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Nursing physical examination in surgical nursing care.
SRBOVÁ, Klára
Current Status: The physical examination is an essential component of patient assessment, contributing to accurate diagnosis. It encompasses techniques such as inspection, palpation, percussion, auscultation, and digital rectal examination. Thesis Objectives: This study aims to delineate nursing actions in conducting physical examinations and highlight disparities in performing these assessments within surgical nursing settings. Methodology: A qualitative research method was employed, utilizing semi-structured interviews. The interview cohort comprised 8 nurses working in various surgical wards. Furthermore, a quantitative survey, comprising open, semi-open, or closed questions, was selected and included 169 respondents practicing across diverse surgical units. Data collection was conducted online, and participant selection was guided by data saturation. Thesis Findings: Interviews underscored nurses' adeptness in conducting physical examinations and their awareness of nuances that vary across departments. Most respondents (42.6%) hailed from traditional surgical units. A significant portion held a bachelor's degree (45.6%), and the prevalent experience range within surgical wards was 0-10 years (56.8%). Notably, 73.4% of patient admissions involved collaborative data collection between nurses and physicians. During physical examinations, 85.2% of nurses helped, and 97.6% performed assessments within their respective units. Inspection, olfaction, and assessment of consciousness consistently fell under nursing purview. Palpation and auscultation were infrequently conducted by nurses, with digital rectal examinations being exceedingly rare. Physical examination by a nurse varies from one surgical department to another. A relationship between the palpation and consciousness examination and the surgical ward in which she works has been demonstrated. Physical examination by a nurse varies with length of experience. There was a relationship between palpation examination and length of experience in the surgical department. Physical examination varies with the age of nurses. A relationship between percusion and consciousness examinationand and the age of the nurse has been demonstrated. Conclusion: In summary, nursing-conducted physical examinations is performed by the nurse within the scope of her competence and align with departmental needs and resources, reflecting the specific care context. The findings emphasize the collaborative nature of patient assessment and shed light on areas where nursing participation may be enhanced.
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Physical examinations for adults performed by nurse in practitioner´s ordination.
MANČUŠKOVÁ, Zdenka
This bachelor thesis deals with physical examination, the monitoring of physiological functions and the recording of cardiographs by nurses in private practice examination rooms. The thesis contains two parts. The first, and theoretical, part of the thesis is focused on the explanation of certain terms and a description of what it means to provide a physical examination, monitoring of physiological functions and recording cardiographs. The physical examination is focused around human senses. Sight (inspection), hearing (auscultation), touching (palpation), knocking (percussion), per rectum examination, and smelling are all considered methods of examination. Body temperature, breathing, pulse and blood pressure are considered physiological or vital functions. The electrocardiogram signifies cardiac activity in the form of a line, which is drawn by a gadget called an electrocardiogram (ECG). Activities executed by nurses in a private practice exam rooms can be divided into four groups: preventative, diagnostic, medical and administrative group. A nurse provides patients with medical educative materials, samples biological material, monitors clients physiological functions, gives injections, changes bandages, sends preventative examination invitations, orders medical material and equipment etc. The second part contains investigative research. The empirical investigation was performed using the qualitative method in a form of a semi structured interview and direct observation during the interview. In an interview with eight nurses, who all work in private practices, the nurses were asked 15 basic questions. The nurses were observed as they each examined a separate patient. The observation was done based on 32 observation criteria. The observation results were compared with the results of the interviews. Based on their close relation to physical examination, monitoring of physiological functions and cardiograph was added.
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Basic clinical examination of the client by the medical rescuer in the pre-hospital urgent care in the South-Bohemian Region
VIKTORA, Martin
The issue of the clinical examination is the topic being more a part of physician work from the historical point of view. This state changes under the influence of the development of manning the crews in the rescue service. This bachelor thesis called Basic clinical examination of the client by the medical rescuer in the pre-hospital urgent care in the South-Bohemian Region summarizes the basic examinations which should be theoretically known as well as practically used by each medical rescuer. The target of the thesis was to find out the knowledge of the present medical rescuers working in the Medical Rescue Service of the South-Bohemian Region and if they observe the procedures of clinical examination. The contents of the theoretical part is the characteristics of rescue service, its last development and trend, also the young specialization of ?medical rescuer? is described, i.e. the possibilities of study, powers and contents of work. In the next part, the thesis treats the clinical examination. At first the contents of clinical examination is described, the access to it and its importance is explained, than the individual parts of the examination are analyzed. In the theoretical part, it is possible to find the information about anamnesis, methods of physical examination of all the body parts and organs. At the end, also the basic appliance method is mentioned, contributing to the clinical examination in the pre-hospital care as well as the good attitude to the patient, who is an important part also in this topic. If follows from the results of the quantitative examination that there are big differences between various degrees of the education. The graduates of secondary medical schools, of the study (after GCE) of anesthesiology-resuscitation care and intensive care and of higher professional schools have a lower knowledge in this field than their colleagues with the university education. In total the rescuers do not observe the procedures of the clinical examination more often. Both hypotheses were confirmed. It follows from the thesis that it is necessary to try to close the gap. During the studies, the clinical examination should be more accentuated, we should not reconcile with the present state. Also after the study of the branch, the topic should be repeated at the workplaces by means of theoretical lectures and practical seminars. In future, the medical rescuer will have to substitute also the physician in clinical examination, but he/she is not prepared for this up to now.
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A nurse and physical examination of a client/patient
BENEDIKTOVÁ, Martina
My thesis deals with physical examination of the patient by a nurse and its right technique. Physical examination generally follows the taking of the medical history - an account of the symptoms as experienced by the patient - in internal and surgical wards. It becomes part of the medical record. The theoretical part describes the complete physical examination and gives its definition. Physical examination is focused on the somatic condition of the patient. A systematic examination generally starts at the head and finishes at the extremities. The main organ systems are investigated by inspection, palpation, percussion, auscultation and per rectum examination. For physical examination a nurse uses her senses - sight, hearing, touch, sometimes also smell. My thesis examines the right technique of physical examination and why this examination should be carried out by a nurse. I also wanted to give reason why the physical examination should become a common part of the nursing process.
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