Study Conclusion: NP diagnostic reasoning in a complex case scenario compared favorably with that of physicians.

Julianne Nemes Walsh nemeswalsh at GMAIL.COM
Tue Aug 11 21:07:02 UTC 2015


Hello Ruth,

I think the commentary makes a great point about each profession being
independently licensed but the importance of making complex decisions as a
team.  The Ontario Health Professions Act of 1991 addresses the need for
each profession to set the standards and regulate its own profession for
the sole purpose of protecting the public.

Thanks for sending the link.  I enjoyed reading.

Julianne Nemes Walsh, DNP(c), MS, PNP-BC


On Tue, Aug 11, 2015 at 4:23 PM, Ruth Ryan <ruthryan at cox.net> wrote:

> In Medscape at
> http://www.medscape.com/viewarticle/848710?nlid=86363_785&src=wnl_edit_medp_nurs&uac=9733BN&spon=24src=wnl_edit_medp_nurs&uac=9733BN&spon=24&impID=789938&faf=1
>
>
>
> I think you have to register to access it, but it’s free of charge.
>
>
>
> The methodology was interesting, worth a read. Participants were given a
> complex inpatient case presentation, and instructed to use a "think aloud"
> protocol. Judgement of correct dx was by an expert panel.
>
>
>
> It must have been complex case indeed: MDs made the correct diagnosis
> 61.9% of the time. NPs made the correct diagnosis 54.7% of the time. The
> differences were not statistically significant. Participants who took
> longer to complete the case scenario were more accurate.
>
>
>
> Pirret AM, Neville SJ, La Grow SJ. Nurse Practitioners Versus Doctor
> Diagnostic Reasoning in a Complex Case Presentation to an Acute Tertiary
> Hospital: A Comparative Study. Int J Nurs Stud. 2015;52:716-726.
>
>
>
>
>
> *Ruth*
>
>
>
> Ruth Ryan RN, BSN, MSW, CPHRM
>
> Medical writer
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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