Abstract
Objectives: To assess the physical assessment skills, barriers encountered in clinical setting and to identify related factors in nursing students at Duy Tan University.
Method: A cross-sectional study design was utilized among 178 nursing students at Duy Tan University in 2023.
Results: Of the 30 physical assessment skills surveyed, 18 were regularly or frequently performed (60%), 11 were occasionally or rarely used (36.4%), and 1 was learned but almost never performed (3.6%, assess for PERRLA). Participants had a mean BNUPAS score of 2.9 ± 0.7. Barriers for these students came mainly from “lack of time and interruptions” (3.3 ±0.9) and “lack of confidence” (3.3 ± 0.6). There were statistically significant differences between academic year, gender, GPA and some physical examination skills (p < 0.05), and no significant differences between those factors and barriers encountered in clinical setting.
Conclusion: The physical assessment skills of nursing students need to be improved and there were many barriers encountered in clinical setting. There was a real need for increasing study hours about physical assessment skills and supporting for physical assessment performance during clinical practice by hospital.
Keywords
References
hniques performed by Italian registered nurses: a quantitative survey. Journal of Clinical Nursing 2015; 24:3700–3706. doi: 10.1111/jocn.12997.
Julia. Nursing: Scope and Standards of Practice. Journal of Radiology Nursing 2004; 23 Suppl 2: 46-48.
Majed Sulaiman Alamri, J.U.A. Barriers of physical assessment skills among nursing students in Arab Peninsula. International Journal of Health Sciences 2018; 12 Suppl 3:58-66.
Besher Gharaibeh, S.A.,et al. Attitudes Toward Physical Examination Skills among registered nurses in clinical settings in Jordan. Informatics in Medicine Unlocked 2022; 32:1-6. https://doi.org/10.1016/j.imu.2022.101027.
Schober, M. International Council of Nurse Report - Guidelines on advanced practice nursing 2020;1-39.
Emel Gülnar, Ş.B.B., Hüsna Özveren. Barriers to physical assessment skills in nurses and nursing students: a comparative-descriptive cross-sectional study. Journal of Human Sciences 2022; 19 Suppl 1: 46-55. DOI: https://doi.org/10.14687/jhs.v19i1.6244.
Maejima,S. Physical assessment by Japanese community hospital nurses compared to that performed overseas. Journal of General and Family Medicine 2018; 20 Suppl 2:55. doi: 10.1002/jgf2.230.
Douglas, C. Too much knowledge for a nurse? Use of physical assessment by final-semester nursing students. Nursing & Health Sciences 2015; 17 Suppl 4: 492-499. doi: 10.1111/nhs.12223.
Andy M Wearn. Exploration of the attitudes of nursing students to peer physical examination and physical examination of patients. Nurse Education Today 2013; 33 Suppl 8: 884-888. doi: 10.1016/j.nedt.2012.08.012.
Douglas, C. What factors influence nurses’ assessment practices? Development of the Barriers to Nurses’ use of Physical Assessment Scale. Journal of Advanced Nursing 2014; 70 Suppl 11:683–2694. doi: 10.1111/jan.12408.
Bandura, A. Health Promotion by Social Cognitive Means. Health Education & Behavior 2004; 31 Suppl 2:143-164. doi: 10.1177/1090198104263660.
Melanie Birks. The use of physical assessment skills by registered nurses in Australia: Issues for nursing education. Collegian 2013; 20 Suppl 1: 27-33. doi: 10.1016/j.colegn.2012.02.004.
Ayşegül Korkmaz Doğdu, F.A., Emine Kol. Physical Examination Skills: Used by Nursing Students and Determination the Barriers Encountered in the Use of These Skills. Journal of Education and Research in Nursing 2021; 18 Suppl 3: 335–340. DOI: 10.5152/jern.2021.67944.
Afif, M.H. Physical Assessment Skills among Nursing Students and Interns: A Gap between what is Taught and what is Practiced. in Atiner’s Conference Paper Series 2017; 2017-2304.
Mavis Weiting Tan, An ling Siew, Tracy Levett-Jones, Wei Ling Chua, Sok Ying Liaw. Why are physical assessment skills not practiced? A systematic review with implications for nursing education. Nurse Education Today 2021; 99:1-10. doi: 10.1016/j.nedt.2021.104759.
Cindy Kohtz, S.C.B., Ryan Williams, Patricia A. O’Connor. Physical Assessment Techniques in Nursing Education: A Replicated Study. Journal of Nursing Education 2017; 56 Suppl 5: 287-291. doi: 10.3928/01484834-20170421-06.
Jestoni D. Maniago , Adelina M. Santo, Cyrelle L. Agunod, et al. Barriers in performing physical assessment among nursing students: An integrative review. International Journal of Nursing Sciences 2021; 8 Suppl 1:120-129. doi: 10.1016/j.ijnss.2020.12.013.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2023 Journal of Nursing Science