Attitudes towards vital signs monitoring in the detection of clinical deterioration: scale development and survey of ward nurses.
Int J Qual Health Care
; 27(3): 207-13, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-25888564
ABSTRACT
OBJECTIVE:
To develop and determine the psychometrics properties of an instrument (V-scale) and to explore nurses' attitudes towards vital signs monitoring in the detection of clinical deterioration in general wards.DESIGN:
Scale development with psychometric testing and a descriptive quantitative survey.SETTING:
Tertiary acute care hospital.PARTICIPANTS:
A total of 614 general ward nurses.FINDINGS:
Principal component analysis revealed a 16-item instrument in a five-factor solution (key indicators, knowledge, communication, workload and technology) that explained 56.27% of the variance. The internal consistency was sufficient with Cronbach's alpha of 0.71 and strong item subscale correlations (0.56-0.89). The test-retest reliability was adequate with an Intraclass Correlation Coefficient (ICC) of 0.85. Many nurses (56.9%) erroneously perceived blood pressure changes as the first indicator of deterioration, and 46% agreed that an altered respiratory rate was the least important indicator. Most nurses (59.8%) also reported relying on oxygen saturation to evaluate respiratory dysfunction, and 27.4% indicated that they make quick estimates of the respiratory rate. Current practices for vital signs monitoring were considered to be time consuming (21.0%) and overwhelming (35.3%). Nurses' attitudes were most significantly influenced by whether they had a degree qualification followed by whether they worked in a general ward with a specialty and had >5 years of experience.CONCLUSIONS:
This exploratory study provides evidence for the psychometric properties of the V-scale. It reveals a need for continuous professional development to improve ward nurses' attitudes towards vital signs monitoring. Vital signs monitoring needs to be prioritized in workload planning.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atitude do Pessoal de Saúde
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Inquéritos e Questionários
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Sinais Vitais
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Monitorização Fisiológica
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Enfermeiras e Enfermeiros
Tipo de estudo:
Diagnostic_studies
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Qualitative_research
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Int J Qual Health Care
Assunto da revista:
SERVICOS DE SAUDE
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Singapura