Developing and Testing of a Software Prototype to Support Diagnostic Reasoning of Nursing Students

作者：Carvalho de Sousa, Vanessa Emille; de Oliveira Lopes, Marcos Venicios; Keenan, Gail M.; Lopez, Karen Dunn

来源：International Journal of Nursing Knowledge, 2018, 29(2): 124-132.

• Clinical reasoning
• diagnostic accuracy
• nursing informatics
• Acuracia diagnostica
• informatica em enfermagem
• raciocinio clinico

PURPOSETo design and test educational software to improve nursing students' diagnostic reasoning through NANDA-I-based clinical scenarios.
METHODSA mixed method approach was used and included content validation by a panel of 13 experts and prototype testing by a sample of 56 students.
FINDINGSExperts' suggestions included writing adjustments, new response options, and replacement of clinical information on the scenarios. Percentages of students' correct answers were 65.7%, 62.2%, and 60.5% for related factors, defining characteristics, and nursing diagnoses, respectively.
CONCLUSIONFull development of this software shows strong potential for enhancing students' diagnostic reasoning.
IMPLICATIONS FOR NURSING PRACTICENew graduates may be able to apply diagnostic reasoning more rapidly by exercising their diagnostic skills within this software.
OBJETIVODesenvolver e testar um prototipo de software educativo para melhorar o raciocinio diagnostico de estudantes de enfermagem.
METODOSUma abordagem mista foi utilizada e incluiu validacAo de conteudo por 13 experts e testagem do prototipo por 56 estudantes.
RESULTADOSSugestoes dos experts incluiram ajustes na escrita, inclusAo de novas opcoes de resposta e substituicAo de dados clinicos nos cenarios. Os percentuais de respostas corretas dos estudantes foram 65,7%, 62,2% e 60,5% para fatores relacionados, caracteristicas definidoras e diagnosticos de enfermagem respectivamente.
CONCLUSAOO desenvolvimento deste software tem um forte potencial para melhorar o raciocinio diagnostico de estudantes.
IMPLICACOES PARA A PRaTICA EM ENFERMAGEMAtraves deste software, enfermeiros poderAo ser capazes de exercitar o raciocinio diagnostico e aplica-lo mais rapidamente.

• 出版日期2018-4