University of Huddersfield, Huddersfield, UK.
Advanced Practice Nurse Practitioner for Ascension Public Safety Medical, Indianapolis, Indiana, USA.
Int J Nurs Pract. 2022 Apr;28(2):e13043. doi: 10.1111/ijn.13043. Epub 2022 Feb 28.
To examine the diagnostic reasoning skills of two nurse practitioner student cohorts.
Nurse practitioners continue to play a pivotal role in health care provision. Diagnostic reasoning is a core skill of advanced practice. A comparative diagnostic reasoning study between two student cohorts was undertaken between 2018 and 2019.
A validated diagnostic reasoning scale was completed by nurse practitioner students in the United Kingdom and the United States of America at the beginning and end of their clinical placements. The study utilized descriptive quantitative statistics from the data submitted by 22 survey respondents from an online survey.
Analysis of the diagnostic reasoning skills suggested there was a difference in the structural memory scores when compared with the beginning of their clinical placements and the final semester of their clinical placements.
Diagnostic reasoning skills are a core skill of advanced practice. As students progress through their training, these skills improve. Despite the statistical difference in diagnostic reasoning scores, caution should be made in determining any larger implications due to the small number of participants in this study. Further study is needed in this area.
考察两个护士从业者学生群体的诊断推理技能。
护士从业者在医疗保健服务中继续发挥着关键作用。诊断推理是高级实践的核心技能。在 2018 年至 2019 年间，对两个学生群体进行了一项比较诊断推理研究。
英国和美国的护士从业者学生在临床实习开始和结束时使用经过验证的诊断推理量表进行了评估。该研究利用了来自在线调查的 22 名调查受访者提交的数据中的描述性定量统计数据。
对诊断推理技能的分析表明，与临床实习开始时相比，结构记忆得分存在差异，而与临床实习的最后一个学期相比则有所提高。
诊断推理技能是高级实践的核心技能。随着学生的培训进展，这些技能会得到提高。尽管诊断推理分数存在统计学差异，但由于本研究参与者人数较少，在确定更大的影响时应谨慎。需要在该领域进行进一步研究。
