PMID- 32433379 OWN - NLM STAT- MEDLINE DCOM- 20210610 LR - 20210610 IS - 1538-9855 (Electronic) IS - 0363-3624 (Linking) VI - 46 IP - 2 DP - 2021 Mar-Apr 01 TI - Using Objective Structured Clinical Examination as a Teaching Tool in a Hybrid Advanced Health Assessment Course. PG - 101-105 LID - 10.1097/NNE.0000000000000849 [doi] AB - BACKGROUND: Advanced health assessment is a required course in advanced practice RN (APRN) education, essential to providing the foundation for differential diagnosis (DD) skills and the ability to formulate a plan of care. PROBLEM: Feedback from clinical preceptors revealed that our doctor of nursing practice (DNP) students struggled to make a DD. APPROACH: This educational quality improvement project collected data from 7 cohorts of DNP students in either the Family Nurse Practitioner or Adult Gerontology Nurse Practitioner program to evaluate their readiness for clinical practicums and to inform necessary curriculum revisions. OUTCOMES: Data revealed that students' ability to identify 3 DDs correctly during the summative health assessment objective structured clinical examination was inconsistent. Qualitative data revealed students lacked understanding on how to use results from the physical assessment to formulate a DD. CONCLUSION: The findings of this project corroborate those from the literature that suggest we should teach APRN students DD skills explicitly. CI - Copyright (c) 2020 Wolters Kluwer Health, Inc. All rights reserved. FAU - Champlin, Andrea M AU - Champlin AM AD - Author Affiliations: Assistant Professor (Ms Champlin and Drs Pueschel, Huerta, and Yang), Professor and Research Director (Dr Roberts), Research Assistant (Ms Saunders), and Nurse Practitioner Program Coordinator (Dr Huerta), Graduate School of Nursing, Loma Linda University, California. FAU - Roberts, Lisa R AU - Roberts LR FAU - Pueschel, Robin D AU - Pueschel RD FAU - Saunders, Jasmine S D AU - Saunders JSD FAU - Huerta, Gloria M AU - Huerta GM FAU - Yang, Joanna AU - Yang J LA - eng PT - Journal Article PL - United States TA - Nurse Educ JT - Nurse educator JID - 7701902 MH - *Advanced Practice Nursing/education MH - Clinical Competence MH - Cohort Studies MH - *Curriculum MH - Diagnosis, Differential MH - *Education, Nursing, Graduate/methods MH - Humans MH - Nursing Education Research MH - Nursing Evaluation Research MH - Preceptorship MH - *Students, Nursing/psychology COIS- The authors declare no conflicts of interest. EDAT- 2020/05/21 06:00 MHDA- 2021/06/11 06:00 CRDT- 2020/05/21 06:00 PHST- 2020/05/21 06:00 [pubmed] PHST- 2021/06/11 06:00 [medline] PHST- 2020/05/21 06:00 [entrez] AID - 00006223-202103000-00015 [pii] AID - 10.1097/NNE.0000000000000849 [doi] PST - ppublish SO - Nurse Educ. 2021 Mar-Apr 01;46(2):101-105. doi: 10.1097/NNE.0000000000000849.