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Preparing students to be ready for practice

An innovative approach to teaching advanced physical assessment skills online

Higgins, Karen DNP, FNP-BC (Lecturer)1; Kirkland, Tracie DNP, APRN, ANP-BC, CPNP (Clinical Assistant Professor)2; Le-Jenkins, Uyen DNP, PNP-AC/PC (Lecturer)1; Rutledge, Carolyn PhD, FNP-BC (Professor)1

Journal of the American Association of Nurse Practitioners: November 2019 - Volume 31 - Issue 11 - p 640–647
doi: 10.1097/JXX.0000000000000332
Education
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ABSTRACT Distance graduate nursing education has been expanding. Although many didactic courses are taught through an online platform, there are often challenges to providing skill-based courses, such as advanced physical assessment, through an online format. To prepare and assess advanced practice nursing students on their clinical knowledge and physical assessment skills, an online course was developed using multisource feedback and videography. Students used videography to record themselves as they conducted physical assessments on a volunteer patient. Students then critiqued their own video, critiqued two of their colleagues' videos, and the final critiques of the videos were conducted by faculty. All students were expected to perform and pass a complete physical examination on a standardize patient as their final examination. The final scores of the students learning through the online course were equivalent to the scores achieved by the students in the traditional face-to-face physical assessment course.

1Old Dominion University, School of Nursing, Virginia Beach, Virginia,

2University of Southern California, Department of Nursing, Los Angeles, California

Correspondence: Karen Higgins, DNP, FNP-BC, Old Dominion University, School of Nursing, 1881 University Dr., Virginia Beach, VA 23453. Tel: 757-683-5255; Fax: 757-683-5253; E-mail: kjhiggin@odu.edu

Competing interests: The authors report no conflicts of interest.

Authors' contributions: K. Higgins: developed and implemented the course, draft and revision author, approved the final version, and is accountable for all aspects of the work. T. Kirkland: contributed to course development, draft and revision author, approved the final version, and is accountable for all aspects of the work. U. Le-Jenkins: developed and implemented the course, draft and revision author, approved the final version, and is accountable for all aspects of the work. C. Rutledge: data analysis, draft and revision author, approved the final version, and is accountable for all aspects of the work.

Received March 26, 2019

Received in revised form August 16, 2019

Accepted August 19, 2019

© 2019 American Association of Nurse Practitioners
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