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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
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Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
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The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
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Implementing a Real-time Workplace-based Assessment Data Collection System Across an Entire Medical School's Clinical

Reem Hasan1, Carrie Phillipi1, Andrea Smeraglio1

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|March 15, 2024
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Summary
This summary is machine-generated.

A new online system for workplace-based assessments (WBAs) successfully increased competency data for medical students. This tool streamlines real-time evaluations of Entrustable Professional Activities (EPAs) with minimal disruption.

Keywords:
competency based medical educationentrustable professional activitiesworkplace-based assessment

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Area of Science:

  • Medical Education
  • Competency-Based Assessment
  • Health Professions Education

Background:

  • Workplace-based assessments (WBAs) are crucial for evaluating medical student competency in core Entrustable Professional Activities (EPAs).
  • Real-time assessment during patient care presents significant logistical challenges.
  • There is a need for efficient systems to manage EPA competency assessment in undergraduate medical education.

Purpose of the Study:

  • To develop and implement an online WBA system to overcome challenges in real-time competency assessment.
  • To evaluate the effectiveness of the system in collecting EPA competency data from medical students.
  • To describe the development and implementation process of the WBA system.

Main Methods:

  • A student-driven, user-friendly online WBA tool was custom-built using Qualtrics® XM.
  • Students initiated assessments for specific EPAs, prompting clinical assessors to provide feedback using the modified Ottawa co-activity scale.
  • The system encouraged direct verbal feedback post-assessment.

Main Results:

  • A total of 3,568 WBAs were completed, with an average of 24.27 assessments per student.
  • All students completed at least one WBA, demonstrating system engagement.
  • The assessment completion time averaged 2.7 minutes, indicating efficiency.

Conclusions:

  • The electronic WBA system effectively increased the volume of assessment data for EPA competency.
  • The implementation provided valuable insights into medical student progress toward EPA attainment.
  • This technology offers a scalable solution for real-time competency assessment in medical education.