Rushforth H, Warner J, Burge D, Glasper E A
University of Southampton.
Br J Nurs. 1998;7(16):965-70. doi: 10.12968/bjon.1998.7.16.5611.
The physical assessment skills of inspection, palpation, percussion and auscultation currently have only minimal recognition in UK nursing practice. Authors attest to perceived benefits in terms of continuity of care, holistic care delivery, rapidity of emergency intervention and reduction in junior doctors' hours and workload. However, the use of such skills by nurses has been subject to little in the way of formal outcome-based evaluation, and there is a clear need for such research to be carried out within the UK. Important guidelines exist within the literature to underpin educational programmes in physical assessment; these are reviewed and their implications for UK practice are considered. It is concluded that while generation of a UK evidence base is required, there is a persuasive argument to underpin continued development of physical assessment skills within UK nursing practice.
目前，视诊、触诊、叩诊和听诊等体格检查技能在英国护理实践中的认可度极低。作者们证实，在护理连续性、整体护理提供、紧急干预的快速性以及减少初级医生工作时间和工作量方面，这些技能具有显著益处。然而，护士对这些技能的运用几乎未经过基于正式结果的评估，显然有必要在英国开展此类研究。文献中有重要指南为体格检查教育项目提供支持；本文对这些指南进行了综述，并探讨了其对英国实践的影响。结论是，虽然需要在英国建立证据基础，但也有颇具说服力的理由来支持英国护理实践中体格检查技能的持续发展。
