Desenvolvimento de casos clínicos para o ensino do raciocínio diagnóstico* Developing clinical cases to reach diagnostic reasoning Desarrollo de casos clínicos para la enseñanza del razonamiento diagnóstico

The objective of this study is to report the creation and validation of case studies in neonatal nursing adapted according to a specific educational framework. This methodological study was performed in a public hospital in the state of Sao Paulo. Data were collected with 22 newborns (15 - verification of reliability in the case collection), seven of which were adapted in case studies following six steps: resource and method selection, goals, complexity, validation of the evidence, scripts and content validity. The cases' goals comprise teaching, care and the technical quality of the case. Regarding the complexity of cases, they were elaborated considering the basic human needs, Risner's diagnostic reasoning, and NANDA-I taxonomy II. The creation and validation of cases based on a specific framework contributed to case studies becoming an important learning resource. A knowledge gap was observed regarding the validation of case studies for teaching.