Lange L L, Haak S W, Lincoln M J, Thompson C B, Turner C W, Weir C, Foerster V, Nilasena D, Reeves R
Nursing Informatics Program, College of Nursing, University of Utah, Salt Lake City 84103, USA.
J Nurs Educ. 1997 Jan;36(1):36-45. doi: 10.3928/0148-4834-19970101-09.
Nurse practitioners (NPs) have dual goals as primary care providers, combining the traditional goals of nursing with extended goals as diagnosticians. Diagnostic reasoning, therefore, is a critical component of NP education. Iliad, a computerized diagnostic reasoning expert system, has been used effectively to teach diagnostic skills to medical students. A pilot study was undertaken to determine the effects of Iliad training on NP students' diagnostic skill performance and to identify technical and instructional issues of implementation. The study found that the use of Iliad improved NP students' diagnostic reasoning, and that the training effects were modified by prior nursing experience. Successful use of Iliad required planning, faculty commitment, and technical support.
执业护士（NPs）作为初级保健提供者有双重目标，即将护理的传统目标与作为诊断专家的扩展目标结合起来。因此，诊断推理是执业护士教育的关键组成部分。伊利亚德（Iliad）是一个计算机化的诊断推理专家系统，已被有效地用于向医学生教授诊断技能。本研究进行了一项试点研究，以确定伊利亚德培训对执业护士学生诊断技能表现的影响，并确定实施过程中的技术和教学问题。研究发现，使用伊利亚德提高了执业护士学生的诊断推理能力，并且培训效果因先前的护理经验而有所不同。成功使用伊利亚德需要规划、教师的投入和技术支持。
