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

Douglas, Clint, Osborne, Sonya, Reid, Carol, Batch, Mary, Hollingdrake, Olivia, & 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.

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Abstract

Aim

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

Background

There is growing evidence of failure to recognise hospitalised 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 .70 to .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 organisational determinants of nurses’ assessment practices. The new scale has potential clinical and research applications to support nursing assessment in acute care settings.

Impact and interest:

6 citations in Scopus
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5 citations in Web of Science®

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ID Code: 67960
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Barriers scale, health assessment, instrument development, nursing assessment, nursing observation, patient assessment, physical assessment
DOI: 10.1111/jan.12408
ISSN: 1365-2648
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2014 John Wiley & Sons Ltd.
Deposited On: 03 Mar 2014 01:47
Last Modified: 08 Dec 2015 01:19

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