• J Nurs Educ · Apr 2018

    Review

    Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners.

    • Thomas N Lawson.
    • J Nurs Educ. 2018 Apr 1; 57 (4): 203-208.

    BackgroundDiagnostic reasoning is often used colloquially to describe the process by which nurse practitioners and physicians come to the correct diagnosis, but a rich definition and description of this process has been lacking in the nursing literature.MethodA literature review was conducted with theoretical sampling seeking conceptual insight into diagnostic reasoning.ResultsFour common themes emerged: Cognitive Biases and Debiasing Strategies, the Dual Process Theory, Diagnostic Error, and Patient Harm. Relevant cognitive biases are discussed, followed by debiasing strategies and application of the dual process theory to reduce diagnostic error and harm.ConclusionThe accuracy of diagnostic reasoning of nurse practitioners may be improved by incorporating these items into nurse practitioner education and practice. [J Nurs Educ. 2018;57(4):203-208.].Copyright 2018, SLACK Incorporated.

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