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01:30Current Trends in Nursing II
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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
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A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
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01:11Purpose of Health Records I
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The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
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01:25Assessment of apical radial pulse
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Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
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01:15Nursing Evaluation
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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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01:05Data Collection III
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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.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
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Development, Usability, and Validity Evidence of a Rheumatology Telehealth Feedback Form.
Lisa Zickuhr1, Alberto Sobrero1, Daniel Albert2
1Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Arthritis Care & Research
|April 21, 2025
Summary
This study developed the Rheumatology Telehealth Feedback Form (RTFF) to assess rheumatology fellows-in-training (FITs) in telehealth skills. The RTFF is an evidence-based tool to guide feedback and improve telehealth competence for FITs.
Area of Science:
- Medical Education
- Rheumatology
- Digital Health
Background:
- Telehealth is increasingly vital in rheumatology, necessitating skilled fellows-in-training (FITs).
- Effective feedback is crucial for developing telehealth proficiency.
- A validated assessment tool is needed to evaluate FITs' telehealth capabilities.
Purpose of the Study:
- To develop and gather validity evidence for the Rheumatology Telehealth Feedback Form (RTFF).
- To create a tool that assesses essential skills for rheumatology telehealth encounters.
- To support the training of rheumatology fellows in delivering virtual care.
Main Methods:
- A modified Delphi method and focus groups were used to define essential telehealth skills.
- The Rheumatology Telehealth Competencies and evidence-based practices informed content development.
- Rheumatology educators and FITs piloted the RTFF during simulated and real patient encounters.
Main Results:
- The modified Delphi process identified 16 essential skills, forming 17 items on the RTFF.
- Educators found the RTFF helpful in teaching rheumatology telehealth skills.
- Interrater reliability was moderately to strongly supported (ICC = 0.857 and 0.632).
Conclusions:
- The RTFF is an evidence-based, expert-consensus tool for assessing rheumatology telehealth skills.
- It serves as a guide for educators to provide formative feedback to FITs.
- The RTFF is the first direct observation tool for rheumatology telehealth skills assessment.