Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Essential Skills | Anderson et al. (2014) [11] | Kohtz, et al. (2017) [12] | Giddons, (2007) [16] | Douglas, et al. (2016) [17] | Egilsdottir, et al. (2019) [15] | Birks, et al. (2014) [18] | Secrest et al. (2005) [14] |
---|---|---|---|---|---|---|---|
Vital Signs | |||||||
Assess pain | X | ||||||
BP | X | X | |||||
RR | X | X | |||||
HR | X | X | X | ||||
Sa02 | X | X | |||||
Body temp | X | ||||||
Weight | X | ||||||
Height | X | ||||||
Integumentary | |||||||
Inspect skin color | X | X | X | X | X | X | |
Skin lesions | X | X | X | X | X | X | |
Skin wounds | X | X | X | X | X | X | |
Estimate skin fold | X | ||||||
Head: | |||||||
Inspect facial structures | X | X | X | X | |||
Oral cavity | X | X | X | X | X | ||
Ears: | |||||||
Assess hearing based on conversation | X | X | X | X | X | ||
Eyes: | |||||||
Inspect external eyes | X | X | X | X | X | X | |
Visual acuity | X | X | X | X | |||
PERRLA | X | X | X | X | X | X | |
Thorax: | |||||||
Inspect chest shape | X | X | X | X | X | X | |
Breathing effort | X | X | X | X | X | ||
Palpate chest wall expansion | X | X | X | ||||
Auscultate breath sounds | X | X | X | X | X | X | X |
Ability to cough | |||||||
Percuss lungs | X | X | X | ||||
Abdomen: | |||||||
Inspect abdomen | X | X | X | X | X | X | X |
Auscultate bowel sounds | X | X | X | X | X | X | X |
Palpate for tenderness/distention | X | X | X | X | X | X | X |
Assess stool | X | X | X | X | |||
Percuss abdomen | |||||||
Cardiovascular: | |||||||
Inspect cap refill | X | X | X | X | X | X | X |
Palpate distal pulses | X | X | X | X | X | X | X |
Inspect/palpate edema | X | X | X | X | X | X | X |
Palpate extremities temp | X | X | X | X | X | X | |
Inspect extremities for color and hair growth | X | X | X | X | X | X | X |
Auscultate carotid artery | X | X | |||||
Inspect jugular pulsation | X | X | X | X | X | X | X |
Auscultate heart sounds | X | ||||||
Musculoskeletal: | |||||||
Inspect back/Spine | X | X | X | ||||
Inspect muscles/extremities size/symmetry | X | X | X | X | |||
Palpate extremities/joints/calve for tenderness | X | X | X | X | X | ||
Observe ROM | X | X | X | X | X | X | |
Assess muscle strength | X | X | X | X | X | X | X |
Neurological: | |||||||
Assess mental/LOC | X | X | X | X | X | ||
Glascow Coma Scale | X | X | X | ||||
Evaluate speech | X | X | X | X | X | ||
Facial movement/sensation | X | X | X | X | X | ||
Assess gait | |||||||
CN I-XII | X | X | X | X | X | X | |
Patella/Planter reflex | X | ||||||
Gag reflex | X | X | |||||
Total Skills | 34 | 28 | 30 | 32 | 30 | 36 | 19 |
Skills | HEENT | Cardiovascular | Thorax | Neurological | Abdomen | Musculoskeletal |
---|---|---|---|---|---|---|
Decreased by | 74% | 39% | 30% | 58% | 73% | 74% |
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Kinyon, K.; D’Alton, S.; Poston, K.; Navarrete, S. Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course. Nurs. Rep. 2021, 11, 600-607. https://doi.org/10.3390/nursrep11030057
Kinyon K, D’Alton S, Poston K, Navarrete S. Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course. Nursing Reports. 2021; 11(3):600-607. https://doi.org/10.3390/nursrep11030057
Chicago/Turabian StyleKinyon, Kathryn, Shannon D’Alton, Kristen Poston, and Sarah Navarrete. 2021. "Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course" Nursing Reports 11, no. 3: 600-607. https://doi.org/10.3390/nursrep11030057
APA StyleKinyon, K., D’Alton, S., Poston, K., & Navarrete, S. (2021). Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course. Nursing Reports, 11(3), 600-607. https://doi.org/10.3390/nursrep11030057