Objectives:This study aimed to identify barriers in performing physical assessments among nursing students through integrative review study.Methods:The literature were searched in Medline,CINAHL,ScienceDirect,Web of S...Objectives:This study aimed to identify barriers in performing physical assessments among nursing students through integrative review study.Methods:The literature were searched in Medline,CINAHL,ScienceDirect,Web of Science,ProQuest,and Taylor&Francis Online using the descriptors barrier,physical assessment,nursing student et al.Only English-language and peer-reviewed journal articles were included,and there were no year restrictions.Results:Twelve articles were selected for review.Two aspects were extracted:the barriers included personal challenges,challenges related to nursing education,challenges related to clinical practice;establishing competency-based education learning as a method to reduce physical assessment barriers.Student competencies and experiences were influenced by various factors that collectively hindered their successful performance of physical assessments.Conclusions:The review findings provide valuable insights into the complex issues involved in the performance of physical assessments and guidance for improvement in practice.A collaborative effort should be made to address the issues often faced by nursing students in performing routine physical assessments.Also,more constructive and competency-based teaching methods should be integrated into academic and clinical settings.展开更多
Background：Improving motor skill competency and enhancing health-related physical fitnes are desired learning outcomes for school-aged children.Achieving motor skill competency and a healthy level of physical fitnes ...Background：Improving motor skill competency and enhancing health-related physical fitnes are desired learning outcomes for school-aged children.Achieving motor skill competency and a healthy level of physical fitnes lay a foundation for being a physically active person across a lifetime.The purpose of this study was to investigate relationships between levels of manipulative skill competency and physical fitnes for elementary school boys and girls.Methods：In this study,565 fourth-grade students and their 9 physical education teachers were voluntary participants.The students were assessed in 4 basic specialized manipulative skills and 4 fitnes components during regular physical education lessons.Data were analyzed with descriptive statistics,univariate analyses,and multiple R2 liner regression methods.Results：Boys were more proficien at the manipulative skills than girls,while girls had significan higher percentages for meeting the healthy fitnes zone for the fitnes tests than boys.Four manipulative skills significant y predicted progressive aerobic cardiovascular endurance run（PACER）,push-up,and trunk lifts tests at p〈0.05 level,but not curl-up test for both boys and girls.Boys and girls in the skill-competent group significant y outperformed their counterparts in the skill-incompetent group on PACER,push-up,and trunk lifts tests at p〈0.05 level,with an exception of curl-up test.Conclusion：The more competent in manipulative skills,the higher healthy level in cardiovascular endurance,upper-body muscular strength and endurance,and fl xibility the students demonstrated.Demonstrating manipulative skill competence and maintaining a healthy level of physical fitnes are 2 major desired learning outcomes for elementary school students to be able to achieve.展开更多
Historically, alluvial rivers have been a desirable source of sediment for various industrial purposes. However, the demand for sand is rapidly increasing, leading to environmental concerns associated with its extract...Historically, alluvial rivers have been a desirable source of sediment for various industrial purposes. However, the demand for sand is rapidly increasing, leading to environmental concerns associated with its extraction. The extraction of sediment from riverbeds has both visible and invisible effects. This research aims to investigate the dynamics of the Jhimruk River’s morphology and its impacts by evaluating the river’s quality and studying its changing morphology. To assess morphological changes, satellite images from different years were compared using Geographic Information System (GIS). Physical assessments were conducted by calculating a Habitat score based on various parameters. Water quality assessments involved