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Exploring nursing roles: using physical assessment in the respiratory unit.

Anthony Wheeldon1

  • 1Thames Valley University, Ealing, London.

British Journal of Nursing (Mark Allen Publishing)
|June 2, 2005
PubMed
Summary

Nurses are increasingly performing tasks traditionally done by doctors, like physical assessments. While this may aid early symptom recognition, it raises training and legal concerns, questioning true professional advancement.

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British journal of nursing (Mark Allen Publishing)ยท2023
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Area of Science:

  • Nursing
  • Medicine
  • Healthcare Innovation

Background:

  • The nursing profession is evolving, with blurred lines between nursing and medical practice.
  • Reduced junior doctor hours may be a catalyst for expanded nursing roles.
  • Nurses are adopting tasks traditionally within the medical domain.

Purpose of the Study:

  • To analyze the utilization of physical assessment by nurses in a respiratory unit.
  • To explore the implications of nurses adopting medical tasks on their professional autonomy.
  • To examine the evidence supporting the use of physical assessment in nursing.

Main Methods:

  • Analysis of physical assessment utilization in a respiratory unit.
  • Review of training and legal considerations for expanded nursing roles.
  • Discussion of the concept of role extension versus autonomous practice.

Main Results:

  • Physical assessment by nurses may aid in early recognition of peri-arrest symptoms.
  • Significant training and legal issues are highlighted by current usage patterns.
  • The adoption of medical tasks may lead to nurses acting as physician assistants rather than advanced practitioners.

Conclusions:

  • The expanded role of nurses requires careful consideration of training, legal frameworks, and professional identity.
  • Evidence supporting the routine use of physical assessment in nursing requires further investigation.
  • The shift in nursing responsibilities necessitates a re-evaluation of advanced autonomous practice models.

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