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本科护理专业所教授的体格检查技能调查:我们教得太多了吗?

A survey of physical examination skills taught in undergraduate nursing programs: are we teaching too much?

作者信息

Giddens Jean Foret, Eddy Linda

机构信息

College of Nursing, University of New Mexico, Albuquerque, New Mexico 87131-0001, USA.

出版信息

J Nurs Educ. 2009 Jan;48(1):24-9. doi: 10.3928/01484834-20090101-05.

DOI:10.3928/01484834-20090101-05
PMID:19227752
Abstract

Because content saturation is a growing concern, as reflected in the nursing literature, the content taught in undergraduate nursing curricula should be critically examined. The purpose of this descriptive cross-sectional research was to determine and analyze the physical assessment content currently taught in undergraduate nursing programs. A total of 198 individuals teaching in undergraduate nursing programs completed a Web-based survey. Of the 122 skills included on the survey, 81% were reportedly being taught in most of the nursing programs. Total scores for 18 systems-based assessment categories were significantly different among associate and baccalaureate nursing programs in all but three categories: assessment of integument, breast, and female genitals. Previous research has shown that nurses use less than 25% of these same skills regularly in clinical practice, regardless of their educational preparation. Findings from this research raise questions about the breadth to which physical examination content should be taught in undergraduate nursing education.

摘要

正如护理文献中所反映的那样,由于内容饱和问题日益受到关注,本科护理课程所教授的内容应受到严格审查。这项描述性横断面研究的目的是确定并分析本科护理专业目前所教授的体格检查内容。共有198名本科护理专业教师完成了一项基于网络的调查。在调查所包含的122项技能中,据报道大多数护理专业都在教授其中的81%。除了皮肤、乳房和女性生殖器评估这三个类别外,在基于系统的18个评估类别中,副学士学位和学士学位护理专业的总分存在显著差异。先前的研究表明,无论其教育背景如何,护士在临床实践中经常使用的这些相同技能不到25%。这项研究的结果引发了关于本科护理教育中体格检查内容应教授到何种广度的问题。

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引用本文的文献

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A comparison of three interactive examination designs in active learning classrooms for nursing students.护理专业学生主动学习课堂中三种交互式考试设计的比较。
BMC Nurs. 2021 Apr 9;20(1):59. doi: 10.1186/s12912-021-00575-6.
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Revitalizing physical assessment in undergraduate nursing education - what skills are important to learn, and how are these skills applied during clinical rotation? A cohort study.
本科护理教育中的身体评估复兴——学习哪些技能很重要,以及这些技能在临床轮转期间如何应用?一项队列研究。
BMC Nurs. 2019 Sep 5;18:41. doi: 10.1186/s12912-019-0364-9. eCollection 2019.
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Effectiveness of Standardized Patient in Abdominal Physical Examination Education: A Randomized, Controlled Trial.标准化病人在腹部体格检查教学中的有效性:一项随机对照试验。
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