Student's Decision Making Using an Educational Model Focused on Patient Safety

2.50
Hdl Handle:
http://hdl.handle.net/10755/304035
Category:
Full-text
Type:
Presentation
Title:
Student's Decision Making Using an Educational Model Focused on Patient Safety
Author(s):
Tesoro, Mary Gay
Lead Author STTI Affiliation:
Delta Zeta
Author Details:
Mary Gay Tesoro, DNS, RN, BC, mary.tesoro@lehman.cuny.edu
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose: To describe the theoretical framework of the Developing Nurses' Thinking (DNT) model and discuss its use to facilitate clinical decision making in pre licensure and RN to BS nursing students.

Methods: The DNT model was initially tested with 83 students from two schools in a two-group pre and posttest quasi-experimental study.' Clinical groups in the first clinical course were randomly assigned to control and intervention groups.' Students in the intervention group used the DNT model during post conference and students in the control group attended traditional post conferences over a two week period. 'Statistical analyses included independent't'' test, paired't'' test, and general linear regression modeling to determine changes in diagnostic accuracy.' Subsequent testing of the model included an evaluation study of two online clinical decision making courses with registered nurses in which the DNT model was taught and used throughout the course.' Diagnostic accuracy and student perceptions were explored regarding effects of teaching strategies on the student's thinking habits.

Results: 'The intervention group realized statistically significant improvement in accuracy posttest scores compared to those in the control group.' While there was statistical improvement in diagnostic accuracy in the intervention group, students in one school had greater improvements in diagnostic accuracy than the other.' A follow up evaluation study revealed some improvement in diagnostic accuracy scores however it was not statistically significant. Most students who responded to the survey (n =63) identified use of the DNT model as an effective framework to analyze patient conditions, plan care, and consider patient safety.' All student responses reflected the importance of patient safety and diagnostic reasoning and felt that their diagnostic reasoning had improved by the end of the class.

Conclusion: Students liked using the DNT model to structure their thinking and its use may help nursing students to develop effective thinking habits in the context of patient safety.

Keywords:
patient safety; nursing diagnosis; clinical decision making
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleStudent's Decision Making Using an Educational Model Focused on Patient Safetyen
dc.contributor.authorTesoro, Mary Gayen
dc.contributor.departmentDelta Zetaen
dc.author.detailsMary Gay Tesoro, DNS, RN, BC, mary.tesoro@lehman.cuny.eduen
dc.identifier.urihttp://hdl.handle.net/10755/304035-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b><b>Purpose: </b></b>To describe the theoretical framework of the Developing Nurses' Thinking (DNT) model and discuss its use to facilitate clinical decision making in pre licensure and RN to BS nursing students. <p><b><b>Methods: </b></b>The DNT model was initially tested with 83 students from two schools in a two-group pre and posttest quasi-experimental study.' Clinical groups in the first clinical course were randomly assigned to control and intervention groups.' Students in the intervention group used the DNT model during post conference and students in the control group attended traditional post conferences over a two week period. 'Statistical analyses included independent'<i>t'</i>' test, paired'<i>t'</i>' test, and general linear regression modeling to determine changes in diagnostic accuracy.' Subsequent testing of the model included an evaluation study of two online clinical decision making courses with registered nurses in which the DNT model was taught and used throughout the course.' Diagnostic accuracy and student perceptions were explored regarding effects of teaching strategies on the student's thinking habits. <p><b><b>Results: </b> </b>'The intervention group realized statistically significant improvement in accuracy posttest scores compared to those in the control group.' While there was statistical improvement in diagnostic accuracy in the intervention group, students in one school had greater improvements in diagnostic accuracy than the other.' A follow up evaluation study revealed some improvement in diagnostic accuracy scores however it was not statistically significant. Most students who responded to the survey (n =63) identified use of the DNT model as an effective framework to analyze patient conditions, plan care, and consider patient safety.' All student responses reflected the importance of patient safety and diagnostic reasoning and felt that their diagnostic reasoning had improved by the end of the class. <p><b><b>Conclusion: </b></b>Students liked using the DNT model to structure their thinking and its use may help nursing students to develop effective thinking habits in the context of patient safety.en
dc.subjectpatient safetyen
dc.subjectnursing diagnosisen
dc.subjectclinical decision makingen
dc.date.available2013-10-22T20:28:00Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:28:00Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.