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What constitutes advanced assessment?

Laura J Davidson1, Susan E Bennett, Edna K Hamera

  • 1School of Nursing, The University of Kansas School of Nursing, 3901 Rainbow Boulevard, Mailstop 4043, Kansas City, KS 66160-7502, USA. jdavidso@kumc.edu

The Journal of Nursing Education
|October 14, 2004
PubMed
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This summary is machine-generated.

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Advanced practice nurses need comprehensive health assessment skills. Clinical preceptors highly value competencies in cardiac, gynecological, and breast assessments, indicating a need for focused student training.

Area of Science:

  • Nursing Education
  • Advanced Practice Nursing
  • Health Assessment

Background:

  • Advanced practice registered nurse (APRN) programs have expanded significantly.
  • There is a faculty desire to move beyond undergraduate-level health assessment content.
  • A need exists to define and validate advanced health assessment competencies for APRN students.

Purpose of the Study:

  • To validate advanced health assessment competencies identified by course faculty.
  • To determine the importance of these competencies as rated by clinical preceptors.

Main Methods:

  • A descriptive study design was employed.
  • A mailed survey was used to collect data from clinical preceptors.
  • Preceptors rated the importance of a faculty-generated list of advanced assessment competencies.

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Main Results:

  • Advanced assessment competencies generally received high mean importance ratings from preceptors.
  • The competency 'detects and interprets abnormalities in rate and rhythm' (cardiac system) received the highest mean score.
  • Competencies related to gynecological and breast systems also received high ratings.

Conclusions:

  • Clinical preceptors consider advanced health assessment competencies highly important for APRN students.
  • There is a clear need to ensure APRN students achieve proficiency in all validated advanced assessment skills.
  • Curriculum development should prioritize comprehensive mastery of advanced assessment techniques, particularly in cardiac, gynecological, and breast examinations.