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.
Bibliographical notePublisher Copyright:
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
All Science Journal Classification (ASJC) codes