Physical Assessment of Patients

Assessment is arguably the most important stage of nursing. It forms the basis for any planned nursing intervention and a baseline against which subsequent events in the hospital stay can be compared. Assessment is an ongoing activity where the patient is continually reviewed and care reappraised to ensure that the patient's needs are being met. The main aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). the study involved scrutinising the BPAF to describe its purpose, conceptual basis and how it was developed. The BAF was then refined using extensive literature review and expert opinion to improve its comprehensiveness and clarity for its intended purpose. This monograph should be useful to all those attempting to construct and validate clinical assessment and measuring tools. Ruth Harris has the expertise necessary to do this in a sophisticated yet realistic way for practice colleagues.

Ruth Harris: Research Fellow, Florence Nightingale School of Nursing and Midwifery, King's College, London

Foreword

vii

Acknowledgements

ix

Preface

xi

Introduction

xv

Assessment Tools

1

(18)

Development and Refinement of the Byron Physical Assesment Framework

19

(20)

Evaluation of the Reliability of the Byron Physical Assessment Framework

39

(26)

Evaluation of the Validity of the Byron Physical Assessment Framework

65

(8)

Discussion

73

(14)

Appendix 1 Physical Assessment Teaching Information For Staff

87

(4)

Appendix 2 Second Version of the Nliu Physical Assessment Framework

91

(2)

Appendix 3 First Version of the Nliu Physical Assessment Framework

93

(2)

Appendix 4 Abnormal Physiological Signs and Symptoms of the Cardiovascular System

95

(4)

Appendix 5 Abnormal Physiological Signs and Symptoms of the Neurological System

99

(4)

Appendix 6 Abnormal Physiological Signs and Symptoms of the Gastrointestinal System

103

(4)

Appendix 7 Abnormal Physiological Signs and Symptoms of the Genitourinary System

107

(4)

Appendix 8 Definition of Items on the Byron Physical Assessment Framework Before Refinement by Expert Group

111

(6)

Appendix 9 Definition of Items on the Byron Physical Assessment Framework After Refinement by Expert Group

117

(20)

References

137

(8)

Index

145

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Physical Assessment of Patients

Summary

Author Biography

Table of Contents

Supplemental Materials