Systematizing the methods for advanced nurses to master the Physical Assessment

2021 Fiscal Year Final Research Report

• Project/Area Number: 19K10787
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58050:Fundamental of nursing-related
• Research Institution: Tokai University
• Principal Investigator: JONO Hiromi 東海大学, 医学部, 教授 (60247301)
• Project Period (FY): 2019-04-01 – 2022-03-31
• Keywords: 高度看護実践者 / 看護師 / フィジカルアセスメント力 / 促進

Outline of Final Research Achievements

To structure the elements for the advanced nurses to master the physical assessment efficiently, this investigation research was conducted by observing nurses who work at hospitals in the A prefecture and by focusing on what kind of physical and human resources were utilized to improve their own physical assessment skills.
The survey subjects were 3,349 nurses who worked at 21 hospitals out of 317 hospitals in the A prefecture. The self-making survey was distributed to the nurses and received 933 answers from them (collect rate is 27.9%). The basic attribute of the survey was that 847 nurses (90.8%) are females, and about their academic background, 599 nurses (64.9%) graduated advanced vocational schools. About their positions, staff nurses were the biggest group and the number was 698 (74.8%). Lastly, taking or not taking the physical assessment training in the past was 473 nurses (50.7%) and 451 nurses (48.3%) respectively.

Free Research Field

基礎看護学

Academic Significance and Societal Importance of the Research Achievements

フィジカルアセスメントは2009年度の看護基礎教育への導入をはじめ、その後高度な看護実践を必要とする認定看護師、専門看護師、特定行為を行う看護師養成において共通科目として本格的に導入された。今後の人口構成や疾病構造等から派生する問題への対応において、臨床経験年数に関わらず的確な臨床看護判断能力を確実に身に付ける必要に迫られている。現在、具体的な教授内容や方法について、十分な合意が得られているとは言えないため、看護師個々がフィジカルアセスメント力向上をどのように実施しているかについて明らかにすることは意義がある。