Measuring diagnostic competency and the analysis of factors influencing competency using written case studies.
Measuring diagnostic competency and the analysis of factors influencing competency using written case studies.
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DOI：
10.1111/j.1744-618x.2007.00057.x
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发表时间：
2007-07-01
期刊：
影响因子：
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通讯作者：
Katz, Edmont C
中科院分区：
文献类型：
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作者：
Hasegawa, Tomoko;Ogasawara, Chie;Katz, Edmont C
医生：采用个案研究法测量护士诊断能力，并分析影响护士诊断能力的因素。方法：采用问卷调查法和邮寄问卷法，对376名护士进行描述性研究。两个书面的案例研究被用来衡量诊断能力的主题。可能的因素影响护士的判断，在作出护理诊断，测量的临床经验，决策责任，护理诊断知识，对使用nursingdiagnosis.FINDINGS的态度：受试者表现出所有三种能力为35%（n = 131）的案例研究1，和53%（n = 200）的案例研究2。在定义诊断标签方面表现出诊断能力的受试者具有最长的临床经验。主题谁是主要的护士通常的责任，确定护理诊断表现出最高的百分比的能力率定义的特点，相关因素，和riskfactors.CONCLUSIONS：许多这些日本护士没有表现出令人满意的诊断能力水平与这两个书面的案例研究。影响诊断能力的因素有临床经验的长短、决策责任、学习护理诊断的频率。
PURPOSES: To measure nurses' diagnostic competencies by using written case studies and to analyze factors influencing these competencies.METHODS: A descriptive study was conducted using survey methods and a mailed questionnaire with a convenience sample of 376 nurses. Two written case studies were used to measure the diagnostic competencies of the subjects. Possible factors influencing nurses' judgments in making nursing diagnoses that were measured were clinical experience, decision-making responsibility, knowledge of nursing diagnosis, and attitude toward the use of nursing diagnosis.FINDINGS: Subjects who demonstrated all three competencies were 35% (n = 131) for case study 1, and 53% (n = 200) for case study 2. Subjects who demonstrated diagnostic competency in defining diagnostic labels had the longest length of clinical experience. Subjects who were primary nurses with the usual responsibility of identifying nursing diagnoses showed the highest percentage of competency rates for defining characteristics, related factors, and risk factors.CONCLUSIONS: Many of these Japanese nurses did not perform at satisfactory levels of diagnostic competency with these two written case studies. Factors that influenced diagnostic competency were length of clinical experience, decision-making responsibility, and frequency of studying nursing diagnosis.