Do knowledge, knowledge sources and reasoning skills affect the accuracy of nursing diagnoses? a randomised study
نویسندگان
چکیده
BACKGROUND This paper reports a study about the effect of knowledge sources, such as handbooks, an assessment format and a predefined record structure for diagnostic documentation, as well as the influence of knowledge, disposition toward critical thinking and reasoning skills, on the accuracy of nursing diagnoses.Knowledge sources can support nurses in deriving diagnoses. A nurse's disposition toward critical thinking and reasoning skills is also thought to influence the accuracy of his or her nursing diagnoses. METHOD A randomised factorial design was used in 2008-2009 to determine the effect of knowledge sources. We used the following instruments to assess the influence of ready knowledge, disposition, and reasoning skills on the accuracy of diagnoses: (1) a knowledge inventory, (2) the California Critical Thinking Disposition Inventory, and (3) the Health Science Reasoning Test. Nurses (n = 249) were randomly assigned to one of four factorial groups, and were instructed to derive diagnoses based on an assessment interview with a simulated patient/actor. RESULTS The use of a predefined record structure resulted in a significantly higher accuracy of nursing diagnoses. A regression analysis reveals that almost half of the variance in the accuracy of diagnoses is explained by the use of a predefined record structure, a nurse's age and the reasoning skills of `deduction' and `analysis'. CONCLUSIONS Improving nurses' dispositions toward critical thinking and reasoning skills, and the use of a predefined record structure, improves accuracy of nursing diagnoses.
منابع مشابه
Author's response to reviews Title: Do knowledge, knowledge sources and reasoning skills affect the accuracy of nursing diagnoses? A randomised study. Authors:
متن کامل
Design, Implementation and Evaluation of Clinical Pharmacology Simulation Training Method for Nursing Students of Tehran School of Nursing and Midwifery
Introduction: Educating students in a safe environment such as simulated centers can be effective in providing educational services and preparation for clinical work. Accordingly, the present study was conducted with the aim of designing, implementing and evaluating clinical pharmacology simulation training method for nursing students. Methods: This study was performed in 2019-2021 in three ma...
متن کاملThe Effect of Reflection on Critical Thinking Skills of Nursing Students in Tabriz Medical University
Introduction. The significance of fostering critical thinking in students has been explicated by the increasing rate of knowledge and information. To assimilate knowledge and to assess the considerable amount of information, students need to develop their thinking skills. Considering reflection as a teaching strategy and one of the most effective ways for fostering thinking, this study was desi...
متن کاملA novel model of clinical reasoning: Cognitive zipper model
Introduction: Clinical reasoning is a vital aspect of physiciancompetence. It has been the subject of academic research fordecades, and various models of clinical reasoning have beenproposed. The aim of the present study was to develop a theoreticalmodel of clinical reasoning.Methods: To conduct our study, we applied the process of theorysynthesis in accordan...
متن کاملSurgical Technologists’ Knowledge Regarding the Principles of Surgical Site Infection Prevention in AL-Zahra Hospital of Isfahan City: A Cross-Sectional Study
Introduction: Surgical technologists play an important role in prevention and control of surgical site infections. Therefore, the present study was conducted with the aim of determining knowledge and awareness of surgical technologists regarding the principles of surgical site infection prevention and its relationship with their demographic characteristics. Methods and Materials: This cross-se...
متن کامل