
dc.subjectPatient Safetyen
dc.subjectNursing Assessmenten
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.typePresentationen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.contributor.departmentNon-memberen
dc.author.detailsClint Douglas, RN, BN, PhDen
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationHong Kongen
dc.date.conferenceyear2014
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


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