measuring factors such as pH, temperature, nitrate levels, and alkalinity. A water quality map of the river was generated using color coding to indicate different conditions. The Habitat score demonstrated variations in the data collected from all sites, with factors such as instream cover, bottom substrate stability, riparian vegetation, and aesthetic of the river stretch playing crucial roles in influencing the total score. The Water Quality Index value for the disturbed site indicated moderate pollution, falling under class II. Aquatic macroinvertebrates displayed natural responses to increasing levels of stressors across their life stages, as observed through the analysis of the GRS-BIOS/ASPT index. With the exception of the disturbed site, all other sites were classified under water quality class II, while the disturbed site belonged to class III, indicating a moderate to critically polluted state for most of the Jhimruk River. Furthermore, an increase of 180.87 meters in the river width at the disturbed site provided evidence of morphological changes occurring over the specified period. Mining activities were identified as a significant contributor to the alteration in river morphology.展开更多
Background： Accelerometers have been suggested to provide additional information during the 6-min walk test which may be useful in evaluating changes in functional exercise capacity. The aim of the study was to ident...Background： Accelerometers have been suggested to provide additional information during the 6-min walk test which may be useful in evaluating changes in functional exercise capacity. The aim of the study was to identify whether the additional information measured by the My Wellness Key^TM（MWK） accelerometer during a treadmill 6-min walk test（t-6MWT） was related to currently used outcome measures.Methods： Fifteen participants（9 males, 6 females） performed a self-paced t-6MWT. Respiratory gas analysis and walking distance were measured whilst wearing the MWK.Results： A significant correlation was established between activity counts and 6-min walk distance（6MWD）（r=-0.847, p 〈 0.001） yet not 6-min walk work（6MWW）（r=-0.337, p=0.220）. Energy expenditure estimated by the MWK was strongly correlated to 6MWW（r=0.938, p 〈 0.001）but not 6MWD（r=0.477, p=0.072）. The MWK significantly underestimated energy expenditure（36.73, CI=33.9-39.7 kcal） compared to gas analysis（54.35, CI=46.2-61.4 kcal） demonstrating poor agreement between the two analyses（Bias=-17.61 kcal, Limits of agreement=-37.4,t2.2 kcal）. Measurement of time spent undertaking light, moderate, and vigorous physical activity was not significantly different（ p 〉 0.05）between the MWK and gas analysis.Conclusion： Estimated energy expenditure provided by the MWK was strongly correlated to 6MWW; however, MWK underestimated energy expenditure as measured by gas analysis. The MWK may provide outcome data that supplement those currently provided by the 6MWD for functional capacity assessment during the t-6MWT.展开更多
基金The authors would like to thank Deanship of Scientific Research at Majmaah University,Kingdom of Saudi Arabia(Project number 1440-08)for supporting this work.
文摘Objectives:This study aimed to identify barriers in performing physical assessments among nursing students through integrative review study.Methods:The literature were searched in Medline,CINAHL,ScienceDirect,Web of Science,ProQuest,and Taylor&Francis Online using the descriptors barrier,physical assessment,nursing student et al.Only English-language and peer-reviewed journal articles were included,and there were no year restrictions.Results:Twelve articles were selected for review.Two aspects were extracted:the barriers included personal challenges,challenges related to nursing education,challenges related to clinical practice;establishing competency-based education learning as a method to reduce physical assessment barriers.Student competencies and experiences were influenced by various factors that collectively hindered their successful performance of physical assessments.Conclusions:The review findings provide valuable insights into the complex issues involved in the performance of physical assessments and guidance for improvement in practice.A collaborative effort should be made to address the issues often faced by nursing students in performing routine physical assessments.Also,more constructive and competency-based teaching methods should be integrated into academic and clinical settings.
