Attitudes and Factors Influencing the Nursing Professional Program Students’ Toward Vital Signs Monitoring
= http://dx.doi.org/10.24990/injec.v11i2.1028
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Abstract
Introduction: Monitoring vital signs (VS) is a key nursing responsibility for early detection of clinical deterioration and ensuring patient safety. Although VS measurements—such as body temperature, pulse, respiratory rate, and blood pressure—are simple, they are essential indicators. Nursing students are introduced to VS monitoring early in their education, but their attitudes vary depending on individual and contextual factors.
Method: This cross-sectional and descriptive study included all active professional nursing students at Universitas Padjadjaran, Universitas Muhammadiyah Kalimantan Timur, Universitas Riau, and Universitas Advent Indonesia using total sampling. Data were collected online from July to August 2025 via an anonymous questionnaire containing demographic questions and the 16-item V-Scale across five domains. Attitudes were measured using a five-point Likert scale, and data were analyzed with SPSS 26 using descriptive statistics.
Results: Most students showed moderate (59.5%) or positive (40.5%) attitudes, with no negative attitudes. In the five dimensions, the majority reported moderate attitudes in workload, technology, knowledge, and key indicators, while almost all students showed positive attitudes in communication (93.5%).
Conclusions: Nursing students generally hold moderate to positive attitudes toward VS monitoring. Although demographic factors did not significantly affect overall attitudes, certain variables influenced specific dimensions, indicating the multidimensional nature of attitudes. Promoting positive attitudes requires enhancing knowledge, reinforcing professional values, and providing clinical experience-based coping strategies through a holistic educational approach.Keywords
References
Alnjadat, R., Etoom, M., Al Momani, E., Al-Omari, A., & Al-ta’ani, M. (2025). Exploratory and confirmatory factor analyses of the Arabic Version of V-scale instrument used to determine nurses’ attitudes towards vital signs monitoring.
Alshehry, A. S., Cruz, J. P., Bashtawi, M. A., Almutairi, K. O., & Tumala, R. B. (2021). Nursing Students’ Knowledge, Competence and Attitudes towards Vital Signs Monitoring during Clinical Practice. Journal of Clinical Nursing, 30(5–6), 664–675. https://doi.org/10.1111/jocn.15586
Baig, M. M., Gholamhosseini, H., Connolly, M. J., & Kashfi, G. (2014). Real-time vital signs monitoring and interpretation system for early detection of multiple physical signs in older adults. 2014 IEEE-EMBS International Conference on Biomedical and Health Informatics, BHI 2014, 355–358. https://doi.org/10.1109/BHI.2014.6864376
Brekke, I. J., Puntervoll, L. H., Pedersen, P. B., Kellett, J., & Brabrand, M. (2019). The value of vital sign trends in predicting and monitoring clinical deterioration: A systematic review. PLoS ONE, 14(1). https://doi.org/10.1371/journal.pone.0210875
Cardona-Morrell, M., Prgomet, M., Turner, R. M., Nicholson, M., & Hillman, K. (2016). Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. International Journal of Clinical Practice, 70(10), 806–824. https://doi.org/10.1111/ijcp.12846
Dall’Ora, C., Griffiths, P., Hope, J., Briggs, J., Jeremy, J., Gerry, S., & Redfern, O. C. (2021). How long do nursing staff take to measure and record patients’ vital signs observations in hospital? A time-and-motion study. International Journal of Nursing Studies, 118(Jun), 103921. https://doi.org/10.1016/j.ijnurstu.2021.103921
Elliott, M., & Endacott, R. (2022). The clinical neglect of vital signs’ assessment: an emerging patient safety issue? Contemporary Nurse, 58(4), 249–252. https://doi.org/10.1080/10376178.2022.2109494
Etoom, M., Alnjadat, R., Momani, E. Al, Al-Omari, A., & Al-ta’ani, M. (2025). Nursing and Midwifery Student’s Attitudes Toward Vital Signs Monitoring Using an Arabic Version of the V-Scale Instrument and Its Influencing Factors. SAGE Open Nursing, 11(Jun 22), 23779608251362350. https://doi.org/https://doi.org/10.1177/23779608251362354
