Universidade Federal do Paraná, Curitiba, PR, Brasil.
Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil.
Rev Lat Am Enfermagem. 2022 Mar 21;30:e3515. doi: 10.1590/1518-8345.5452.3515. eCollection 2022.
to evaluate the effect of the Self-Instructional Guide for Clinical Reasoning on the diagnostic accuracy of undergraduate Nursing students.
a randomized, parallel and double-blind (researchers and outcome evaluators) clinical trial, carried out with undergraduate Nursing students. Validated case studies were applied in two phases to identify the patient's Nursing diagnosis/problem, etiology and clues, using the Guide with the intervention group in the second phase. The outcomes - diagnostic and etiological accuracy and number of clues - were evaluated using validated rubrics. Descriptive statistics were used to analyze demographic data; Fisher's exact test for similarities in prior education and confidence; Mann-Whitney's test for age; and non-parametric ANOVA test in the evaluation of the hypothesis of differences in performance.
final sample composed of 24 students in the control group and 27 in the intervention group; no difference as to gender, age and schooling. There was a difference in diagnostic (p=0.041) and etiological (p=0.0351) accuracy in the intervention group, showing a negative effect of using the Guide.
the one-time self-instruction was not effective in impacting the diagnostic accuracy of students solving case studies. Repeated application of the Guide as a teaching tool can be effective in improving such outcome. REBEC: RBR-4bhr78.
评估临床推理自学指南对本科护理学生诊断准确性的影响。
这是一项随机、平行、双盲（研究人员和结果评估者）的临床试验，对象为本科护理学生。在两个阶段使用验证后的病例研究来识别患者的护理诊断/问题、病因和线索，在第二阶段使用指南对干预组进行干预。使用验证后的评分表评估诊断和病因准确性以及线索数量。使用描述性统计分析人口统计学数据；Fisher 精确检验比较前期教育和信心的相似性；Mann-Whitney 检验年龄差异；非参数方差分析检验假设差异。
对照组最终样本由 24 名学生组成，干预组由 27 名学生组成；性别、年龄和教育程度无差异。干预组在诊断（p=0.041）和病因（p=0.0351）准确性方面存在差异，表明使用指南有负面影响。
一次性自学对提高学生解决病例研究的诊断准确性没有效果。作为一种教学工具，重复使用指南可能会有效提高这一结果。REBEC：RBR-4bhr78。
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