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Perceived Competency, Frequency, Training Needs in Physical Assessment among Registered Nurses

성인간호학회지 2012년 24권 6호 p.627 ~ 634
KMID : 0367020120240060627
오희영 ( Oh Hee-Young ) - 을지대학교 간호대학

이지연 ( Lee Ji-Yeon ) - 을지대학교 간호대학
김은경 ( Kim Eun-Kyung ) - 충북대학교 간호학과

Abstract

Purpose: The purpose of this study was to identify registered nurses learning needs about physical assessment. Specifically, what are the perceived competency, frequency of skill use and the unmet training needs.

Methods: The study was an exploratory survey study. The sample was 104 registered nurses. Data were collected through three instruments: The Perceived Competency in Physical Assessment Scale, the Frequency of Physical Assessment Scale, and the Training Needs of Physical Assessment Scale which incorporated 30 core physical assessment skills. Descriptive statistics, t-test, and Pearson’s correlation coefficient were used to analyze the data.
Results: Auscultation of heart and lung sounds and inspection of the spine were rated by the subjects as physical assessment skills they feel least competent and also were less frequently performed. The most competent area for physical assessment was neurological system. The respiratory and abdominal system was identified as two systems that more education would be needed. Nurses with less than one year of working experience reported needing more training. Nurses with more than five years of clinical work experience performed physical assessment more frequently than nurses with less than five year of work experience. The perceived competency was positively related to the frequency of physical assessment.

Conclusion: Continuing education is necessary to further train registered nurses regarding physical assessment skills and the program needs to be focused on the area which nurses are less competent for and have high training need.
KeyWords

Competency, Physical assessment, Nurses, Training needs
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학술진흥재단(KCI) KoreaMed