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The impact structured patient assessment frameworks have on patient care: an integrative review

Author

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  • Belinda Munroe
  • Kate Curtis
  • Julie Considine
  • Thomas Buckley

Abstract

Aims and objectives To evaluate structured patient assessment frameworks' impact on patient care. Background Accurate patient assessment is imperative to determine the status and needs of the patient and the delivery of appropriate patient care. Nurses must be highly skilled in conducting timely and accurate patient assessments to overcome environmental obstacles and deliver quality and safe patient care. A structured approach to patient assessment is widely accepted in everyday clinical practice, yet little is known about the impact structured patient assessment frameworks have on patient care. Design Integrative review. Methods An electronic database search was conducted using Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System, PubMed and ProQuest Dissertations and Theses. The reference sections of textbooks and journal articles on patient assessment were manually searched for further studies. A comprehensive peer review screening process was undertaken. Research studies were selected that evaluated the impact structured patient assessment frameworks have on patient care. Studies were included if frameworks were designed for use by paramedics, nurses or medical practitioners working in prehospital or acute in‐hospital settings. Results Twelve studies met the inclusion criteria. There were no studies that evaluate the impact of a generic nursing assessment framework on patient care. The use of a structured patient assessment framework improved clinician performance of patient assessment. Limited evidence was found to support other aspects of patient care including documentation, communication, care implementation, patient and clinician satisfaction, and patient outcomes. Conclusion Structured patient assessment frameworks enhance clinician performance of patient assessment and hold the potential to improve patient care and outcomes; however, further research is required to address these evidence gaps, particularly in nursing. Relevance to clinical practice Acute care clinicians should consider using structured patient assessment frameworks in clinical practice to enhance their performance of patient assessment.

Suggested Citation

  • Belinda Munroe & Kate Curtis & Julie Considine & Thomas Buckley, 2013. "The impact structured patient assessment frameworks have on patient care: an integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(21-22), pages 2991-3005, November.
  • Handle: RePEc:wly:jocnur:v:22:y:2013:i:21-22:p:2991-3005
    DOI: 10.1111/jocn.12226
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    Cited by:

    1. Belinda Munroe & Kate Curtis & Margaret Murphy & Luke Strachan & Julie Considine & Jennifer Hardy & Mark Wilson & Kate Ruperto & Judith Fethney & Thomas Buckley, 2016. "A structured framework improves clinical patient assessment and nontechnical skills of early career emergency nurses: a pre–post study using full immersion simulation," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2262-2274, August.
    2. Belinda Munroe & Kate Curtis & Thomas Buckley & Melinda Lewis & Lou Atkins, 2018. "Optimising implementation of a patient‐assessment framework for emergency nurses: A mixed‐method study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 269-286, January.
    3. Clint Douglas & Catriona Booker & Robyn Fox & Carol Windsor & Sonya Osborne & Glenn Gardner, 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1890-1900, July.
    4. Margaret H. Sandham & Emma Hedgecock & Mevhibe Hocaoglu & Celia Palmer & Rebecca J. Jarden & Ajit Narayanan & Richard J. Siegert, 2022. "Strengthening Community End-of-Life Care through Implementing Measurement-Based Palliative Care," IJERPH, MDPI, vol. 19(13), pages 1-12, June.
    5. David Luna-Aleixos & Irene Llagostera-Reverter & Ximo Castelló-Benavent & Marta Aquilué-Ballarín & Gema Mecho-Montoliu & Águeda Cervera-Gasch & María Jesús Valero-Chillerón & Desirée Mena-Tudela & Lau, 2022. "Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I)," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    6. Katherine Lambe & Judy Currey & Julie Considine, 2017. "Emergency nurses’ decisions regarding frequency and nature of vital sign assessment," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(13-14), pages 1949-1959, July.

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