Physical examination in nurses' hospital practice
DOI:
https://doi.org/10.33448/rsd-v9i7.3794Keywords:
Nursing; Physical exam; Nursing care.Abstract
This study aimed to understand how physical examination occurs in nurses' hospital practice. It is a descriptive and exploratory research, with a qualitative approach. Eighteen nurses from the medical clinic of a public hospital unit, located in the state of Tocantins, Brazil, were interviewed. The collection took place through an open interview that took place in 2015. The data was analyzed according to the assumptions of the Content Analysis. This study was approved by the Permanent Education Center of the researched hospital and by the Human Research Ethics Committee under protocol 003/2015. Results: Two categories emerged: The moment of the physical examination in the nurse's practice is a limit to perform it, as there are other demands on the service and when it is done, it is upon the client's admission; and how the physical examination is performed in the nurse's practice, when it occurs, it is often not performed completely, as professionals do not feel with certain skills. Final Considerations: the time to perform the physical examination, the work overload, insufficient material resources and reduced technical knowledge and skills, imply the physical examination in the nurse's hospital practice.
References
Brasil (1986). Lei nº 7.498, de 25 de Junho de 1986. Dispõe sobre a regulamentação do
exercício da Enfermagem e dá outras providências. Legislação para o Exercício da
Enfermagem, 1986. 6p.
Barros, A.L.B.L. (2016). Anamnese e Exame Físico – Avaliação Diagnóstica de Enfermagem no adulto. 3.ed. Porto Alegre: Artmed.
Benedet, S.A. et al. (2016). Processo de enfermagem: instrumento da sistematização da assistência de enfermagem na percepção dos enfermeiros. J. res.: fundam. care. Online, 8(3),4780-8.
Borji, M., Tarjoman, A., Nejad, H.T., Meymizade, M., Nariman, S. & Safari, S. (2018). Relationship between knowledge-skill and importance of physical examination for children admitted to infectious wards: examining nurses' points of view. Journal of Comprehensive Pediatrics, 9(1), e63292.
Cofen. (2009). Conselho Federal de Enfermagem. Resolução COFEN 358/2009: Dispõe sobre a Sistematização da Assistência de Enfermagem e a implementação do Processo de Enfermagem em ambientes, públicos ou privados, em que ocorre o cuidado profissional de Enfermagem, e dá outras providências.
Diniz, I.A. , Cavalcante, R.B. , Otoni, A. & Mata, A. (2015). Perception of primary healthcare management nurses on the nursing process. Rev Bras Enferm, 68(2), 182-9.
Ferreira, E.B., Pereira, M.S., Souza, A.C.S., Almeida, C.C.O & Taleb, A.C. (2016). Sistematização da assistência de enfermagem na perspectiva para a autonomia profissional. Rev Rene,17(1), 86-92.
Gardenier, D., Spicer, T.T. & Earp, J.K. (2020). Should Nurse Practitioner Students be Prompted During Their Physical Assessment Skills Examination? The Journal for Nurse Practitioners,16(2), 98-99.
González-Castillo, M.G. & Monry-Rojas A. (2016). Proceso enfermero de tercera generación. Enfermería Universitaria,13(2),124-9.
Horta W de A. (1979). Processo de Enfermagem. São Paulo: EPU.
Khoran, M. et al. (2018). Nurses challenges in health assessment skills in Iran and another country: an integrative review. Journal of Nursing and Midwifery Sciences, 5(1), 38-45.
Lima, A.P.S., Chianca, T.C.M. & Tannure, M.C. (2015). Assessment of nursing care using indicators generated by software. Rev. Rev Lat Am Enfermagem, 23(2), 234-41.
Lopera Betancur, M.A., Forero Pulido, C., Paiva Duque, L.E. & Cuartas, V.M. (2016). El quehacer cotidiano de la enfermera significa soportar la carga. Rev Cuid, 7(1), 1262-70.
Martin, C.T. (2016). The value of physical examination in mental health nursing. Nurse Education in Practice, 17,91-96.
Minayo, M. C. S. (2014). O desafio do conhecimento: pesquisa qualitativa em saúde. 14. ed. São Paulo: Hucitec.
Oliveira, A.C., Garcia, P.C. & Nogueira, L.S. (2016). Nursing workload and occurrence of adverse events in intensive care: a systematic review. Rev Esc Enferm USP, 50(4), 683-94.
Padykuła, M., Czaja, E., Pieczyrak-Brhel,U. & Kózka, M. (2017).The importance of physical examination in neurological nursing. XXI Wieku,16(4), 46-51.
Parra, D.I., Cruz, N.R., Díaz, H.C.A., Cárdena, M.V., Arboleda, L.B., Jurado, Y.C. & Gómez, C.P.V. (2016). Percepción de las enfermeras sobre la aplicación del código deontológico de enfermería en colombia. Rev Cuid, 7(2), 1310-7.
Patrício, A.C.F.A., Alves, K.L., Santos, J.S., Araruna, P.C., Duarte, M.C.S. & Rodrigues, M.M.D. (2016). Physical cardiorespiratory examination: knowledge of nursing students. J. res.: fundam. care. Online, 7(1), 1967-74. Retirado no dia 4 de março de 2020, de: <http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/3525>
Pereira, A.S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1. Acesso em: 29 Abril 2020.
Quadros, D.V., Magalhães, A.M.M., Mantovani, V.M., Rosa, D.S. & Echer, I.C. (2016). Analysis of managerial and healthcare indicators after nursing personnel upsizing. Rev Bras Enferm, 69(4), 684-90.
Treviso, P., Peres, S.C., Silva, A.D. & Santos, A.A. (2017). Competências do enfermeiro na gestão do cuidado. Rev. Adm. Saúde, 17(69), 69-59.
Saito, N., Yamamoto, T. & Kitaike T. (2016). Work environments for healthy and motivated public health nurses. Nihon Koshu Eisei Zasshi, 63(8), 397-408.
Soares, M.I., Resck, Z.M.R., Terra, F.S. & Camelo, S.H.H. (2015). Systematization of nursing care: challenges and features to nurses in the care management. Esc. Anna Nery,19(1), 47-53.
Soares, M.I., Resck, Z.M.R., Camelo, S.H.H. & Terra, F.S (2016). Gerenciamento de recursos humanos e sua interface na sistematização da assistência de enfermagem. Enfermería Global, 42, 353-364.
Souza, N.R., Costa, B.M.B., Carneiro, D.C.F., Barbosa, H.S.C. & Santos, I.C.R.V. (2015). Systematization of nursing care: difficulties referred bynurses of a university hospital. J Nurs UFPE on line, 9(2), 7104-10. Retirado no dia 12 de dezembro de 2019, de: <https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10440/11246>
Souza, V.N., Pereira, A.S., Vesco, N.L., Brasil, B.M.B.L, Barbosa, S.M. & Viana, C.D.R. (2016). Nurses´ knowledge of hemophilia clinics of on systematization nursing care. Rev enferm UFPE online, 10(5), 1654-62. Retirado no dia 10 de dezembro de 2019, de: <https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/13540/16308>
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