title: Determinants of the accuracy of nursing diagnoses: influence of ready knowledge, knowledge sources, disposition toward critical thinking, and reasoning skills.
abstract: The purpose of this study was to determine how knowledge sources, ready knowledge, and disposition toward critical thinking and reasoning skills influence the accuracy of student nurses' diagnoses. A randomized controlled trial was conducted to determine the influence of knowledge sources. We used the following questionnaires: (a) knowledge inventory, (b) California Critical Thinking Disposition Inventory, and (c) Health Science Reasoning Test (HSRT). The use of knowledge sources had very little influence on the accuracy of nursing diagnoses. Accuracy was significantly related to the analysis domain of the HSRT. Students were unable to operationalize knowledge sources to derive accurate diagnoses and did not effectively use reasoning skills.
authors.affiliation: Centre for Applied Research in Health Care and Nursing, Hanze University, Groningen, The Netherlands. w.paans@pl.hanze.nl
authors.forename: Wolter
authors.initials: W
authors.lastname: Paans
authors.forename: Walter
authors.initials: W
authors.lastname: Sermeus
authors.forename: Roos
authors.initials: R
authors.lastname: Nieweg
authors.forename: Cees
authors.initials: C
authors.lastname: van der Schans
mesh_terms: D004508:Education, Nursing, Baccalaureate / Q000379:methods / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009733:Nursing Diagnosis / Q000379:methods / Q000592:standards*; D015402:Nursing Education Research; D013338:Students, Nursing; D013850:Thinking