Measuring Diagnostic Competency and the Analysis of Factors Influencing Competency Using Written Case Studies

Abstract

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.

Telephone triage by nurses in primary care out-of-hours services in Norway: an evaluation study based on written case scenarios

“…Written case scenarios have been used in studies in other countries for both nurses and paediatricians working with triage 8 16–21. An important limitation of using this methodology is that it is not assessed whether the nurses ask the patients the proper questions needed to clarify the urgency because the important information is already available.…”

“…Written case scenarios have been used in several studies to evaluate agreement with national guidelines, and they are regarded as suitable tools in the assessment of clinical competence 8 11…”

Psychometric evaluation of the Positions on Nursing Diagnosis scale

“…The scale can be used in all clinical settings by nursing students and clinical nurses and is currently used in the US, Brazil, Japan, Spain, and India (Collins, 2013;Hasegawa, Ogasawara, & Katz, 2007;Lunney & Krenz, 1992;Oliva et al, 2005;. The PND is simple to use, fast to administer, highly versatile, and sensitive to small differences in attitude.…”

Software Application That Evaluates the Diagnostic Accuracy of Nursing Students

“…Only in the third case study did the students attending the third year outperform the others in the NDxs indicated by the model, which may be related to several variables. The NDx competence may be related to factors such as time of clinical experience, responsibility in decision making, and frequency of study on NDx (Hasegawa, Ogasawara, & Katz, 2007).…”