title: Use of a script concordance test to assess development of clinical reasoning in nursing students.
abstract: The methods for assessing and measuring clinical reasoning as it pertains specifically to nurses are inadequate, if not nonexistent. The purposes of this methodological study were to develop a script concordance test and conduct a preliminary validation of its psychometric qualities. A script concordance test was created and the test scoring grid was constructed using the combined-score method and based on the responses of a panel of 15 experts. Thirty first-year bachelor of nursing students completed the test. The scores for the experts and students were compared with a t test, and the reliability of the scores was measured by Cronbach's alpha coefficient. A statistically significant difference was found between the scores of the experts and novices. The scores' reliability is high. The script concordance test is an innovative instrument that provides a standardized method for assessing nurses' clinical reasoning.
authors: Collège de Maisonneuve, Université de Montréal, Montreal, Quebec, Canada.
authors: Marie-France
authors: MF
authors: Deschênes
authors: Bernard
authors: B
authors: Charlin
authors: Robert
authors: R
authors: Gagnon
authors: Johanne
authors: J
authors: Goudreau
mesh_terms: D000328:Adult; D002983:Clinical Competence; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D018794:Problem-Based Learning; D011792:Quebec; D018709:Statistics, Nonparametric; D013338:Students, Nursing / Q000523:psychology*