Research on Establishing and Organizing Physical Assessment Skills and Knowledge for Home Visit Nursing

本研究的目的是发展和组织必要的技能和知识的身体评估活动，收集信息的临床判断，在家访护理设置。采用自填式问卷调查被调查者的临床经验背景和对各选择的39项身体评估项目的认知、使用频率和需求情况，并对参加家访护理培训的护士进行问卷调查，结果显示：被调查者对各项身体评估项目的需求情况无差异，对所有被调查的身体评估项目均存在必要性。在所有被视为“绝对必要”的11项评估项目中，90%以上的人都知道“自己能做到的程度”，而在这11项评估项目中，80%以上的人“每天或每周至少做一次”。对在职家访护士的调查显示，被认为“绝对必要”的5项体格检查项目均“在一定程度上可以自己完成”。“此外，在一般护理实践中有更多经验的护士，更多的家访经验和更多的临床实践经验作为护士人员，在几个身体评估技能方面有更多的知识，使用和能力。

The purpose of this research project was to develop and organize necessary skills and knowledge for physical assessment activities for gathering information for clinical judgment in home visiting nursing setting. Using a self-administered questionnaire, clinical experience background of respondents and knowledge, use frequency and needs of each selected 39 physical assessment items were investigated.An investigation to nurses who attended to a home visiting nursing training session revealed that there was no difference between items about needs and that necessity was confinned about all investigated physical assessment items. More than 90% of all 11 assessment items that were regarded as "absolutely necessary" were known by "degree to be able to do by oneself", and more than 80% of those 11 items were done "every day or at least once in a week."The investigation to currently active home visiting nurses revealed that all 5 physical assessment items that regarded as "absolutely necessary" were known "in degree to be able to do by oneself."Furthermore, the group of nurses who had more experiences in nursing practice in general, more experiences in home visiting and more clinical practice experiences as staff nurses had more knowledge, use and competency in several physical assessment skills.