Knowledge and skills in chest auscultation among nurses
Knowledge and skills in chest auscultation among nurses.pdf

Keywords

auscultation
chest auscultation
physical examination
nurses

Abstract

KNOWLEDGE AND SKILLS IN CHEST AUSCULTATION AMONG NURSES

Introduction. Medical history and physical examination are basic elements allowing nurses to assess patients’ health. The ability to auscultate the chest in combination with anatomical and physiological knowledge constitute a quick and reliable method of differentiation and diagnosis of many diseases.

Aim. The aim of the study was to assess knowledge and skills in the field of chest auscultation among nursing staff.

Material and method. A prospective, pilot observational study was conducted on a group of 51 nurses. The level of knowledge and skills in the fi eld of chest auscultation and independence in undertaking this activity in professional work were assessed. The knowledge test developed by the author, survey questionnaire and SimScope 360-3400 trainer were used. P<0.05 value was considered statistically significant.

Results. Lack of chest auscultation skills was observed in 10% of the respondents, although none of them revealed lack of knowledge in this respect (p<0.001). Higher level of knowledge correlated with higher level of skills of the respondents, while a lower level of knowledge conditioned a lower level of skills (p=0.049). In the respondents’ opinion, auscultation of the lungs and heart are activities performed only by a doctor.

Conclusions. Despite a moderate level of knowledge and skills in the field of chest auscultation, nursing staff do not use physical examination techniques in their daily work.

Knowledge and skills in chest auscultation among nurses.pdf

References

1. Padykuła M, Czaja E, Pieczyrak-Brhel U, Kózka M. Znaczenie badania fizykalnego w pielęgniarstwie neurologicznym. Pielęg XXI w. 2017;4 (61): 46-51.

2. McElhinney E. Factors which influence nurse practitioners ability to carry out physical examination skills in the clinical area after a degree level module – an electronic Delphi study. J Clin Nurs. 2010;19 (21-22): 3177-3187.

3. Sarkar M, Madabhavi I , Niranjan N, Dogra M. Auscultation of the respiratory system. Ann Thorac Med. 2015;10 (3): 158–168.

4. Elder A, Japp A, Verghese A. How valuable is physical examination of the cardiovascular system? BMJ 2016; 354:i3309.

5. Secrest JA, Norwood BR, duMont PM. Physical assessment skills: a descriptive study of what is taught and what is practiced. J Prof Nurs. 2005;21 (2): 114-118.

6. Lont KL. Physical assessment by nurses: a study of nurses’ use of chest auscultation as an indicator of their assessment practices. Contemp Nurse. 1992;1 (2): 93–97.

7. Raleigh M, Allan H. A qualitative study of advanced nurse practitioners’ use of physical assessment skills in the community: shifting skills across professional boundaries. J Clin Nurs. 2017;26 (13-14): 2025-2035.

8. Regulation of the Minister of Health of 07.11.2007 regarding the type and scope of preventive, diagnostic, therapeutic and rehabilitation services provided by a nurse or midwife independently without a medical order. Journal of Laws of 2007 No. 210 item 1540..

9. Act of 15.07.2011 on the Profession of a Nurse and Midwife. Journal of Laws 2011 No. 174 item 1039.

10. The Regulation of the Minister of Health of February 28, 2017 regarding the type and scope of preventive, diagnostic, therapeutic and rehabilitation services provided by a nurse or midwife independently without a medical order. Journal of Laws of 2017 item 497.

11. Santos LA, Ferreira L, et al. Physical examination in nurses’ hospital practice. Research, Society and Development, Itabira, v. 9, n. 7, p. e132973794, may 2020. ISSN 2525-3409.

12. Maben J, Latter S, Clark JM. The theory-practice gap: impact of professional-bureaucratic work conflict on newly-qualified nurses. J Adv Nurs. 2006;55 (4): 465- 77.

13. Anderson B, Nix E, Norman B, McPike HD. An evidence based approach to undergraduate physical assessment practicum course development. Nurse Educ Pract. 2014;14 (3): 242-246.

14. Birks M, Cant R, James A et al. The use of physical assessment skills by registered nurses in Australia: issues for nursing education. Collegian. 2013;20 (1): 27-33.

15. Cicolini G, Tomietto M, Simonetti V et al. Physical assessment techniques performed by Italian registered nurses: a quantitative survey. J Clin Nurs. 2015; 24 (23-24): 3700-6.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Unported License.

Copyright (c) 2020 Authors