Advanced physical assessment: the role of the district nurse

Baid, Heather; Bartlett, Chris; Gilhooly, Susan; Illingworth, Andrea; Winder, Suzanne

doi:10.7748/ns2009.05.23.35.41.c6958

Cited by 9 publications

(4 citation statements)

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“…Many nurses at community hospitals deal with various diseases, and in their workplaces, an effective physical assessment may be useful in improving patients' conditions. 5 To establish an educational system for effective physical assessment, it is essential to provide a clear picture of the present state of the education provided on performing physical assessments to nurses at community hospitals.…”

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confidence: 99%

Physical assessment by Japanese community hospital nurses compared to that performed overseas: A cross‐sectional study

Maejima¹,

Ohta²

2018

J of Gen and Family Med

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Background Japanese nurses may not be adequately trained to perform physical assessments compared to nurses overseas due to differences in accessibility to education; currently, research investigating this discrepancy is limited. This study investigated the current performance levels of Japanese community nurses in physical assessments and compared their performance to that of nurses overseas. Methods In this cross‐sectional study, we examined the practical application of physical assessments conducted by nurses at a Japanese community hospital. We used a questionnaire based on one used in a similar prior study conducted overseas. The results were also compared with the overseas data. A chi‐squared test and analysis of variance were used to analyze the variables in each question. Results We distributed the questionnaires to 171 nurses working in the hospital. The return rate was 97.6% (167 out of 171). There was no significant difference in the methods used to perform a physical assessment based on the number of years of experience. Compared to nurses overseas, Japanese community hospital nurses differed in one area of assessment: A physical assessment of the chest was more likely conducted via auscultation rather than inspection. Conclusions When Japanese community hospital nurses performed a physical assessment of patients, auscultation was more frequently implemented than inspection. This approach contrasts with nurses overseas, who were more likely to use inspection when performing physical assessment. Japanese community nurses should improve their skills related to inspection, as inspection is an important process in the recognition of early stages of emergency.

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confidence: 99%

Physical assessment by Japanese community hospital nurses compared to that performed overseas: A cross‐sectional study

Maejima¹,

Ohta²

2018

J of Gen and Family Med

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“…The participants reported that the medical checkups include physical examination, body weight measurement, tension check, eyes examination, Mid-Upper Arm Circumference, abdominal examination, fetal heartbeat examination, and ankle and foot examination for swelling. Baid, Bartlett, Gilhooly, Illingworth, and Winder (2009) reported that holistic nursing care requires patient assessment based on information obtained from interviews, physical examinations, and assessments of patient history. In addition, nurses must examine their client's head, hair, eyes, nose, ears, teeth, mouth, neck, breasts, respiratory system, cardiac system, and abdomen (measuring symphysis-fundus height, leopold, fetal pulse rate, and hyperpigmentation), extremity reflexes, pelvis, and rectum.…”

Section: Discussionmentioning

confidence: 99%

Pregnant Women’s Experience during Antenatal Care in Private Clinic Maternity Nursing

Fujiana

Setyowati

Rachmawati

2020

Jurnal Keperawatan Indonesia

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Maternity nurses are authorized health workers that provide antenatal care, but their roles and function in antenatal care services are not recognized by the public. This research aims to reveal the experience of pregnant women during antenatal visits in private clinic maternity nursing. Six pregnant women selected using purposive sampling underwent an in-depth interview in this descriptive phenomenological study. Data were analyzed through thematic content analysis with Moustakas approach. Three themes were identified in this study: 1) women experience good communication with maternity nurses; 2) women receive family-centered nursing care; 3) the schedule, cost, facility, and types of service meet the participants’ needs. This study suggests for nurses to improve their competencies in delivering antenatal care according to clients’ needs.Abstrak Pengalaman Kehamilan Wanita Selama Masa Perawatan Antenatal di Klinik Mandiri Keperawatan Maternitas. Perawat spesialis maternitas adalah petugas kesehatan berwenang yang menyediakan perawatan antenatal, tetapi peran dan fungsinya dalam layanan perawatan antenatal belum dikenal oleh masyarkat. Penelitian ini bertujuan untuk mengungkapkan pengalaman ibu hamil selama kunjungan antenatal di klinik mandiri keperawatan maternitas. Enam ibu hamil yang dipilih menggunakan purposive sampling menjalani wawancara mendalam dalam studi fenomenologis deskriptif ini. Data dianalisis melalui tematik konten analisis dengan pendekatan Moustakas. Tiga tema diidentifikasi dalam penelitian ini: 1) ibu hamil mengalami komunikasi yang baik dengan perawat maternitas; 2) wanita menerima asuhan keperawatan yang berpusat pada keluarga; 3) jadwal, biaya, fasilitas, dan jenis pelayanan sesuai keinginan ibu hamil. Studi ini menyarankan bagi perawat untuk meningkatkan kompetensi mereka dalam memberikan pelayanan antenatal sesuai dengan kebutuhan klien. Kata Kunci: antenatal care, ibu hamil, perawat maternitas

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“…Physical assessment is a framed consultation and physical examination by a practitioner, to gather data for a medical diagnosis, which informs decisions about a patient's treatment (Baid 2009). Medical physical assessment education and training were introduced to registered nurses' (RNs) roles in the UK in 1990s.…”

Section: Definition Of Physical Assessmentnurses and Doctorsmentioning

confidence: 99%

“…Despite lack of evidence about the efficacy of PAS, and its purpose for nursing work, PAS was introduced to RNs' scope of practice in the UK in the late 1990s. RNs were trained to undertake PAS based on a medical examination framework to appraise patients' signs and symptoms (West 2006, Rushforth et al 2006 and where possible make diagnoses in the absence of a medical doctor (Baid 2009).…”

Section: Definition Of Physical Assessmentnurses and Doctorsmentioning

confidence: 99%

A qualitative study of advanced nurse practitioners’ use of physical assessment skills in the community: shifting skills across professional boundaries

Raleigh

Allan

2017

Journal of Clinical Nursing

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Physical assessment education prepares nurses with the clinical competencies to carry out healthcare reforms in the UK. Shared sets of clinical assessment competencies between disciplines have better outcomes for patients. Levels of assessment competence can depend on the professional attributes of individual practitioners. Unsupportive learning cultures can hinder professional development of advanced nursing practice.

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Advanced physical assessment: the role of the district nurse

Cited by 9 publications

References 0 publications

Physical assessment by Japanese community hospital nurses compared to that performed overseas: A cross‐sectional study

Physical assessment by Japanese community hospital nurses compared to that performed overseas: A cross‐sectional study

Pregnant Women’s Experience during Antenatal Care in Private Clinic Maternity Nursing

A qualitative study of advanced nurse practitioners’ use of physical assessment skills in the community: shifting skills across professional boundaries

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