Knowledge and Competency in Cardiovascular Health Assessment and Health Promotion in Undergraduate Nursing Students

Monday, July 11, 2011

Sun-Ha Choi, PhD, RN1
Min Sohn, PhD2
Youngmee Ahn, PhD, RN2
(1)Department of Nursing, Gangneung-Wonju National University, Wonju Campus, Wonju, South Korea
(2)Department of Nursing, Inha University, Incheon, South Korea

Learning Objective 1: The learners will be able to Korean nursing students' knowledge and confidence in cardiovascular(CV) health assessment and health promotion.

Learning Objective 2: The learners will be able to discuss how to enhance their knowledge and confidence in the area.

Purpose: Considering high prevalence of cardiovascular (CV) diseases, CV health assessment and health promotion is an important part of standard care of nursing. The study purpose is to describe knowledge and self efficacy in CV focused health assessment and health promotion after the traditional lecture and laboratory practice.

Methods: Knowledge of CV anatomy and physiology (AP), and knowledge and self efficacy (SE) of CV health assessment and health promotion of 138 2nd year undergraduate nursing students was measured using a structured questionnaire at the end of semester, which was 4 weeks after the traditional lecture and laboratory practice. Each of the knowledge questionnaires included 10 items. SE questionnaire consisted of 20 items including 4 areas of subjective data assessment (5 items), objective data assessment (5 items), critical thinking through prioritizing health problems (5 items) and health promotion (5 items). The score of each item can range from 0 (not at all confident) to 10 (totally confident). 

Results: Knowledge of AP (mean: 8.0±1.4, 95% CI: 7.8, 8.3) was higher than knowledge of CV health assessment (mean: 4.7±1.8, 95% CI: 4.4, 5.0). The highest score of SE was health promotion (mean: 42.8, 95% CI: 41.6, 43.9), followed by subjective data assessment (mean: 37.6, 95% CI: 36.5, 38.8), objective data assessment (mean: 32.8, 95% CI: 31.5, 34.0), and critical thinking (mean: 27.2, 95% CI: 25.7, 28.7). The topics students were least confident in each area of SE were assessing symptoms in subjective data assessment, identifying apical pulses in objective data assessment, prioritizing client’s health problems in critical thinking and advising about drinking in health promotion.

Conclusion: Students’ confidence in performing CV health assessment and health promotion may vary. More enhanced teaching strategies are required to help students obtain balanced and stronger abilities in CV health assessment and health promotion.