Physical examination competence as a predictor of diagnostic reasoning among new advanced practice nurse students: a cross-sectional study

Hyejung Lee, Young Joo Lee, Ju Hee Lee, Sanghee Kim

Research output: Contribution to journalArticle


Aim: To investigate levels of diagnostic reasoning among new APN students as well as students’ characteristic affecting such reasoning levels. Design: a descriptive correlational design. Methods: One hundred fourteen APN students in an advanced health assessment course self-assessed their competene in performing examination. The students’ self-reported Diagnostic Reasoning Assessment scores were used to categorize them into pre-novice, novice, advanced beginner, and competent levels. Ordinal logistic regression analysis was used. Results: Only physical examination competence significantly predicted the students’ diagnostic reasoning levels. Being in a higher diagnostic reasoning level relative to being in a pre-novice, novice, or advanced beginner level was 16.1, 2.6, and 1.9 times greater in the physical examination competence, respectively. Conclusions: Promoting physical examination competence can be an effective teaching strategy for enhancing the diagnostic reasoning of newly enrolled APN students, especially for students who have poor diagnostic reasoning performance.

Original languageEnglish
Pages (from-to)360-368
Number of pages9
JournalContemporary Nurse
Issue number4-5
Publication statusPublished - 2019 Sep 3


All Science Journal Classification (ASJC) codes

  • Nursing(all)

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