基金funded by U.S.Department of Education,Carol White Physical Education Program grant(CFDA 84.215F)
文摘Background：Improving motor skill competency and enhancing health-related physical fitnes are desired learning outcomes for school-aged children.Achieving motor skill competency and a healthy level of physical fitnes lay a foundation for being a physically active person across a lifetime.The purpose of this study was to investigate relationships between levels of manipulative skill competency and physical fitnes for elementary school boys and girls.Methods：In this study,565 fourth-grade students and their 9 physical education teachers were voluntary participants.The students were assessed in 4 basic specialized manipulative skills and 4 fitnes components during regular physical education lessons.Data were analyzed with descriptive statistics,univariate analyses,and multiple R2 liner regression methods.Results：Boys were more proficien at the manipulative skills than girls,while girls had significan higher percentages for meeting the healthy fitnes zone for the fitnes tests than boys.Four manipulative skills significant y predicted progressive aerobic cardiovascular endurance run（PACER）,push-up,and trunk lifts tests at p〈0.05 level,but not curl-up test for both boys and girls.Boys and girls in the skill-competent group significant y outperformed their counterparts in the skill-incompetent group on PACER,push-up,and trunk lifts tests at p〈0.05 level,with an exception of curl-up test.Conclusion：The more competent in manipulative skills,the higher healthy level in cardiovascular endurance,upper-body muscular strength and endurance,and fl xibility the students demonstrated.Demonstrating manipulative skill competence and maintaining a healthy level of physical fitnes are 2 major desired learning outcomes for elementary school students to be able to achieve.
文摘Historically, alluvial rivers have been a desirable source of sediment for various industrial purposes. However, the demand for sand is rapidly increasing, leading to environmental concerns associated with its extraction. The extraction of sediment from riverbeds has both visible and invisible effects. This research aims to investigate the dynamics of the Jhimruk River’s morphology and its impacts by evaluating the river’s quality and studying its changing morphology. To assess morphological changes, satellite images from different years were compared using Geographic Information System (GIS). Physical assessments were conducted by calculating a Habitat score based on various parameters. Water quality assessments involved measuring factors such as pH, temperature, nitrate levels, and alkalinity. A water quality map of the river was generated using color coding to indicate different conditions. The Habitat score demonstrated variations in the data collected from all sites, with factors such as instream cover, bottom substrate stability, riparian vegetation, and aesthetic of the river stretch playing crucial roles in influencing the total score. The Water Quality Index value for the disturbed site indicated moderate pollution, falling under class II. Aquatic macroinvertebrates displayed natural responses to increasing levels of stressors across their life stages, as observed through the analysis of the GRS-BIOS/ASPT index. With the exception of the disturbed site, all other sites were classified under water quality class II, while the disturbed site belonged to class III, indicating a moderate to critically polluted state for most of the Jhimruk River. Furthermore, an increase of 180.87 meters in the river width at the disturbed site provided evidence of morphological changes occurring over the specified period. Mining activities were identified as a significant contributor to the alteration in river morphology.
文摘Background： Accelerometers have been suggested to provide additional information during the 6-min walk test which may be useful in evaluating changes in functional exercise capacity. The aim of the study was to identify whether the additional information measured by the My Wellness Key^TM（MWK） accelerometer during a treadmill 6-min walk test（t-6MWT） was related to currently used outcome measures.Methods： Fifteen participants（9 males, 6 females） performed a self-paced t-6MWT. Respiratory gas analysis and walking distance were measured whilst wearing the MWK.Results： A significant correlation was established between activity counts and 6-min walk distance（6MWD）（r=-0.847, p 〈 0.001） yet not 6-min walk work（6MWW）（r=-0.337, p=0.220）. Energy expenditure estimated by the MWK was strongly correlated to 6MWW（r=0.938, p 〈 0.001）but not 6MWD（r=0.477, p=0.072）. The MWK significantly underestimated energy expenditure（36.73, CI=33.9-39.7 kcal） compared to gas analysis（54.35, CI=46.2-61.4 kcal） demonstrating poor agreement between the two analyses（Bias=-17.61 kcal, Limits of agreement=-37.4,t2.2 kcal）. Measurement of time spent undertaking light, moderate, and vigorous physical activity was not significantly different（ p 〉 0.05）between the MWK and gas analysis.Conclusion： Estimated energy expenditure provided by the MWK was strongly correlated to 6MWW; however, MWK underestimated energy expenditure as measured by gas analysis. The MWK may provide outcome data that supplement those currently provided by the 6MWD for functional capacity assessment during the t-6MWT.
