Harriet Koorts, Anna Timperio, Chris Lonsdale, Nicola D Ridgers, David R Lubans, Jacqueline Della Gatta, Adrian Bauman, Amanda Telford, Lisa Barnett, Karen E Lamb, Natalie Lander, Samuel K Lai, Taren Sanders, Lauren Arundell, Helen Brown, Katrina Wilhite, Jo Salmon
Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness-implementation trial
BMJ open
physical examination health assessment skills essential components nursing practice critical elements taught merit investigation develop evaluate physical examination health assessment course based selfdirected learning framework action research design employed baccalaureate nursing program university science technology central taiwan convenience sample comprising 23 teaching faculty members 41 enrolled secondyear students recruited structured questionnaires developed data collection paired ttest kruskalwallis test used data analysis course consisted four parts health history taking holistic perspective examination skills diverse systems case exercise discussion final objective structured clinical examination statistical significance found areas physical examination skills critical thinking case analysis participants midto highlevel selfdirected learning significantly higher scores lowlevel selfdirected learning physical examination skills problem assessment internal discriminant validity supported study results provide evidence supporting use selfdirected learning framework curriculum design course integrated necessary knowledge skills enabled students practice physical examination assessment skills may enhance student confidence approaching patients clinical encounters however study descriptive design generalization results needs validated experimental study