Evidence-based practice applied to diagnostic reasoning

Authors

  • Diná de Almeida Lopes Monteiro da Cruz Universidade de São Paulo; Escola de Enfermagem
  • Cibele Andrucioli de Mattos Pimenta Universidade de São Paulo; Escola de Enfermagem

DOI:

https://doi.org/10.1590/S0104-11692005000300017

Keywords:

nursing diagnosis, evidence-based medicine, decision making

Abstract

Nurses apply knowledge, perceptual and cognitive skills to analyze patient data and propose nursing interventions. The interventions' outcomes depend on their appropriateness which, in turn, depends on the accuracy of nurses' interpretations. The purpose of this paper is to discuss the use of evidenced-based practice (EBP) for nursing diagnostic reasoning, by means of a written case study. The principles of EBP in diagnostic reasoning are: validity of a diagnostic test; ability of a test to discriminate those who do or do not display a specific response; ability of a test to estimate the magnitude of a response; and the appropriateness of a diagnostic test within the clinical context. Gaps in nursing knowledge jeopardize the application of EBP principles in clinical nursing assessment and diagnosis. The authors present a framework to demonstrate the application of EBP to diagnostic reasoning.

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Published

2005-06-01

Issue

Vol. 13 No. 3 (2005)

Section

Review Article

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Evidence-based practice applied to diagnostic reasoning. (2005). Revista Latino-Americana De Enfermagem, 13(3), 415-422. https://doi.org/10.1590/S0104-11692005000300017