Use of a Script Concordance Test to Assess Development of Clinical Reasoning in Nursing Students

被引:29
|
作者
Deschenes, Marie-France [2 ]
Charlin, Bernard [3 ]
Gagnon, Robert [3 ]
Goudreau, Johanne [1 ,4 ,5 ]
机构
[1] Univ Montreal, Baccalaureate Programs, Fac Nursing, Montreal, PQ H3T 1A8, Canada
[2] Univ Montreal, Coll Maisonneuve, Montreal, PQ H3T 1A8, Canada
[3] Univ Montreal, CPASS, Montreal, PQ H3T 1A8, Canada
[4] Ctr Sante & Serv Sociaux Laval, Equipe Rech Soins Premiere Ligne, Laval, PQ, Canada
[5] Ctr Innovat Nursing Educ, Montreal, PQ, Canada
关键词
EXPERIENCED NURSES; ACUTE CONFUSION; OLDER-ADULTS; UNCERTAINTY; PANEL; ENVIRONMENTS; PERSPECTIVE; EXPERTISE; KNOWLEDGE; EDUCATION;
D O I
10.3928/01484834-20110331-03
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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.
引用
收藏
页码:381 / 387
页数:7
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