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Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing
Kathryn Kinyon1, Shannon D'Alton1, Kristen Poston1
1College of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA.
Nursing Reports (Pavia, Italy)
|December 30, 2021
Summary
Redesigning nursing education to focus on critical health assessment skills improved student performance. All students met benchmarks after the curriculum changes, enhancing their readiness for safe patient care.
Area of Science:
- Nursing Education
- Health Assessment Skills
Background:
- Prelicensure nursing courses teach 126 health assessment skills, but only 30 are routinely used in practice.
- New nurses face challenges applying their knowledge in clinical settings, indicating a gap between education and practice.
Purpose of the Study:
- To redesign a health assessment course to better prepare nursing students for clinical practice.
- To enhance critical thinking and clinical judgment in nursing students.
Main Methods:
- A literature review informed the redesign of a first-semester health assessment course in an accelerated baccalaureate nursing program.
- Curriculum adjustments focused on critical assessment skills, incorporating lectures, skills labs, and a post-conference with case studies and concept mapping.
Main Results:
- Before the course redesign, 33% of students did not meet the established benchmark for health assessment skills.
- After implementing the revised curriculum, all students met or exceeded the benchmark, indicating improved competency.
Conclusions:
- Concentrating on essential health assessment skills in nursing education is crucial for improving student competency.
- This focused approach enhances student nurses' ability to provide safe and effective patient care.
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