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Advanced nursing practice: an introduction to physical assessment.

C I Price¹, S W Han, I A Rutherford

¹Department of Medicine (Geriatrics), Newcastle University.

British Journal of Nursing (Mark Allen Publishing)

|September 25, 2002

Summary

Nurses face increased responsibility for acute patient care due to changing healthcare roles. This article explores clinical expertise development and presents a physical assessment framework to support nurses in their evolving, high-stress positions.

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Area of Science:

Nursing
Clinical Management
Healthcare Systems

Background:

Healthcare reforms shift acute patient assessment and management responsibilities to nurses.
Current nursing education (nursing process) may not fully prepare nurses for expanded roles.
Increased nurse responsibility heightens risks of stress and legal accountability without adequate support.

Purpose of the Study:

To explore the theory of clinical expertise acquisition in nursing.
To present a framework designed to enhance nurses' physical assessment skills.
To address the challenges faced by nurses in managing acutely ill patients.

Main Methods:

Literature review on clinical expertise development.
Description of a proposed physical assessment framework.

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Discussion of the theoretical underpinnings of advanced nursing practice.

Main Results:

The article outlines theoretical concepts relevant to developing clinical expertise.
A practical framework for physical assessment is detailed.
The need for supportive structures for nurses in advanced roles is highlighted.

Conclusions:

Nurses require enhanced skills and theoretical understanding to manage acutely ill patients effectively.
A structured physical assessment framework can support nurses in their expanded clinical roles.
Addressing support systems is crucial to mitigate stress and legal risks for nurses.