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Using metacognitive skills: the quality audit tool

J Herman, D J Pesut, L P Conard

    Nursing Diagnosis : ND : the Official Journal of the North American Nursing Diagnosis Association
    |April 1, 1994
    PubMed
    Summary
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    This study introduces the Quality Audit Tool to enhance clinical reasoning in novice diagnosticians. The tool aids in critiquing diagnostic statements and care plans using metacognitive skills for improved evaluation.

    Area of Science:

    • Nursing Education
    • Clinical Reasoning Development
    • Diagnostic Skills Training

    Background:

    • Novice diagnosticians require structured methods to develop critical clinical reasoning skills.
    • Metacognitive skill development is crucial for effective diagnostic processes and patient care planning.
    • Existing strategies may not adequately address the critique of diagnostic statements and care plans.

    Purpose of the Study:

    • To describe a novel strategy, the Quality Audit Tool, for teaching clinical reasoning to novice diagnosticians.
    • To outline the structure and function of the Quality Audit Tool in fostering metacognitive critique.
    • To enhance the understanding of relationships within nursing diagnoses and evaluation standards.

    Main Methods:

    • Development and description of the Quality Audit Tool, comprising eight distinct frames.

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  • Each frame focuses on specific content and process elements of diagnostic reasoning.
  • The tool is designed to guide novices in critiquing diagnostic statements and care plans.

    • Main Results:

    • The Quality Audit Tool facilitates novice diagnosticians' understanding of nursing diagnosis components.
    • It promotes recognition and application of metacognitive skills in clinical reasoning.
    • The tool enables evaluation of knowledge and reasoning against established standards.

    Conclusions:

    • The Quality Audit Tool is an effective instrument for enhancing clinical reasoning and diagnostic skills in novices.
    • Implementing this tool can improve the quality of diagnostic statements and care plans.
    • It supports the development of critical evaluation abilities essential for expert clinical judgment.