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Related Experiment Videos

Nursing students' diagnostic accuracy using a computer-based clinical scenario simulation.

Vanessa E C Sousa Freire1, Marcos V O Lopes2, Gail M Keenan3

  • 1University for International Integration of the Afro-Brazilian Lusophony Health Sciences Institute, 3 Abolicao Ave, Redencao, CE 62790000, Brazil.

Nurse Education Today
|October 20, 2018
PubMed
Summary

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Nursing students struggle with accurate nursing diagnoses, with an average accuracy of 64.4%. Performance did not differ by academic level, but specific NANDA-I domains require improved diagnostic reasoning skills.

Area of Science:

  • Nursing Education
  • Clinical Reasoning
  • Nursing Diagnosis

Background:

  • Accurate clinical decision-making is vital for safe patient care.
  • Nursing students frequently encounter challenges in accurately identifying nursing diagnoses.

Purpose of the Study:

  • To compare the diagnostic accuracy of junior, senior, and graduate-entry nursing students.
  • To analyze diagnostic accuracy across NANDA-I (North American Nursing Diagnosis Association-International) diagnosis domains.

Main Methods:

  • A descriptive study involving 130 nursing students from a Midwestern university.
  • Students completed diagnostic exercises using 13 scenarios in a software program.
  • Accuracy was calculated based on identifying defining characteristics, related factors, and NANDA-I diagnoses.
Keywords:
Nursing diagnosisNursing education researchPatient care planningProblem-based learning

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Main Results:

  • The overall average accuracy was 64.4%, with no significant differences found between student groups (juniors, seniors, graduate-entry).
  • Students performed poorly in the Health Promotion, Self-Perception, and Growth/Development NANDA-I domains.
  • Identifying correct nursing diagnoses proved more difficult than recognizing related factors or defining characteristics.

Conclusions:

  • No association was found between demographic variables, NANDA-I taxonomy exposure, or academic level and diagnostic accuracy.
  • Specific domains highlight a need for enhanced diagnostic reasoning skills among nursing students.
  • Targeted educational interventions may be necessary to improve diagnostic accuracy in challenging NANDA-I domains.