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Can script concordance testing be utilized in nursing education to accurately assess clinical reasoning skills?

WCU Author/Contributor (non-WCU co-authors, if there are any, appear on document)
Tyia Ellen Dawson (Creator)
Institution
Western Carolina University (WCU )
Web Site: http://www.wcu.edu/404.asp
Advisor
Linda Comer

Abstract: The purpose of this tool validation study was to provide additional evidence of the validity and reliability of the Script Concordance Test (SCT) in evaluating the clinical reasoning competency of nursing students by replicating the study conducted by Deschenes, Charlin, Gagnon and Goudreau (2011). The question this researcher attempted to answer was: Can script concordance testing be utilized in nursing education to accurately assess clinical reasoning skills? The study was conducted on a convenience sample of 48 first year bachelor of nursing students. The Script Concordance Test from the Deschenes et al. (2011) study was administered to the students and 13 panel members. A scoring grid was developed using the aggregate scores method based on the modal responses of the panel. The reliability of the scores was measured by Cronbach's alpha coefficient and the scores of the students and panel were compared using a t-test. The difference between the panel and student scores was statistically significant and the reliability of the scores was high. The SCT provides a reliable, standardized, and easy to administer method of evaluating clinical reasoning in nursing students.

Additional Information

Publication
Thesis
Language: English
Date: 2012
Keywords
clinical reasoning, script concordance test, script theory
Subjects
Medical logic -- Study and teaching
Nursing -- Study and teaching