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Physical examination competence as a predictor of diagnostic reasoning among new advanced practice nurse students: a cross-sectional study

Authors
 Hyejung Lee  ;  Young Joo Lee  ;  JuHee Lee  ;  Sanghee Kim 
Citation
 CONTEMPORARY NURSE, Vol.55(4~5) : 360-368, 2019 
Journal Title
 CONTEMPORARY NURSE 
ISSN
 1037-6178 
Issue Date
2019
Keywords
Advanced practice nurse ; Competence ; Diagnostic reasoning ; Korea ; Physical examination
Abstract
Aim: To investigate levels of diagnostic reasoning among new APN students as well as students' characteristic affecting such reasoning levels.Design: a descriptive correlational design.Methods: One hundred fourteen APN students in an advanced health assessment course self-assessed their competene in performing examination. The students' self-reported Diagnostic Reasoning Assessment scores were used to categorize them into pre-novice, novice, advanced beginner, and competent levels. Ordinal logistic regression analysis was used.Results: Only physical examination competence significantly predicted the students' diagnostic reasoning levels. Being in a higher diagnostic reasoning level relative to being in a pre-novice, novice, or advanced beginner level was 16.1, 2.6, and 1.9 times greater in the physical examination competence, respectively.Conclusions: Promoting physical examination competence can be an effective teaching strategy for enhancing the diagnostic reasoning of newly enrolled APN students, especially for students who have poor diagnostic reasoning performance.
Full Text
https://www.tandfonline.com/doi/full/10.1080/10376178.2019.1670707
DOI
10.1080/10376178.2019.1670707
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sanghee(김상희) ORCID logo https://orcid.org/0000-0002-9806-2757
Lee, JuHee(이주희) ORCID logo https://orcid.org/0000-0002-2805-1622
Lee, Hyejung(이혜정) ORCID logo https://orcid.org/0000-0001-9357-0640
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174629
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