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Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [ 1 ] [ 2 ] A discipline-specific process may be referenced accordingly (e.g., physician peer review , nursing peer review ).
Quality tools include: [1] Medical guidelines, including checklists [2] (items rated as yes/no/not applicable); Templates [3] for goal setting or structured communication (a more open format than checklists, templates provide the opportunity to add free text responses with items as prompts)
Use this template to organize facts and editors' assessments in discussions about medicine-related sources. Template parameters [Edit template data] This template prefers block formatting of parameters. Parameter Description Type Status Title of source source Add the name of the source. Supports URLs and templates such as {{PMID}} and {{DOI}}. Example "Denpasar Declaration on Population and ...
An objective structured clinical examination (OSCE) is an approach to the assessment of clinical competence in which the components are assessed in a planned or structured way with attention being paid to the objectivity of the examination which is basically an organization framework consisting of multiple stations around which students rotate and at which students perform and are assessed on ...
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
Use of structured handover tools can help to provide a framework for communicating the minimum information content for clinical handovers. This may be supported by electronic clinical handover templates. [3] Examples of clinical handover tools to help structure handover: [2] ISBAR (Identify, Situation, Background, Assessment, Recommendation)
SOCRATES [1] [2]; Letter Aspect Example Questions S Site Where is the pain? Or the maximal site of the pain. O Onset When did the pain start, and was it sudden or gradual?