Diagnostic Reasoning as a Component of Clinical Reasoning in Nurse Practitioner Education: Extension of a Scoping Review.

IF 1.5 Q2 NURSING
Sheila Smith, Mary Mescher Benbenek, Sarah Meyer, Jenna Herman, Elizabeth Weinfurter
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引用次数: 0

Abstract

Background: Diagnostic reasoning (DR) is a critical skill for nurse practitioners (NPs). This article provides an update of a 2022 scoping review of DR content in NP education, highlighting advances in curriculum integration.

Objective: To assess the degree that scholarly literature about clinical reasoning in NP education includes DR; identify how DR is defined in NP education; and describe the teaching methodologies used to support DR-related knowledge, skills, and/or attitudes.

Methods: We examined and categorized the literature from the past 2.5 years, assessing the scope, current status, and impact of DR-related content in NP education programs.

Results: Literature reviews emphasized meta-cognitive strategies and competency assessment. Case reports described innovative teaching interventions and objective measures of student competency. Primary research articles explored a variety of DR topics, including survey research, diagnostic accuracy, structured reflection, and tool validation studies. New contributions included model and tool development articles for teaching and evaluating DR.

Conclusions: Substantial progress was seen in the integration of DR components, theory, evidence-based teaching, and evaluation approaches in NP education, demonstrating increased awareness of the importance of DR competencies for NP students. Extending these advances to faculty, preceptor, and NP research development will provide important foundations for NP education and scholarship.

诊断推理作为临床推理在护士执业教育的一个组成部分:范围审查的延伸。
背景:诊断推理(DR)是执业护士(NPs)的关键技能。本文提供了对NP教育中DR内容的2022年范围审查的更新,强调了课程整合的进展。目的:评价NP教学中临床推理学术文献中DR的含量;识别NP教育中DR的定义;并描述用于支持dr相关知识、技能和/或态度的教学方法。方法:我们对过去2.5年的文献进行了检查和分类,评估了NP教育计划中dr相关内容的范围、现状和影响。结果:文献综述强调元认知策略和能力评估。案例报告描述了创新的教学干预和学生能力的客观测量。主要研究文章探讨了各种DR主题,包括调查研究、诊断准确性、结构化反射和工具验证研究。新的贡献包括教学和评估DR的模型和工具开发文章。结论:在NP教育中整合DR组件、理论、循证教学和评估方法方面取得了实质性进展,表明NP学生对DR能力重要性的认识有所提高。将这些进步扩展到教师、教师和NP研究发展将为NP教育和奖学金提供重要的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.10
自引率
4.50%
发文量
37
期刊介绍: AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue. AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.
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