Bryans A
Department of Nursing and Community Health, Glasgow Caledonian University, City Campus, Cowcaddens Road, Glasgow, UK.
Br J Community Nurs. 2000 Apr;5(4):197-202. doi: 10.12968/bjcn.2000.5.4.7415.
Patient assessment is widely acknowledged as a core element of community nursing expertise (Griffiths and Luker, 1994). With the current drive towards evidence-based practice, it is becoming increasingly important to provide sound evidence about this key aspect of community nursing practice. This article describes how district nurses' assessments of a carefully constructed simulated patient have provided new insight into community nursing expertise. The innovative approach used in this study of district nursing assessment practice is outlined. One of the simulated patients developed for the study is then described. A case study of one nurse participant who assessed this simulated patient forms the main focus of the article. The case study (one of four) is based on a synthesis of simulation and interview findings relating to a particular study participant. It reveals some interesting associations between various elements of nursing knowledge and provides important insight into how the quality and effectiveness of patient assessment may be affected by a practitioner's approach and knowledge base. The usefulness of this approach and the relevance of the findings for nursing practice and education are also addressed.
患者评估被广泛认为是社区护理专业知识的核心要素（格里菲思和卢克，1994年）。随着当前对循证实践的推动，为社区护理实践的这一关键方面提供可靠证据变得越来越重要。本文描述了 district 护士对精心构建的模拟患者的评估如何为社区护理专业知识提供了新的见解。概述了本 district 护理评估实践研究中使用的创新方法。然后描述了为该研究开发的一名模拟患者。一名评估该模拟患者的护士参与者的案例研究是本文的主要焦点。该案例研究（四个案例之一）基于与一名特定研究参与者相关的模拟和访谈结果的综合。它揭示了护理知识的各个要素之间一些有趣的关联，并为从业者的方法和知识库如何影响患者评估的质量和有效性提供了重要见解。还讨论了这种方法的实用性以及研究结果对护理实践和教育的相关性。
