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

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aut.relation.journalInternational Journal of Qualitative Studies on Health and Well-beingen_NZ
aut.relation.volume11en_NZ
aut.researcherSmythe, Elizabeth
dc.contributor.authorZambas, SIen_NZ
dc.contributor.authorSmythe, EAen_NZ
dc.contributor.authorKoziol-Mclain, Jen_NZ
dc.date.accessioned2020-08-17T00:22:22Z
dc.date.available2020-08-17T00:22:22Z
dc.date.copyright2016en_NZ
dc.date.issued2016en_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 saety 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.issn1748-2623en_NZ
dc.identifier.issn1748-2631en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13596
dc.languageengen_NZ
dc.publisherTaylor and Francis
dc.relation.urihttps://www.tandfonline.com/doi/full/10.3402/qhw.v11.32090
dc.rights# 2016 S. I. Zambas et al. This 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-id211057
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
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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