What factors influence nurses’ assessment practices? Development of the Barriers to Nurses’ use of Physical Assessment Scale

Douglas, Clint and Osborne, Sonya and Reid, Carol and Batch, Mary and Hollingdrake, Olivia and Gardner, Glenn (2014) What factors influence nurses’ assessment practices? Development of the Barriers to Nurses’ use of Physical Assessment Scale. Journal of Advanced Nursing, 70 (11). pp. 2683-2694. ISSN 0309-2402

Abstract

Aim.
To develop and psychometrically test the Barriers to Nurses’ use of Physical Assessment Scale.

Background.
There is growing evidence of failure to recognize hospitalized 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.

Design.
Instrument development study.

Method.
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 0.70 – 0.86.

Conclusion.
Findings provide initial evidence for the validity and reliability of the Barriers to Nurses’ use of Physical Assessment Scale and point to the importance of understanding the organizational determinants of nurses’ assessment practices. The new scale has potential clinical and research applications to support nursing assessment in acute care settings.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version, in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health, Nursing and Midwifery
Date Deposited: 25 Jul 2019 06:20
Last Modified: 22 Aug 2019 04:53
Uncontrolled Keywords: barriers scale, health assessment, instrument development, nursing assessment, nursing observation, patient assessment, physical assessment
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1111/jan.12408
URI: http://eprints.usq.edu.au/id/eprint/36104

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