| Learning Objective #1: Describe core physical examination techniques performed by nurses across all practice settings | |||
| Learning Objective #2: Discuss implications of physical examination techniques performed to nursing education and nursing practice |
The sample for this study involved 193 randomly selected registered nurses employed in direct patient care roles (in both inpatient and outpatient settings) at a large university-based heath care facility in the Southwest who worked at least 20 hours a week. Data were collected using a 124-item survey of physical examination techniques; participants indicated the average frequency they performed the techniques in their clinical practice.
Thirty techniques were identified by the sample as techniques performed frequently or regularly, representing 24% of the examination techniques included on the survey. The majority of these “core” techniques involve inspection and general observation. Additionally, one third of these techniques are associated with cardiovascular and respiratory assessment.
The findings from this study point to an education paradox. Because the nursing literature supports the claim that graduate nurses are not adequately prepared, and because nurses care for increasingly complex patients, it would seem logical that a heavy emphasis be placed on health assessment skills within nursing curricula. The focus of education should be reflective of nursing practice. The findings clarify specific physical examination techniques performed by registered nurses in the practice setting and perhaps provide insight regarding physical examination content and skills to target within nursing curricula.