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

Clint Douglas; Sonya Osborne; Carol L Reid; Mary Batch; Olivia Hollingdrake; Glenn Gardner

doi:10.1111/jan.12408

Back

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

Journal article

Peer reviewed

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

Clint Douglas, Sonya Osborne, Carol L Reid, Mary Batch, Olivia Hollingdrake and Glenn Gardner

Journal of Advanced Nursing, Vol.70(11), pp.2683-2694

2014

DOI: https://doi.org/10.1111/jan.12408

Files and links (1)

url

https://doi.org/10.1111/jan.12408View

Published Version

Abstract

Nursing

barriers scale

health assessment

instrument development

nursing assessment

nursing observation

patient assessment

physical assessment

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.

Details

Title: What factors influence nurses' assessment practices? Development of the Barriers to Nurses' use of Physical Assessment Scale
Authors: Clint Douglas (Author) - Queensland University of Technology
Sonya Osborne (Author) - Queensland University of Technology
Carol L Reid (Author) - Queensland University of Technology
Mary Batch (Author) - Queensland University of Technology
Olivia Hollingdrake (Author) - Queensland University of Technology
Glenn Gardner (Author) - Queensland University of Technology
Publication details: Journal of Advanced Nursing, Vol.70(11), pp.2683-2694
Publisher: Wiley-Blackwell Publishing Ltd.
Date published: 2014
DOI: 10.1111/jan.12408
ISSN: 0309-2402
Organisation Unit: University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99451351602621
Output Type: Journal article

Metrics

90 Record Views

42 Times Cited - Web of Science

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

Collaboration types: Domestic collaboration
Web Of Science research areas: Nursing

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

Source: InCites