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Use of Script Concordance Activity With the Think-Aloud Approach to Foster Clinical Reasoning in Nursing Students

Mary Tedesco-Schneck¹

¹Author Affiliation: Assistant Professor, School of Nursing, University of Maine, Orono.

|November 6, 2018

Abstract

Background:

Script concordance testing and the think-aloud (TA) approach uses clinical scenarios to evaluate clinical reasoning (CR).

Problem:

Teaching strategies to both facilitate and evaluate CR are lacking. Adaptation of script concordance testing and the TA approach may be a useful teaching/learning strategy for CR.

Approach:

Script concordance activity with the TA approach (SCA-TA method) was created and implemented in a nursing course to facilitate and evaluate CR.

Evaluation:

Survey data provided valuable information of students' perception about the SCA-TA method as a teaching strategy.

Conclusions:

The SCA-TA method holds promise to foster CR. Ongoing research to predict progression of CR is needed.

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