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Evaluating a staff development physical assessment program.

S W Vines, J A Simons

    Journal of Nursing Staff Development : JNSD
    |March 1, 1991
    PubMed
    Summary
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    Most nurses use only half of the physical assessment skills learned in mandatory courses. Staff development should tailor training to specific patient populations for better clinical application.

    Area of Science:

    • Nursing Education
    • Clinical Practice
    • Program Evaluation

    Background:

    • Nurses require comprehensive physical assessment skills for effective patient care.
    • Mandatory training programs aim to enhance these essential nursing competencies.
    • Evaluating the real-world application of learned skills is crucial for educational effectiveness.

    Purpose of the Study:

    • To evaluate the extent to which nurses apply physical assessment skills after completing a mandatory course.
    • To identify specific physical assessment skills frequently and infrequently used in daily nursing practice.
    • To inform future curriculum development for nursing physical assessment training.

    Main Methods:

    • A program evaluation was conducted using a questionnaire.

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  • The questionnaire assessed the daily clinical usage of 17 physical assessment skills.
  • The study population included nurses who completed the initial four sessions of the physical assessment course.

    • Main Results:

    • The majority of nurses utilized only nine out of the 17 taught physical assessment skills daily.
    • Mental status and skin system assessments were the most frequently used skills.
    • Assessments for extraocular movements, cranial nerves, and jugular vein distention were least frequently used.

    Conclusions:

    • Nurses tend to apply physical assessment skills relevant to their specific patient populations.
    • There is a need to re-evaluate and customize physical assessment course content.
    • Training should be tailored to the unique skill requirements of specialty patient care units.