Abstract
The importance of early detection of respiratory infections, especially pneumonia, in the elderly and dementia patients has been pointed out. Physical assessment skills, which are currently attracting attention for early detection, are one of the core elements of observation and accurate nursing judgment for appropriate care.
Daily observation and care cannot be continued unless the patient is examined from the same perspective regardless of the number of years of experience. It is necessary for nurses to have common knowledge about the respiratory system, physical assessment skills, and maintain a certain level of ability by filling in the differences in individual observation abilities. Therefore, it is necessary to take the form of training and provide educational opportunities for all nurses in one ward regardless of the number of years of experience. Therefore, in this study, we conducted training in respiratory system physical assessment and investigated changes in the observation behavior of the patient’s respiratory system before and after that.
Of the 9 inspection items, which were not conducted before the training but changed to the ones after the training, “lateral symmetry of chest movement”,“ skin condition such as chest wall”,“ state of chest enlargement”, auscultation item 3 Among the items,“ ratio of inspiratory and expiratory sounds”,“ number of auscultatory breathing points: anterior chest”, and“ number of auscultatory points: back”.
The three items that were not conducted before and after the training were the inspection items“ breathing type”“, respiratory rate”, and“ ratio of inspiratory / expiratory / resting time”.