Jugović-Pavlović, K., & Simin, D. (2023). Nursing students’ attitudes towards monitoring patients’ vital signs. Zdravstvena Zastita, 52(3), 8–29. https://doi.org/10.5937/zdravzast52-46056
Kamio, T., Kajiwara, A., Iizuka, Y., Shiotsuka, J., & Sanui, M. (2018). Frequency of vital sign measurement among intubated patients in the general ward and nurses’ attitudes toward vital sign measurement. Journal of Multidisciplinary Healthcare, 11, 575–581. https://doi.org/10.2147/JMDH.S179033
Kebe, M., Gadhafi, R., Mohammad, B., Sanduleanu, M., Saleh, H., & Al-qutayri, M. (2020). Human vital signs detection methods and potential using radars: A review. Sensors (Switzerland), 20(5). https://doi.org/10.3390/s20051454
Kellett, J., & Sebat, F. (2017). Make vital signs great again – A call for action. European Journal of Internal Medicine, 45, 13–19. https://doi.org/10.1016/j.ejim.2017.09.018
Malcolm, E. (2021). The global elements of vital signs’ assessment: a guide for clinical practice. British Journal of Nursing, 30(16), 956–962. http://publicationslist.org/data/m.elliott/ref-42/The global elements of vital signs assessment.pdf
Mok, W., Wang, W., Cooper, S., Ang, E. N. K., & Liaw, S. Y. (2015). Attitudes towards vital signs monitoring in the detection of clinical deterioration: Scale development and survey of ward nurses. International Journal for Quality in Health Care, 27(3), 207–213. https://doi.org/10.1093/intqhc/mzv019
Mulyadi, M., Tonapa, S. I., Rompas, S. S. J., Wang, R. H., & Lee, B. O. (2021). Effects of simulation technology-based learning on nursing students’ learning outcomes: A systematic review and meta-analysis of experimental studies. Nurse Education Today, 107. https://doi.org/10.1016/j.nedt.2021.105127
Nizamuddin, A., Soomro, S. A., Waseem, I., Khushnood, A., & Gill, M. (2024). Analysis of Clinical Competencies in Vital Signs Monitoring Among BSN Students at Isra University, Hyderabad: Focusing on Knowledge, Skills, and Attitudes. Pakistan Journal of Multidisciplinary Innovation (PJMI), 3(2), 20–27. https://doi.org/10.59075/pjmi
Nuraini, T., Afifah, E., Agustini, N., Pujasari, H., Masfuri, M., & Milanti, A. (2015). Human patient simulation to improve the attitude of the nursing students. Journal of Nursing Education and Practice, 5(4). https://doi.org/10.5430/jnep.v5n4p52
ÖZSABAN, A., TURAN, N., BEKİ, Ç., & AŞTİ, T. (2022). The Relationship Between Nurses’ Attitudes Toward Vital Signs Monitoring and Emotional Intelligence Levels. Genel Tıp Dergisi, 32(6), 652–657. https://doi.org/10.54005/geneltip.1109875
Pratiwi, N., Erismawati, E., Warikar, A. A., & Lestari, D. P. (2023). Pengaruh Media Video Terhadap Ketrampilan Pemeriksaan Tanda-Tanda Vital (TTV) pada Mahasiwa Keperawatan Prodi D-III Keperawatan Manokwari. Malahayati Nursing Journal, 5(11), 3869–3882. https://doi.org/10.33024/mnj.v5i11.11784
Redfern, O. C., Griffiths, P., Maruotti, A., Recio Saucedo, A., & Smith, G. B. (2019). The association between nurse staffing levels and the timeliness of vital signs monitoring: A retrospective observational study in the UK. BMJ Open, 9(9), e032157. https://doi.org/10.1136/bmjopen-2019-032157
Saber, A. K., & Khudhair, S. (2021). Nurses’ Knowledge toward Measuring Vital Signs for Children in Medical Wards at Ibn Al-Atheer Pediatric Teaching Hospital in Mosul City. Kufa Journal for Nursing Sciences, 11(2), 9–16. https://doi.org/10.36321/kjns.vi20212.2005
Sapra, A., Malik, A., & Bhandari, P. (2020). Vital Sign Assessment. StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/31985994
Weenk, M., Koeneman, M., van de Belt, T. H., Engelen, L. J. L. P. G., van Goor, H., & Bredie, S. J. H. (2019). Wireless and continuous monitoring of vital signs in patients at the general ward. Resuscitation, 136, 47–53. https://doi.org/10.1016/j.resuscitation.2019.01.017
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