Using Case-Based Reasoning in a Learning System: A Prototype of a Pedagogical Nurse Tool for Evidence-Based Diabetic...

Area of Science:

• Nursing Education
• Digital Health
• Wound Care Informatics

Background:

• Danish wound care nurses lack access to evidence-based learning systems for diabetic foot ulcers.
• Current training relies on experience and peer-to-peer methods, which can be less evidence-based.
• Interactive systems offer a potential solution to enhance knowledge and evidence levels.

Purpose of the Study:

• To develop and evaluate a prototype of a case-based reasoning (CBR) interactive, evidence-based learning system.
• To improve wound care nurses' knowledge and evidence levels regarding diabetic foot ulcers.
• To bridge the gap between traditional and interactive learning methods.

Main Methods:

• A prototype CBR system was developed, calculating a dissimilarity score (DS) based on six wound variables.
• The system quantifies similarity between new cases and a stored case base.
• Cases are ranked by DS, with the six most similar cases visualized.

Main Results:

• The CBR system offers a potentially more motivating and pedagogical approach than conventional education.
• It may bridge the gap between traditional evidence-based learning and peer-to-peer training.
• Visualizing variable impact can enhance nurses' understanding of pathophysiological processes.

Conclusions:

• The prototype CBR-interactive system effectively addresses the need for enhanced diabetic foot ulcer education.
• It integrates evidence-based learning with interactive and motivating elements.
• This approach has the potential to significantly improve wound care nursing practice.