Training paradigms to enhance clinical observational skills in clinical practice: A scoping review

Journal article


Al-Moteri, Modi Owied, Plummer, Virginia, Cooper, Simon and Symmons, Mark. (2015) Training paradigms to enhance clinical observational skills in clinical practice: A scoping review. Journal of Nursing Education and Practice. 5(12), pp. 96 - 103. https://doi.org/10.5430/jnep.v5n12p96
AuthorsAl-Moteri, Modi Owied, Plummer, Virginia, Cooper, Simon and Symmons, Mark
Abstract

A number of training approaches to improve the clinical observation skills of undergraduate students have been identified in the literature. Immediate improvement from such approaches on students' clinical observational skills have been documented. However, this review identified that observational skill improvements did not occur in real and complex clinical conditions where the incidence of perception failure may increase. In six out of seven approaches examined, (i) the visual attention paid by students during observation is more focused than the actual visual attention clinicians usually pay in the real clinical area; (ii) the observations were made on images of clinical cases with visible signs which allowed findings to be noticed easily and with minimal searching efforts; (iii) the improvement in observation skills was based on what was noticed rather than what was missed, hence, perceptual failure was concealed; and (iv) in evaluations, students were asked to describe “what they see”, the process of describing has the possibility to increase the tendency to conflate observations with inferences, and as a result, students may have stopped searching after being satisfied with their findings. To conclude, this review showed that perception paradigms have not been acknowledged in clinical observation training approaches with a need for further research relating to visual perception in clinical settings.

Keywordsundergraduate; recognition; clinical observation; training; deterioration; perception failure; scoping review; nursing practice
Year2015
JournalJournal of Nursing Education and Practice
Journal citation5 (12), pp. 96 - 103
PublisherSciedu Press
ISSN1925-4040
Digital Object Identifier (DOI)https://doi.org/10.5430/jnep.v5n12p96
Page range96 - 103
Research GroupMary MacKillop Institute for Health Research
Publisher's version
File Access Level
Controlled
Place of publicationCanada
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