The Consequences of Using Advanced Physical Assessment Skills in Medical and Surgical Nursing: A Hermeneutic Pragmatic Study

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aut.relation.issue1en_NZ
aut.relation.journalInt J Qual Stud Health Well-beingen_NZ
aut.relation.startpage32090
aut.relation.volume11en_NZ
aut.researcherZambas, Shelaine
dc.contributor.authorZambas, SIen_NZ
dc.contributor.authorSmythe, EAen_NZ
dc.contributor.authorKoziol-Mclain, Jen_NZ
dc.date.accessioned2017-07-21T01:09:28Z
dc.date.available2017-07-21T01:09:28Z
dc.date.copyright2016-01en_NZ
dc.date.issued2016-01en_NZ
dc.description.abstractAims and objectives The aim of this study was to explore the consequences of the nurse's use of advanced assessment skills on medical and surgical wards. Background Appropriate, accurate, and timely assessment by nurses is the cornerstone of maintaining patient safety in hospitals. The inclusion of "advanced" physical assessment skills such as auscultation, palpation, and percussion is thought to better prepare nurses for complex patient presentations within a wide range of clinical situations. Design This qualitative study used a hermeneutic pragmatic approach. Method Unstructured interviews were conducted with five experienced medical and surgical nurses to obtain 13 detailed narratives of assessment practice. Narratives were analyzed using Van Manen's six-step approach to identify the consequences of the nurse's use of advanced assessment skills. Results The consequences of using advanced assessment skills include looking for more, challenging interpretations, and perseverance. The use of advanced assessment skills directs what the nurse looks for, what she sees, interpretation of the findings, and her response. It is the interpretation of what is seen, heard, or felt within the full context of the patient situation, which is the advanced skill. Conclusion Advanced assessment skill is the means to an accurate interpretation of the clinical situation and contributes to appropriate diagnosis and medical management in complex patient situations. Relevance to clinical practice The nurse's use of advanced assessment skills enables her to contribute to diagnostic reasoning within the acute medical and surgical setting.en_NZ
dc.identifier.citationInternational journal of qualitative studies on health and well-being, 11(1), 32090.
dc.identifier.doi10.3402/qhw.v11.32090en_NZ
dc.identifier.issn1748-2631en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/10665
dc.languageengen_NZ
dc.publisherTaylor & Francis
dc.relation.urihttp://www.tandfonline.com/doi/full/10.3402/qhw.v11.32090
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectDiagnostic reasoningen_NZ
dc.subjectAdvanced skillen_NZ
dc.subjectHabiten_NZ
dc.subjectHermeneuticsen_NZ
dc.subjectInterpretationen_NZ
dc.subjectPhysical assessmenten_NZ
dc.subjectPragmatismen_NZ
dc.titleThe Consequences of Using Advanced Physical Assessment Skills in Medical and Surgical Nursing: A Hermeneutic Pragmatic Studyen_NZ
dc.typeJournal Article
pubs.elements-id219640
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
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