Paper
Friday, July 23, 2004
Evidence-Based Model applied to Diagnostic Accuracy
Rona Faye Levin, PhD, RN, Center for Nursing Research, Clinical Practice and International Affairs, Center for Nursing Research, Clinical Practice and International Affairs, Lienhard School of Nursing, Pace University, Pleasantville, NY, USA
Sackett et al.'s (2000) five steps to identify the best available evidence are useful to achieve diagnostic accuracy. This presentation will explain how these five steps for evidenced based medicine are applied to a nursing diagnostic accuracy paradigm [bracketed]: 1. Converting the need for information into an answerable question [about diagnostic accuracy]. 2. Tracking down the best evidence with which to answer that [diagnostic accuracy] question. 3. Critically appraising that [diagnostic] evidence for its validity, impact, and applicability. 4. Integrating the critical appraisal with our clinical expertise and with our patients’ unique biology, values and circumstances. [Included in this step for nursing is working in partnership with patients to make a diagnosis.] 5. Evaluating our effectiveness and efficiency in executing steps 1 to 4 and seeking ways to improve them both for next time. [Evaluate accuracy of the diagnosis made in 4.]The strenths and limitations of using this approach will be identifed.
Back to Evidence-Based Nursing and Diagnostic Accuracy
Back to 15th International Nursing Research Congress
Sigma Theta Tau International
July 22-24, 2004