Abstract
One hundred twenty-six assessment skills are taught in prelicensure nursing health assessment courses, yet 30 skills are used on a routine basis in practice. New nurses struggle to apply their acquired knowledge in clinical settings. Method: A literature review was completed. Based on the results, a first semester health assessment course in a southeastern accelerated baccalaureate nursing program was redesigned. Lectures and skills labs were adjusted to focus on the most critical assessment skills. To foster critical thinking and clinical judgement, a health assessment post conference was added where students completed concept maps, system specific case studies, nursing priority setting, and patient teaching plans. Results: Outcome surveys were completed by second semester faculty. Prior to course adjustments, 33 percent of students did not meet the benchmark. Following course changes, all students met or exceeded the benchmark. Conclusion: Focusing on critical assessment skills will increase student nurses’ ability to deliver safe patient care.
Highlights
Patients depend on a nurse’s ability to recognize and respond quickly to changes in their condition
Clinical judgement involves the process of clinical thinking, clinical reasoning leading to a clinical judgement
The purpose of this paper is to present how a Bachelor of Science Nursing Health assessment course was redesigned to improve health assessment skills competencies without increasing course content
Summary
Patients depend on a nurse’s ability to recognize and respond quickly to changes in their condition. Clinical judgement involves the process of clinical thinking, clinical reasoning leading to a clinical judgement. This process requires a nurse to recognize patient cues, and critically analyze the data. This is followed by making appropriate decisions to optimize patient outcomes [1,2,3,4]. Studies document that new nurses struggle to apply their recently acquired knowledge in the rapid-paced, ever-changing clinical setting [5]. 77 percent of new nurse graduates failed to demonstrate clinical competency [1]
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