Research for the establishment of physical assessment practices at internal medicine wards and outpatient clinics
| Project/Area Number |
17592222
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Fundamental nursing
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| Research Institution | Gumma Paz College |
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Principal Investigator |
JONO Hiromi Gumma Paz College, Faculty of Health Science, Professor, 保健科学部・看護学科, 教授 (60247301)
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| Co-Investigator(Kenkyū-buntansha) |
ICHINOHE Shinko Jobu University, Faculty of Nursing, Professor, 看護学部, 教授 (50316270)
NAKASHITA Tomiko Saitama University, Faculty of Education, Associate Professor, 教育学部, 准教授 (50398525)
MATSUDA Eri Gunma University, Faculty of Medicine, Assistant Professor, 大学院・医学部, 助手 (20398530)
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| Project Period (FY) |
2005 – 2006
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| Project Status |
Completed (Fiscal Year 2006)
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| Budget Amount *help |
¥3,100,000 (Direct Cost: ¥3,100,000)
Fiscal Year 2006: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 2005: ¥1,600,000 (Direct Cost: ¥1,600,000)
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| Keywords | Physical Assessment / internal medicine wards / Nurse |
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| Research Abstract |
Purport : Identifying the usage status of physical assessment items among nurses at internal medicine wards
Method : In the fiscal year 2005, the study used the participant observation approach to examine anamnesis and thermometry at hospitalization to identify what physical assessment items were actually used, covering 11 nurses working at the internal medicine wards (37 beds) of a regional hub hospital (395 beds) and medical records of 22 cases handled at the same wards. In the fiscal 2006, questionnaires were distributed to the same facility's 22 nurses who had taken part in the Physical Assessment Training (held in 2004), and five of them who consented were subsequently interviewed.
Findings : The participant observation approach was used on 13 occasions (8 anamnesis occasions and 5 thermometry occasion). The observation covered 2 cases of cerebral infarction, 3 cases of dialysis initiation, and one case each of hyperglycemia / acidosis, renal biopsy and fever of unknown origin. At t
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he time of anamnesis, all study subjects used the facility's basic information sheet to interview patients, measuring vital signs and oxygen saturation, as well as conducting palpation for edema. Medical records of 22 cases covered 10 cases of pneumonia, 4 cases of diabetes, 2 cases of nephritis, and one case each of SLE, cerebral infarction, muscular dystrophy, fever of unknown origin, nephritic syndrome and disseminated necrotizing periarteritis. Description in the records mainly consisted of responses to questions in the basic information sheet, results of vital sign measurements and the extent of independence in daily life activities. After the Physical Assessment Training, surveyed nurses (with the average age of 41.5) cited items on the "respiratory" and "circulatory" systems as useful, while branding items on the "musculo-skeletal", "nervous" and "receptive" systems as not useful. They also commented that the Training "increased their knowledge", "broadened the range of skills" and "enhanced the observation skill to see patients in a more comprehensive approach", while also expressing that they should further develop the ability to accurately grasp patients' physical conditions. Less
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Report
(3 results)
Research Products
(8 results)
