Improving diagnostic accuracy using an evidence-based nursing model.
OBJECTIVE
To propose an evidence-based model (EBM) to improve diagnostic accuracy in nursing.


METHODS
Published literature, experience, and expertise of authors.


RESULTS
Using an EBM directs clinicians on how to use the best available evidence from the literature to determine the best fit between cues and diagnoses, integrate this evidence with clinician expertise and patient preferences, and conduct a self-evaluation of the process.


CONCLUSIONS
Use of an EBM to teach nurses how to ask relevant diagnostic questions and provide a framework for nurse educators to teach evidenced-based practice may lead to developing more competent diagnosticians and improving diagnostic accuracy in nursing.
Levin
Rona F
RF
Lienhard School of Nursing, Pace University, Pleasantville, NY, USA. rflevin@ix.netcom.com
Lunney
Margaret
M
Krainovich-Miller
Barbara
B
D002983:Clinical Competence / Q000592:standards; D003657:Decision Making; D003937:Diagnosis, Differential; D019317:Evidence-Based Medicine; D006301:Health Services Needs and Demand; D006801:Humans; D007600:Judgment; D008128:Logic; D008487:Medical History Taking / Q000592:standards; D016294:Models, Nursing; D009730:Nursing Assessment / Q000592:standards; D009733:Nursing Diagnosis / Q000592:standards*; D009736:Nursing Process / Q000592:standards*; D017749:Total Quality Management / Q000458:organization & administration