Increasing Proficiency in Health Assessment Skills in a Post Adult-Gerontologic Nurse Practitioner Residency Program


Speakers:
Deirdre Carolan Doerflinger

Marye Dorsey Kellerman

Session Overview:
Collaboration between the Washington DCVAMC and the Conway School of Nursing Graduate Nurse Practitioner Program of the Catholic University of America led to the development of a post-NP graduate program residency at the DCVAMC. Faculty observations, preceptor input and self-assessment by new NP residents identified lack of comfort, confidence, and competency of these practitioners in health assessment (inclusive of a history and physical), diagnoses and treatment planning. An educational enhancement simulation program was designed and offered which allowed new NP residents to improve their confidence and comfort in the completion of health assessments, diagnosis, and development of a treatment plan and to increase their competency in health assessment, diagnosis, and treatment plan knowledge and skills. Prior to implementation of the simulation, residents completed a self-assessment of their comfort and confidence in the completion of health assessments, establishment of diagnoses, and initiation of a treatment plan and competency in health assessment, diagnosis, and treatment plan skills and knowledge. Thereafter, using simulation with a pre-established patient scenario, the resident completed a health assessment, established diagnosis, and developed a treatment plan. The residents’ performances were evaluated through observation by faculty. Subsequently, faculty critiqued the performance and provided additional education as needed followed by faculty demonstration of the health assessment with indication of the diagnosis and treatment plan. Finally, residents completed a return demonstration and completed a post-simulation self-assessment of their comfort and confidence in the completion of health assessments, diagnosis, and development of a treatment plan and competency in health assessment, diagnosis, and treatment plan skills and knowledge. Post-simulation, results indicated improvement in resident comfort and confidence in skills and skill competency. This program enhanced the ability of NP residents to provide safe, high quality primary care to a Veteran population, while learning in a supportive University and hospital collaborative teaching effort.