TRANSLATION AND VALIDATION OF A SCALE TO ASSESS THE PHYSICAL EXAMINATION SKILLS OF BRAZILIAN NURSES

Endlich, Jéssica Alexandra Majevski; Mozer, Carla Aparecida do Nascimento; Santos, Lucyara Silvares dos; Furieri, Lorena Barros; Fioresi, Mirian

doi:10.1590/ce.v29i0.96007

Jéssica Alexandra Majevski Endlich

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approved the final version of the text

Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Departamento de Enfermagem, Vitória, ES, Brasil.

https://orcid.org/0000-0001-8533-3784

Carla Aparecida do Nascimento Mozer

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approved the final version of the text

Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Programa de Pós-graduação em Enfermagem, Vitória, ES, Brasil.

https://orcid.org/0000-0002-4594-0181

Lucyara Silvares dos Santos

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approved the final version of the text

Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Programa de Pós-graduação em Enfermagem, Vitória, ES, Brasil.

https://orcid.org/0000-0001-6300-2212

Lorena Barros Furieri

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approved the final version of the text

Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Programa de Pós-graduação em Enfermagem, Vitória, ES, Brasil.

https://orcid.org/0000-0003-3859-2227

Mirian Fioresi

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approved the final version of the text

Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Programa de Pós-graduação em Enfermagem, Vitória, ES, Brasil.

https://orcid.org/0000-0002-8560-4385

Corresponding author:
Mirian Fioresi Universidade Federal do Espírito Santo Avenida Marechal Campos, nº 1468, Maruípe, Santos Dumont, Vitória-ES, Brasil, CEP: 29047-105 E-mail: mirianfioresi@hotmail.com

Associate editor:

Dra. Luciana Nogueira

T1	T2
Palpate abdomen for tenderness and distension	Palpate the abdomen to assess abdominal distension and pain sensitivity
Observe the range of motion of the joints	Assessing joint movements
Palpate the extremity to check for tenderness	Palpation of the extremities to assess sensitivity
Assess hearing on a conversational basis	Assessment of hearing acuity during data collection
Inspect and assess support	Inspection and assessment of stool
Assess gait	Gait assessment
Inspect the spine	Inspection of the spine

Code	Items (Skills)
E 01	Inspection of skin color
E 02	Assessment of breathing pattern
E 03	Assessment of mental state and level of consciousness
E 04	Inspection and palpation of extremities to assess edema
E 05	Palpation of extremities to assess temperature
E 06	Palpation and inspection of capillary filling
E 07	Palpation of peripheral arterial pulses to assess perfusion
E 08	Inspection of wounds/injuries
E 09	Auscultation of lung/respiratory sounds
E 010	Abdominal auscultation to assess hydro aerial sounds
E 011	Abdominal inspection
E 012	Auscultation of heart sounds
E 013	Inspection of skin integrity
E 014	Inspection of extremities for skin color and presence of hair
E 015	External eye inspection
E 016	Speech assessment
E 017	Palpation of the abdomen to assess abdominal distension and pain sensitivity
E 018	Assessment of joint movements
E 019	Inspection of the shape of the chest
E 020	Assessment of facial sensitivity and movements
E 021	Palpation of the extremities to assess sensitivity
E 022	Muscle strength assessment
E 023	Inspection of muscles and extremities for size and symmetry
E 024	Assessment of hearing acuity during data collection
E 025	Inspection and assessment of stool
E 026	Gait assessment
E 027	PERRLA* scale assessment
E 028	Assessment using the Glasgow Coma scale
E 029	Inspection of the oral cavity
E 030	Inspection of the spine

Variables	n	%
Gender
Female	45	71.4
Male	17	27
Rather not say	01	1.6
Age in years
20-30	03	4.8
31-40	42	66.7
41-50	14	22.2
50+	04	6.3
Education
Undergraduate only	06	9.5
Postgraduate	57	90.5
Years of experience
<5	06	9.5
5-10	20	31.7
11-20	29	46
21-30	08	12.7
>30	00	0
Sector of activity
Maternal and Child Unit	08	12.7
General Inpatient Unit	17	27
Surgical Inpatient Unit	13	20.6
Intensive Care Unit	11	17.5
Surgical Center	04	6.3
Professional Residency	02	3.2
Nephrology	02	3.2
Hemodynamics	01	1.6
Gynecology and Obstetrics	01	1.6
Emergency Room	04	6.3
Number of jobs
One	54	85.7
Two	09	14.3
Three	00	0
Other	00	0
Number of postgraduate degrees†
One	12	21.1
Two	26	45.6
Three	19	33.3
Other	00	0
How many postgraduate courses are related to the patient’s clinic†
None	06	10.5
One	27	47.4
Two	22	38.6
Three	02	3.5
Other	00	0
When was the most recent postgraduate degree completed (in years)†
<5	34	59.6
5-10	16	28.1
11-20	06	10.5
>20	01	1.8

Code	Skill	MD	Work Sector	Education
EO1	Inspection of skin color	5.00
EO2	Assessment of breathing pattern	5.00
EO3	Assessment of mental state and level of consciousness	5.00
EO4	Inspection and palpation of extremities to assess edema	5.00
EO5	Palpation of extremities to assess temperature	4.00
EO6	Palpation and inspection of capillary filling	4.00		‡
EO7	Palpation of peripheral arterial pulses to assess perfusion	4.00		‡
EO8	Inspection of wounds/injuries	5.00
EO9	Auscultation of lung/respiratory sounds	4.00	†
EO10	Abdominal auscultation to assess hydro aerial sounds	4.00	†
EO11	Abdominal inspection	5.00
EO12	Auscultation of heart sounds	4.00	†
EO13	Inspection of skin integrity	5.00		‡
EO14	Inspection of extremities for skin color and presence of hair	4.00
EO15	External eye inspection	4.00		‡
EO16	Speech assessment	5.00
EO17	Palpation of the abdomen to assess abdominal distension and pain sensitivity	4.00		‡
EO18	Assessment of joint movements	3.00		‡
EO19	Inspection of the shape of the chest	4.00		‡
EO20	Assessment of facial sensitivity and movements	4.00		‡
EO21	Palpation of the extremities to assess sensitivity	4.00		‡
EO22	Muscle strength assessment	4.00
EO23	Inspection of muscles and extremities for size and symmetry	3.00		‡
EO24	Assessment of hearing acuity during data collection	4.00		‡
EO25	Inspection and assessment of stool	3.00
EO26	Gait assessment	4.00
EO27	PERRLA* scale assessment	3.00		‡
EO28	Assessment using the Glasgow coma scale	5.00
EO29	Inspection of the oral cavity	3.00	†	‡
EO30	Inspection of the spine	2.00		‡

[1] Corresponding author:
Mirian Fioresi Universidade Federal do Espírito Santo Avenida Marechal Campos, nº 1468, Maruípe, Santos Dumont, Vitória-ES, Brasil, CEP: 29047-105 E-mail: mirianfioresi@hotmail.com

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TRANSLATION AND VALIDATION OF A SCALE TO ASSESS THE PHYSICAL EXAMINATION SKILLS OF BRAZILIAN NURSES

ABSTRACT

Objective:

Method:

Results:

Conclusion:

HIGHLIGHTS