Comparison of the diagnostic accuracy of undergraduate students and nursesin residency programs
DOI:
https://doi.org/10.5935/1415-2762.20160021Keywords:
Nursing Diagnosis, Nursing, Inservice TrainingAbstract
Objectives: to compare the level of diagnostic accuracy between students attending the last undergraduate year in Nursing and nursing residents, and to estimate the association between the level of diagnostic accuracy and the degree of familiarity with the nursing process, diagnosis, clinical reasoning, and the ability degree to establish nursing diagnoses. Method: this was a cross-sectional descriptive and exploratory study. The 65 participating subjects were 27 undergraduates attending the last year of nursing school, 19 first year resident nurses, and 19 second year resident nurses. Two instruments were used: characterization of participants and clinical case. The degree of diagnostic accuracy was evaluated by the Escala de Acurácia de Diagnósticos de Enfermagem (Accuracy Scale of Nursing Diagnoses) - Version 2. Data were analyzed through descriptive and inferential statistics. Results: the mean age of participants varied from 22 to 26 years and most were females. There was no statistically significant difference regarding the self-reported ability to establish nursing diagnoses and the degree of clinical contact with the nursing process, diagnoses, and clinical reasoning in the theoretical and practical contexts. It was observed that the second year residents identified a significantly smaller number of low accuracy diagnoses compared to the other participants. Conclusion: the results suggest that the residency programs contribute to improving diagnostic accuracy.
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