Nursing diagnostic accuracy of undergraduate students in simulated cases: Influence of cues

IF 1.9 Q2 NURSING

Teaching and Learning in Nursing Pub Date : 2025-04-17 DOI:10.1016/j.teln.2025.03.009

Jaqueline da Silva Soares Souto RN, PhD , Marcos Antônio Gomes Brandão RN, PhD , Rosane Barreto Cardoso RN, PhD , Juliana Faria Campos RN, PhD

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引用次数: 0

Abstract

Background

Educators use case-based learning and simulations to improve diagnostic reasoning in nursing.

Aim

This study compared the diagnostic accuracy of undergraduate nursing students in solving simulated clinical cases created with validated defining characteristics (analytical design) or cues suggested by experienced nurses (nonanalytical design).

Methods

The study utilized a simulation experiment with 34 nursing baccalaureate students to assess the accuracy of diagnosing two clinical cases of the nursing diagnosis "Ineffective Airway Clearance" (00031). Case one used analytical reasoning with defining characteristics of high sensitivity and specificity, while case two relied on nonanalytical reasoning with cues from nurses' experience. The Nursing Diagnosis Accuracy Scale measured diagnostic accuracy.

Results

Students who solved case one, based on analytical reasoning, demonstrated higher diagnostic accuracy than those who solved case two. A strong correlation was found between the number of cues and accuracy in case two, but not in case one.

Conclusions

Simulated cases based on evidence from diagnostic validation studies lead to better cue identification than cases relying on nurses' experience, especially with fewer cues.

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大学生在模拟病例中的护理诊断准确性：线索的影响

教师使用基于案例的学习和模拟来提高护理中的诊断推理。目的比较本科护生在解决由经过验证的定义特征（分析设计）和经验丰富的护士提出的线索（非分析设计）创建的模拟临床病例时的诊断准确性。方法对34名护理本科学生进行模拟实验，对2例临床护理诊断“气道通畅不良”（00031）的诊断准确性进行评估。案例1使用具有高敏感性和特异性特征的分析推理，而案例2依赖于具有护士经验线索的非分析推理。护理诊断准确性量表测量诊断准确性。结果基于分析推理解决案例一的学生比解决案例二的学生表现出更高的诊断准确性。在第二种情况下，线索的数量和准确率之间存在很强的相关性，而在第一种情况下则没有。结论基于诊断验证研究证据的模拟病例比依赖护士经验的病例能更好地识别线索，特别是在线索较少的情况下。

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

Teaching and Learning in Nursing NURSING-

CiteScore

2.60

自引率

10.50%

发文量

119

审稿时长

37 days

期刊介绍： Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty