Diagnostic Reasoning for APRN Learners: Overview of Teaching Strategies.

IF 1.5 Q2 NURSING

AACN Advanced Critical Care Pub Date : 2025-06-15 DOI:10.4037/aacnacc2025341

Lauren A Petersen, Stephanie Delkoski, Sarah McCarthy

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引用次数: 0

Abstract

Diagnostic error is a critical issue in health care. To reduce diagnostic error and enhance practice safety of new graduates, advanced practice registered nurse (APRN) learners need intentional preparation in diagnostic reasoning. It is imperative that APRN programs integrate diagnostic reasoning into all program curricula. This article provides an overview of teaching strategies aimed at promoting skill development in diagnostic reasoning, specifically related to knowledge development, differential diagnosis, and reflective practices. The article reviews foundational information related to dual-process thinking and teaching strategies for APRN primary and acute care curricula. Knowledge development is supported by illness scripting and problem representation activities. Skills in differential diagnosis and diagnosis prioritization are supported by the use of grids and lists. Cognitive debiasing and reflective practice are supported through self-explanation and structured reflection. Implementation of tailored teaching strategies can effectively prepare learners for clinical practice as diagnosticians.

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APRN学习者的诊断推理：教学策略概述。

诊断错误是医疗保健中的一个关键问题。为了减少诊断错误，提高新毕业生的执业安全性，高级执业注册护士（APRN）学习者需要在诊断推理方面进行有意识的准备。APRN项目必须将诊断推理整合到所有的项目课程中。本文概述了旨在促进诊断推理技能发展的教学策略，特别是与知识发展、鉴别诊断和反思实践相关的教学策略。本文综述了双过程思维与APRN初级和急性护理课程教学策略的相关基础信息。知识开发由疾病脚本和问题表示活动支持。鉴别诊断和诊断优先级的技能是通过使用网格和列表来支持的。认知去偏见和反思性实践是通过自我解释和结构化反思来支持的。实施量身定制的教学策略可以有效地为学习者作为诊断医生的临床实践做好准备。

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

AACN Advanced Critical Care NURSING-

CiteScore

2.10

自引率

4.50%

发文量

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.