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Competency-Based Graduate Nursing Education for Fundoscopic and Otoscopic Exam Using Telehealth.

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Graduate nursing students improved their physical assessment skills using adapted telehealth equipment. This innovative approach enhanced their ability to perform otoscopic and fundoscopic exams, boosting confidence and competence.

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Area of Science:

  • Nursing Education
  • Medical Simulation
  • Telehealth Technology

Background:

  • Mastery of physical assessment is crucial for graduate nursing students.
  • Standard equipment presents challenges in assessing these essential skills.
  • Telehealth integration offers a potential solution for skill acquisition.

Purpose of the Study:

  • To evaluate the effectiveness of adapted telehealth equipment in teaching physical assessment skills.
  • To improve graduate nursing students' proficiency in otoscopic and fundoscopic examinations.
  • To assess changes in perceived competence using Benner's novice-to-expert theory.

Main Methods:

  • A quasi-experimental, pre/post single cohort design was employed.
  • A telehealth cart was modified with an otoscope and PanOptic™ ophthalmoscope with a smartphone.
  • Students practiced kinesthetic skills for otoscopic and fundoscopic exams using the adapted equipment.

Main Results:

  • Perceived competence levels significantly improved post-instruction for both examination techniques.
  • Combined values for perceived competent and proficient levels rose from 22-40% pre-instruction to 70-87% post-instruction.
  • The adapted telehealth system facilitated skill acquisition in graduate nursing students.

Conclusions:

  • Adapted telehealth equipment effectively enhances physical assessment skill acquisition in graduate nursing programs.
  • This technology provides a viable method for improving students' ability to perform key diagnostic examinations.
  • The findings support the integration of telehealth tools in nursing education for improved patient assessment capabilities.