Herman J, Pesut D J, Conard L P
Nurs Diagn. 1994 Apr-Jun;5(2):56-64. doi: 10.1111/j.1744-618x.1994.tb00372.x.
The authors describe a strategy used to teach clinical reasoning skills to novice diagnosticians. The strategy proposed is the Quality Audit Tool, an instrument designed to help novices use metacognitive skills to critique diagnostic statements and care plans. The Quality Audit Tool has eight frames (Diagnostic Statement, Diagnostic Cues, Functional Relationship, Outcome, Etiology, Nursing Orders, Evaluation, and Clinical Judgment); each frame has a content and process focus. Conducting a Quality Audit enables the novice diagnostician to understand relationships among the parts of a nursing diagnosis, recognize the metacognitive skills used in clinical reasoning, and evaluate knowledge and clinical reasoning against a set of standards.
作者描述了一种用于向新手诊断医生传授临床推理技能的策略。所提出的策略是质量审核工具，这是一种旨在帮助新手运用元认知技能来批判诊断陈述和护理计划的工具。质量审核工具具有八个框架（诊断陈述、诊断线索、功能关系、结果、病因、护理医嘱、评估和临床判断）；每个框架都有内容和过程重点。进行质量审核能使新手诊断医生理解护理诊断各部分之间的关系，识别临床推理中使用的元认知技能，并根据一套标准评估知识和临床推理。
