Diagnostic Reasoning as a Component of Clinical Reasoning in Nurse Practitioner Education: Extension of a Scoping Review.

Background: Diagnostic reasoning (DR) is a critical skill for nurse practitioners (NPs). This article provides an update of a 2022 scoping review of DR content in NP education, highlighting advances in curriculum integration. Objective: To assess the degree that scholarly literature about clinical r...

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Publicado en:AACN Advanced Critical Care Vol. 36; no. 2; pp. 158 - 174
Autores principales: Smith, Sheila, Benbenek, Mary Mescher, Meyer, Sarah, Herman, Jenna, Weinfurter, Elizabeth
Formato: research systematic review Journal Article
Publicado: American Association of Critical-Care Nurses Summer2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Summer2025
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      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        atl: Diagnostic Reasoning as a Component of Clinical Reasoning in Nurse Practitioner Education: Extension of a Scoping Review.
      aug:
        au:
          Smith, Sheila
          Benbenek, Mary Mescher
          Meyer, Sarah
          Herman, Jenna
          Weinfurter, Elizabeth
        affil: Sheila Smith is Clinical Professor, University of Minnesota School of Nursing, 5-140 Weaver-Densford Hall, 308 Harvard St SE, Minneapolis, MN 55455
      sug:
        subj:
          Nurse Practitioners
          Education, Nursing
          Diagnostic Reasoning Education
          Clinical Reasoning Education
          Nursing Skills
          Teaching Methods
          Nurse Attitudes
          Human
          Scoping Review
          Clinical Competence
          Nursing Practice, Evidence-Based
          Nursing Diagnosis
          Embase
          Medline
          Psycinfo
          CINAHL Database
      ab: Background: Diagnostic reasoning (DR) is a critical skill for nurse practitioners (NPs). This article provides an update of a 2022 scoping review of DR content in NP education, highlighting advances in curriculum integration. Objective: To assess the degree that scholarly literature about clinical reasoning in NP education includes DR; identify how DR is defined in NP education; and describe the teaching methodologies used to support DR-related knowledge, skills, and/or attitudes. Methods: We examined and categorized the literature from the past 2.5 years, assessing the scope, current status, and impact of DR-related content in NP education programs. Results: Literature reviews emphasized meta-cognitive strategies and competency assessment. Case reports described innovative teaching interventions and objective measures of student competency. Primary research articles explored a variety of DR topics, including survey research, diagnostic accuracy, structured reflection, and tool validation studies. New contributions included model and tool development articles for teaching and evaluating DR. Conclusions: Substantial progress was seen in the integration of DR components, theory, evidence-based teaching, and evaluation approaches in NP education, demonstrating increased awareness of the importance of DR competencies for NP students. Extending these advances to faculty, preceptor, and NP research development will provide important foundations for NP education and scholarship.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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