Respiratory Assessment Skills And Self Efficacy Of Respiratory Assessment Among Nurses At Tertiary Hospital Lahore: A Descriptive Cross Sectional Study

Abstract

Background: Physical assessment is a systematic, organized procedure that gathers objective and subjective information from a patient's medical history and physical examination of the entire body using techniques including palpation, auscultation, percussion, and inspection. A person's confidence in their capacity to overcome obstacles and finish these tasks successfully is known as self-efficacy. A high degree of self-efficacy enables people to overcome obstacles and achieve desired outcomes by making the necessary efforts to acquire the necessary abilities

Objective:

1. To determine the Respiratory assessment skills among nurses at tertiary care hospital Lahore
2. To determine the self-efficacy of respiratory assessment among nurses at tertiary care hospital Lahore

Methodology: A cross-sectional descriptive study design was carried out at the medical and surgical intensive care units of Jinnah Hospital Lahore in July and August of 2024. All registered nurses in medical and surgical intensive care units were included in the study population. A sample of n=78 nurses were recruited through convenient nonprobability sample. Data were gathered for respiratory assessment skills using the Respiratory Assessment Skill Checklist. The test of 36 questions, graded from 0 (not done), 1 (done with help), and 2 (done correctly). Similar to this, the New General Self-Efficacy Scale, which consists of eight statements ranging from 1 (strongly disagree) to 5 (strongly agree), was used to collect data on self-efficacy. Every participant gave their written, informed consent, and the data gathering process was kept private. Following data collection, the gathered information was entered and subjected to analysis using SPSS version 21.

Results: Finding revealed that majority 61.54% of nurses having ‘Satisfactory’ skills, (21.79%) were found ‘Incompetent’, 8.97% are evaluated as needing ‘Improvement’ and only 7.69% of nurses exhibit ‘Good Skills’ Similarly The largest portion, representing 46.15%, indicates individuals with ‘low self-efficacy’,  42.31%  ‘Medium self-efficacy’, and 11.54%, consists of those with ‘high self-efficacy’.

Conclusion: A significant portion of the nurses demonstrated moderate to low self-efficacy in their respiratory assessment abilities while some nurses exhibited adequate competence. The overall results suggest that further training and education are essential to ensure that all nurses feel adequately prepared to perform respiratory assessments with accuracy and confidence.